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My husband ia taking nexito ls tablet, can he stop tablet? Last month he had minor stroke and had diabetic. please suggest can he stop nexito ls.

DM - Neurology, MD (Gold Medal), MBBS (Honours, Gold Medal)
Neurologist, Durgapur
My husband ia taking nexito ls tablet, can he stop tablet? Last month he had minor stroke and had diabetic. please su...
Nexito is an mood elevating agent, stroke are an important cause of low mood, in this stressful situation its better not to stop it, but you are welcome for a private opinion. I think this will help you. Stay home, stay safe.
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My mother 85 years suffered 2nd stroke on 21st march 2020 and not able to swallow n speak (earlier 6 years back paralysis left arm / leg. She is on nasal food pipe since then n regular bp and blood thinner medicine. Now she is facing mucus problem as she is not able to spit or swallow although we r giving mucinac 600. Kindly advice on the issue and also time to replace nasal food pipe.

MBBS, MS - General Surgery, MCh- Neuro Surgery
Neurosurgeon, Chennai
Cerebrovascular accident or stroke affects different parts of the brain. As per your history, it looks like your mother has brain stem infarct. And she has developed aspiration pneumonitis. At 85 years all these can be critical. Kindly follow the neurologist advise. It would be better to do chest physiotherapy and frequent position changes to clear her chest. Ryle's tube through which food is given can be changed once every 6 weeks or if it gets obstructed. Hope she gets well soon.
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Brain Stroke - Know Forms Of It!

DM - Neurology, Fellow in Child Neurology
Neurologist, Moradabad
Brain Stroke - Know Forms Of It!
A stroke, also called cerebrovascular accident (CVA), cerebrovascular insult(CVI), or brain attack, occurs when a part of the brain is deprived of blood flow. When the brain cells are deprived of oxygen they begin to die. When brain cells die, the functions controlled by that part of the brain also stops, which results in different types of disabilities among stroke survivors.

There are two types of strokes

Ischemic stroke
The first is caused when a brain aneurysm or a weak blood vessel bursts. Most of the time, this type of stroke leads to death. The second one happens when a clot blocks the flow of blood to the brain. Patients suffering from stroke suffer from various side-effects, the most common ones being paralysis or loss of feeling in a certain part of the body, the problem in understanding or talking and loss of vision in one side. The side-effects start showing up regularly after a person has had a stroke.

In certain conditions, blood flow to a certain part of the brain stops for only some time and hence the body suffers stroke-like symptoms which only last a couple of hours before disappearing. This is known as a transient ischemic attack (TIA). Unfortunately, the effects of a stroke can be debilitating and also permanent. Hence it's important to know the symptoms of a stroke and rush the patient to a doctor as soon as possible. Sometimes early treatment can save a lot of damage.

The primary symptoms of stroke are as follows:

Confusion and problems with talking and comprehension
A headache along with alteration of consciousness or vomiting
Numbness of the face, arms or legs, especially on one side of the body
An issue with seeing, in one or both eyes
Inability to walk with stability, including disrupted coordination
Problems with the bladder and bowel control
Acute depression
Body temperature fluctuates, and pain worsens with movement
Paralysis on one side of the body along with fatigue
The problem in expressing or controlling emotions
Risk Factors:

Increased Cholesterol
Sedentary Lifestyle
Diagnosis of stroke

Several tests are carried out to determine the type of stroke acquired. They are:

Physical examination, which involves observing the patient's overall condition.
Blood tests
CT scans
MRI scans
Cerebral angiogram
Stroke is a fatal brain disease and can cause permanent damage to your system so its best to check with your doctor to know how you can prevent it.
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Female of 80 years have suffered a heart veins blockage. Please suggest what care and exercise to be done to reduce chances of reoccurring?

Homeopathy Doctor, Hooghly
Female of 80 years have suffered a heart veins blockage. Please suggest what care and exercise to be done to reduce c...
Start doing yoga, regular walking, avoid fatty foods, take more green veggies, you have to do proper homeopathic treatment which can be helpful, soo you can contact me through Lybrate in private consultation where you can upload your report also.
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Brain Stroke - Who Are At Risks?

DM - Neurology, Fellow in Child Neurology
Neurologist, Moradabad
Brain Stroke - Who Are At Risks?
A brain stroke can affect anyone at any point in time when the supply of blood to the brain is interrupted. It can threaten major physical functions and can prove to be fatally dangerous at times. The brain stem which is placed right above the spinal cord controls the breathing, heartbeat and levels of blood pressure. It is also in charge of controlling some elementary functions such as swallowing, hearing, speech and eye movements.

What are the different types of strokes?

