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Drop attack in alcoholic state, syncope episode - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2009
Answered : 663 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   hi doctor may i know ur name
Doctor :  
I am Dr.Mazumdar
Doctor :  
You may proceed with your query
User :   ok
User :   actually i am having OCD problem since 99
User :   i am on fluoxetine for this since 2002
User :   it worked well for me till 2007
Doctor :  
Please proceed
User :   i am also on nebivolol
Doctor :  
Ok
User :   i experienced a syncope type episode
User :   after having alcohol
User :   it felt like a rush of blood in head and faintness
User :   and numbness and weakness in legs
User :   i lost consciousness for 15 - 20 secs
Doctor :  
Ok
User :   and then i regained it and my heart was beating faster
Doctor :  
Ok
User :   wat could be thereason
Doctor :  
Did you fall down when you lost consciousness
Doctor :  
Did you get up after you regain conscious within 15 seconds
User :   ididnt lost consciouness at once, when i felt sudden rush in the body i sat down and after 1 min or so i lost consciouness
Doctor :   It seems you moved away from chat

User :   i am here
User :   doctor
Doctor :  
So can you repeat your exact question?
User :   i wanted to know what could be the reason
User :   of this episode
User :   i am 28 year old
Doctor :  
Ok
Doctor :  
This is a drop attack
User :   is this common
Doctor :  
Yes it is common
User :   waht tests should i undergo
User :   any tests
Doctor :  
and unfortunately more than 65% of time the cause cannot be found even after proper and progressive evaluation
User :   ok
User :   could it be drug interaction
User :   actaully i am also feeling depressed for past few days, i think fluoxetine is not working
Doctor :  
However it shoiuld be evaluated properly then
Doctor :   Is there a similar episode after that
User :   no
Doctor :  
Ok, the reason could have been easily found out if it is repeated again
Doctor :   Since it is not repeated again
User :   could it be stroke
User :   or something similar
Doctor :  
Not really
Doctor :   Let me assess your risk factors for stroke
Doctor :  
Do you smoke?
User :   no
Doctor :  
Is your Blood pressure controlled?
User :   yes
User :   124/84 most of the time
Doctor :  
Ok good
Doctor :  
Are you diabetic?
User :   no
Doctor :  
Were you ever been diagnosed with High cholesterol?
User :   only high triglycerides
Doctor :  
How much ?
User :   220
Doctor :  
Ok
Doctor :  
When was your complete health check up done?
User :   in april 2008
Doctor :  
Any major pointers by the Doctor?
User :   only LVH seen on echo
Doctor :  
Were you evaluated completely afte the drop attack episode?
User :   not really
Doctor :  
LVH is because of the high blood pressure
User :   ok
Doctor :  
Listen to me now, the particular cause for that episode of the attack may not be correctly determined now
Doctor :  
However you can evaluate now for the risk of stroke in future
Doctor :  
by getting the Complete Health examination done
User :   ok
Doctor :  
with few tests, Cardiologist and General Physicians examination
Doctor :  
Moreover that time you were in alcoholic state, it could be result of that too
Doctor :  
Alcoholics have nutritional deficiencies
User :   ok
Doctor :  
so that could be the reason too
User :   actually i went TMT also
Doctor :  
So it is difficult to reason out the cuase of that episode
User :   it was normal
Doctor :  
Now I suggest you to take precautions for future
User :   ok
Doctor :  
by Complete Health Check up done
Doctor :  
Do not worry about the past episode and neglect the current condition
User :   ok
Doctor :  
Which city are you in?
User :   i am in new delhi
Doctor :  
You can see any hospital for complete health check screen.
User :   should i take cholestrol drugs
Doctor :  
If the TG are really bad then it is better to take them
Doctor :  
So now after the complete health check up the Doctor shall completely revise the medicaitons
Doctor :  
put you on the medicines that are required
User :   ok
User :   kindly tell me what all tests r required
Doctor :   Hemogram, Lipid profile, ECG, RBS, Liver profile,

Doctor :  
along with BP, Vitals
User :   ok
User :   doc i want an honest opinion could it be really a stroke
User :   ur opinion
Doctor :  
It cannot be stroke
User :   ok
Doctor :  
If you are still doubting on it, you can get an MRI scan done on the head, which may or may not reveal the earlier blood leak in the brain
Doctor :  
MRI- Brain
User :   but how stroke resolve on its own
User :   or it could be XXXXXXXX
Doctor :   We cannot determine that as I have said
Doctor :  
It is difficult now
User :   ok
Doctor :  
A thorough evaluation should have been done to help us know the cause
User :   ok
User :   thanks
User :   doctor
Doctor :  
Is there anything else I can hel pyou with?
Doctor :  
Please fill the feedback form say done when done
Doctor :  
Thanks for consulting me. Bye for now.
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