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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 .it is escitalopram with clonazepam .can he stop directly or he has to tapered dose .then how many days it will take to stop completely after tapering dose?

DM- Neurology, MD Medicine, MBBS
Neurologist, Delhi
My husband ia taking nexito ls tablet, can he stop tablet? Last month he had minor stroke and had diabetic. Please su...
There is no harm in giving nexito tab even after a stroke. Its probably given for some anxiety issues. But if he does not need it anymore, it can be discontinued safely.
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सर मैंने मार्च 2019 मै एंजियोग्राफी करवाई थी जो की नार्मल रिपोर्ट आयी है और ct angiogram bhi karwaya normal hai 2017 मै tmt test 2 bar करवाया तथा 2d echo 4बार करवा लिया कई बार ecg trop t test xray करवा लिया सब की रिपोर्ट्स नार्मल डोक्टोर्स मुझे pentoc or clonazepam देते है फिर भी मेरी चेस्ट मै हल्का दर्द बना रहता है कभी ठीक होता फिर होने लगता है और आजकल तेज चलने मै भी छाती के बीच मै दर्द हो रहा है सर एंजियोग्राफी के एक साल बाद ब्लॉक बन सकता है blockage बनने मै कितना समय लगता है or sir ये दर्द कैसे ठीक होगा क्या सर्वाइकल से ये दर्द होता है मुझे सर्वाइकल की प्रॉब्लम है

BHMS, Bachelor In Pharmacy
Homeopathy Doctor, Jalgaon
सर मैंने मार्च 2019 मै एंजियोग्राफी करवाई थी जो की नार्मल रिपोर्ट आयी है और ct angiogram bhi karwaya normal hai 2017 ...
First of all your weight its 81 kg. आपला जॉब १ जगह पर बैठकर काम करने का होगा ऐसा मुझे लगता है digestion or acidity ki समस्या भि रहति होंगी कट्टे प्रारंभी पाटील भुंगे जाती में जलन के साथ दर्द होता होगा तो यह पचनकि समस्या है।
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सर मैंने मार्च 2019 मै एंजियोग्राफी करवाई थी जो की नार्मल रिपोर्ट आयी है और ct angiogram bhi karwaya normal hai 2017 मै tmt test 2 bar करवाया तथा 2d echo 4बार करवा लिया कई बार ecg trop t test xray करवा लिया सब की रिपोर्ट्स नार्मल डोक्टोर्स मुझे pentoc or clonazepam देते है फिर भी मेरी चेस्ट मै हल्का दर्द बना रहता है कभी ठीक होता फिर होने लगता है और आजकल तेज चलने मै भी चाहती के बीच मै दर्द हो रहा है सर एंजियोग्राफी के एक साल बाद ब्लॉक बन सकता है blockage बनने मै कितना समय लगता है or sir ये दर्द कैसे ठीक होगा क्या सर्वाइकल से ये दर्द होता है मुझे सर्वाइकल की प्रॉब्लम है

Bachelor of Ayurvedic Medicine and Surgery
Ayurvedic Doctor, Ghaziabad
सर मैंने मार्च 2019 मै एंजियोग्राफी करवाई थी जो की नार्मल रिपोर्ट आयी है और ct angiogram bhi karwaya normal hai 2017 ...
lybrate-user g, very less possibility hi ki cervical rediculopathy jo ki cervical spondylosis ka complication hi jismay pain gardan say haath aur peeth may radiate karti hi bahut kam possibility hoti hi ki wo diapharam ko effect kary so pain uski wahja say bhi ho sakta aur dusra severe gastriitis ki wajah say bhi pain rahata hi like if person is having past history of taking pain killers and depression wrong life and food habits etc can be trigger factor. So if you have not get good relief you should try classical ayurvedic treatment .every science have there limitations so you should think for the other option also.
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Hi I had a heart murmur and has surgery for the hole in February, i'm a thrill seeker and my friend asked me if I wanted to go to halloween horror nights in the future. Is it safe for me to still be a thrill seeker?

BHMS
Homeopathy Doctor, Jaipur
Hi I had a heart murmur and has surgery for the hole in February, i'm a thrill seeker and my friend asked me if I wan...
No. Not to worry at all. If you do not have any history of palpitations or arrhythmia in your ecg before surgery. You can keep continue. For further queries needs your all investigations reports.
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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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What are the precautions for heart patient, for their daily food related ,what should they eat or not? The patient have diabetes and hypertension also.

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Bangalore
What are the precautions for heart patient, for their daily food related ,what should they eat or not? The patient ha...
1] avoid oily, spicy food 2] avoid brisk walk, over exercise 3] avoid day sleep 4] avoid late night dinner and late night sleep.
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Does ivabrad 5 control pulse and blood pressure both hiw different it is from beta blocker.

BHMS
Homeopathy Doctor, Gurgaon
Does ivabrad 5 control pulse and blood pressure both
hiw different it is from beta blocker.
Ivabradine acts by reducing the heart rate via specific inhibition of the pacemaker current, a mechanism different from that of beta blockers. Beta blockers work by blocking the effects of the hormone epinephrine, also known as adrenaline.
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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

Hemorrhagic
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:

Hypertension
Diabetes
Increased Cholesterol
Smoking
Obesity
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
Echocardiograms
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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