There are three main kinds of stroke: ischemic strokes, hemorrhagic strokes and transient ischemic attacks. The most common type of brain stroke is the ischemic stroke is caused by narrowing or blocking of arteries to the brain, which prevents the proper supply of blood to the brain. Sometimes it so happens that the blood clot that has formed elsewhere in the body have travelled via the blood vessels and has been trapped in the blood vessel which provides blood to the brain. When the supply of blood to a part of the brain is hindered, the tissue in that area dies off owing to lack of oxygen. The other variant of brain stroke is termed as hemorrhagic stroke is caused when the blood vessels in and around the brain burst or leak. Strokes need to be diagnosed and treated as quickly as possible in order to minimize brain damage. Remembering the F.A.S.T. acronym can help with recognizing the onset of stroke (Face, Arms, Speed, Time - explained below).

What are the common symptoms of a brain stroke?

The symptoms of brain stroke are largely dependent on the area of the brain that has been affected. It can interfere with normal functioning, such as breathing and talking and other functions which human beings can perform without thinking such as eye movements or swallowing. Since all the signals from the brain as well as other parts of the body traverse through the brain stem, the interruption of blood flow often leads to numbness or paralysis in different parts of the body.

Who is likely to have a stroke?

Anyone is at risk of developing brain stroke although ageing is directly proportional to the risk of having a stroke. Not only that an individual with a family history of brain stroke or transient ischemic attack is at a higher risk of developing stroke. People who have aged over 65 accounts for about 33 percent of all brain strokes. It is important to point here that individuals with high blood pressure, high blood sugar, cholesterol, cancer, autoimmune diseases and some blood disorders are at a higher risk of developing brain stroke.

There are a few factors which can increase the risk of developing stroke beyond any control. But there are certain lifestyle choices as well which aids in controlling the chances of being affected by stroke. It is crucial to refrain from long-term hormone replacement therapies as well as birth control pills, smoking, lack of physical activity, excessive use of alcohol and drug addiction. A brain stroke is a life-threatening medical condition, and when an individual has symptoms that resemble that of stroke, it is crucial to seek immediate medical help.

Treatment for stroke

Treatment depends on the type of stroke.
Ischemic strokes can be treated with 'clot-busting' drugs.
Hemorrhagic strokes can be treated with surgery to repair or block blood vessel weaknesses.
The most effective way to prevent strokes is by maintaining a healthy lifestyle.
What is TPA?

TPA is a thrombolytic or a Clot Buster drug. This clot buster is used to break-up the clot that is causing a blockage or disruption in the flow of blood to the brain and helps restore the blood flow to the area of the brain. It is given by intravenous (IV). This can be given only within 4.5 hrs of the onset of symptoms

Time is brain

Remember Every second Loss means brain cells die.
Rush to the nearest Stroke Centre whenever you experience such symptoms.
U can save the brain cells dying if you reach within 4.5 hrs by the CLOT BUSTER.
Endovascular procedures

Another treatment option is an endovascular procedure* called mechanical thrombectomy, strongly recommended, in which trained doctors try removing a large blood clot by sending a wired-caged device called a stent retriever, to the site of the blocked blood vessel in the brain

Stroke prevention

The good news is that 80 percent of all strokes are preventable. It starts with managing key risk factors, including

High blood pressure,
Cigarette smoking,
Atrial fibrillation and
Physical inactivity.
More than half of all strokes are caused by uncontrolled hypertension or high blood pressure, making it the most important risk factor to control.

The best way to get better after a stroke is to start stroke rehabilitation ("rehab"). In stroke rehab, a team of health professionals works with you to regain skills you lost as the result of a stroke.
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My mother had a stroke in the left side of the brain which caused paralysis in her right limbs now she has meningioma size 20 mm and several strokes in the left side she also suffers from high blood pressure and diabetes the doctor said the tumor is inoperable I need a consult please.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
The most common cause of hemiparesis and hemiplegia is stroke. Strokes can cause a variety of movement disorders, depending on the location and severity of the lesion. Other causes of hemiplegia include spinal cord injury, specifically Brown-Séquard syndrome, traumatic brain injury, or disease affecting the brain. Let's have a detailed discussion to ensure proper treatment plan.
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Cognitive Rehabilitation Post Brain Stroke!

Post Graduate in Rehabilitation Psychology, MA Clinical Psychology, BA Applied Psychology
Psychologist, Delhi
Cognitive Rehabilitation Post Brain Stroke!
Somebody in the world suffers a stroke every two seconds. Stroke affects physical as well as mental health gravely. It can be a life- altering situation leading to new limitations overnight. Such limitations can be physical or mental, affecting mobility and cognition. According to psychologists, cognitive functions of the brain encompass speech, language, functional memory, spatial- motor systems, ability to switch between tasks, executive functions like task organization, attention, and being able to employ tools and symbols.

When the stroke strikes, it irreversibly damages a part of the brain. It happens due to hemorrhage or blocked supply of blood. However, the brain can be trained and taught compensatory strategies. These compensatory strategies consist of attention increasing activities that require neurological utilities. These activities and exercises are formed in a way to improve the memory. Both pictorial and hearing skills are engaged in these activities.

Memory, attention span, and executive activities are dependent on each other and any problem regarding these affects an individual s daily life. That is why to improve the complete mental capacity, exercises are required. These exercises help to improve memory and attention span. In cognitive rehabilitation, goals are set as per the requirements of the patient and treatment is then followed. This requires some plans and strategies to carry out daily activities. These plans may consist of planning and analysis of the task.

The recovery varies from individual to individual depending upon the restoration of the damaged neurological functions supporting specific cognitive area. However, there are very limited types of treatments for cognitive rehabilitation, mostly generic treatments which depends on doctor s experience.

Evidence is found by researchers which supports the cognitive rehabilitation after stroke, in which the areas discussed are smaller than the issues faced by the stroke survivors. The studies fail to talk about the long-term results and common treatments for daily tasks. It is now really important for us to have a serious innovation in the field of cognitive rehabilitation with the amount of stroke patients increasing day by day.

Before one going for rehabilitation, he/ she should ensure that why they need it and what are their needs that are to be fulfilled through rehabilitation. Experts recommend rehabilitation so that patients are able to lead as normal lifestyle as possible post stroke strikes them.

Who are more prone to stroke?

Old age people, alcoholics, people with high cholesterol levels, active smokers, Diabetic patients, people who consume drugs, people suffering from Hypertension, patients going through transient ischemic attack (TIA) are all very much prone to a stroke.

It is also very important to consult a doctor after stroke. He will advise you the best possible way to treat the problem.

Take away

Stroke these days can happen to anyone which although largely depends upon the age factor, but one's lifestyle can also make him/her the target of stroke. There is cognitive rehabilitation which can help a person to recover post stroke through activities and exercises and change in lifestyle. It is important for an individual to consult a doctor if he/she finds any difficulty in carrying out daily activities with one side of the body.
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I am currently taking eliquis 5 mg twice a day. I missed a dosage tonight and I currently had two alcoholic beverages and I want to know if it would be ok to take my dosage or wait?

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
one should avoid taking medicine with or after alcohol consumption, your liver may takes more than normal time to metabolize it. you may discuss your issue in detailed , right medical consultation can be provided post detailed discussion. Thanks.
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My sister having dialysis and she got brain haemorrhage. While having dialysis and since two days doctors have kept in ventilator and Dr. don’t giving any answer about patient or any improvement. Is there chance to cure this patient.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
Delirium is a common phenomenon observed in dialysis patients due to electrolyte imbalances that may occur after a dialysis run termed as the dialysis disequilibrium syndrome or as a consequence of medical or surgical complications. The causes may include uremia, anemia and hyperparathyroidism. Let's discuss your concern in detail for better advice.
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Stroke - 7 Signs You Should Never Ignore!

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Patna
Stroke - 7 Signs You Should Never Ignore!
Stroke is a condition known to all for its deadly impact. Even if the affected person survives, the after-effects can be immensely debilitating right from affecting movement to speech. Being informed, you can protect yourself and your loved ones from both ischemic and hemorrhagic stroke.

Here are the common signs of stroke that you should be aware of:

Numbing of arms and legs: Many people wake up and find that their arms and legs are numb and they tend to assume that it is due to compression of the nerve. But the actual reality is that the flow of blood through the arteries running up to the spine is reduced, and it has led to weakness or numbnesson either side of the body.
Double vision and blurriness: Vision problems can also be a strong indicator of stroke even though most people think it is due to long hours of work or aging. When you see two images of the same object, it doesn t have to mean that you are reading too much. It could mean that the blood vessel in charge of supplying oxygen to the eyes has been disrupted or blocked.
Slurred speech: Some medicines, particular painkillers can cause speech issues. But this is not the case always; if it is not a side effect that you typically experience after taking painkillers, you should consult a healthcare expert without any delay.
Confusion and trouble over thinking and articulating: When you find yourself in a state where you cannot recall the right word to explain the right thing, you may rest assured that it is an issue stemming from the stroke. If you find yourself to struggle thinking or finding a word very commonly, then you are heading for big trouble.
Balance problems: Some people have balance issues, and they think it is due to the dose of alcohol, but experts say it is crucial to identify whether this assumption is correct. You will never have delayed balance problems, and therefore, you cannot blame a drink that you had last day. So, if you have balance issues without any identifiable reason, it is advisable to call a doctor.
A headache that becomes intolerable at times: Headaches can be a sign of a migraine but in case you are not prone to this ailment, then the debilitating headache could indicate a stroke. Migraine headaches can also mean stroke since both of them have similar signs and symptoms.
Fatigue that won t let you stay upright: If you are not doing any physically strenuous job but still feel tired most of the time, it could be a warning sign of stroke. If it continues for over a week, it is recommended that you consult an expert immediately.
Equipped with this knowledge, stay aware and pay attention to the indications your body gives to take care of yourself.
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