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Father had massive infarction with recurrent bleeding in brain. Went through a couple of surgeries. Has headaches. Recovery chances? Husband alcoholic and smoker. His chances of chronic diseases? - Online Doctor Chats

Date : 12-Jun-2013
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
Doctor:Good afternonn
User:good Afternoon
User:have some queries for my father in neurology
Doctor:Please proceed with your queries
User:he just got a stroke
User:on 2 march
User:Doctor says its a massive infarction
Doctor:sorry about it
User:more than 2/3 of brain is affected with blood clot
User:he got paralysed also
User:on left side
Doctor:Really sorry about it
User:now the concern is
User:Doc said he has that massive infarct in both lower and upper part of brain
User:on 13mar he re bleeded
User:fresh blled and was operated on immed basis
User:then after 6 days moved back to general ward from ICu
User:nd now on 22mar he again complained abt severe headcahe
User:CT Scan report says in upper part of brain (which was not operated) there are fresh bleed
User:with swelling
User:he has been shifted to general ward today also
User:but since he is in military hosp so doc didnt tell things cleraly
User:m concern is does ths re bleed cases recover
User:and what should be done?
Doctor:Yes, they do recover
User:your suggestion pls
Doctor:If the bleeding is more, surgery has to be done again
User:but the process has to stop?
User:of rebleed
Doctor:We can arrest the bleeding to certain extent
Doctor:Full recovery is not possible
Doctor:It relies completely on individual patient, patients response to treatment
User:full recovery of patient of bleeding?
Doctor:The extent of brain damage
User:oh ok
Doctor:Full recovery is almost always nil
Doctor:Sorry about it
User:but when you say full recovery
User:then what does it mean
Doctor:There will be minimal residual palsy that can be improved by physiotherapy
User:m sorry
User:just want to know exactly
User:oh ok
User:but chances of survival of such patients?
Doctor:Full recovery means complete control of motor activity or movements
User:do people survive?
Doctor:Yes, chances of survival is high
User:Ok thats more than enough for me
Doctor:However, the quality of life post the event is only fair
User:that he survives
User:means he could become bed ridden?
Doctor:You are right
Doctor:Also, he may be unable to do a few motor activities
Doctor:like driving
User:oh ok
User:but if proper physiotharaphy is being done then with a support he can walk a bit or so
User:one thing i knw that he will never come back to shape one
Doctor:With a moderate amount of physiotherapy, patient can get back to 75% normal state
User:one thing
Doctor:Don't lose hope
User:when he comes out of ICU
Doctor:Don't be disheartened
User:and is able to talk
Doctor:Your father will be fine soon
User:he gets emotional
User:he cries for smallest things
User:that is also not good for him right?
Doctor:Yes, he will definitely speak
Doctor:I understand
User:thanks doctor
Doctor:Some people are like that emotional
Doctor:It's a good nature
User:but i hope his rebleeding is not due to him crying or still taking tension
User:but he never had Bp
Doctor:His blood pressure needs to be controlled aggresively
User:last month he had BP issues
User:and he started taking medication
User:he was all fit and fine
User:he works with Airforce
User:suddnly it hapened?
Doctor:It was probably there for sometime but was diagnosed only last month
User:and that will be controlled with good life style, no tension, proper diet and medication
User:oh ok like that
User:we missed it
User:and got very late
Doctor:And when BP presents like this, it is very XXXXXXX
Doctor:As you have seen in your father
Doctor:What is his age?
User:I must take my mothet too for the check up
User:he is 55 yrs exactly
Doctor:No harm in it
Doctor:Please take your mom and get a master health check up done
Doctor:She would benefit from it
User:what should I ask that I want a full medical done for my mother?
User:in hosptal
User:are thr any specific testes
Doctor:You can ask for a "master Health check up"
User:needed ur help in one more thing
User:about my husband
Doctor:Yes please
User:can I pls ask?
User:he is a chain smoker and drinks too much
User:he is 30 yrs old
User:his family background is full of Diabities and BP
User:I want his check ups also
Doctor:I am sorry
Doctor:Your husband is at high risk for all chronic diseases
User:so the same Master health check up has to b done?
User:what is chronic disease?
User:any suggestions which will help him quitting smoking and drinking?
Doctor:Chronic diseases include Diabetes, High BP, High Cholesterol problems
Doctor:Liver problems
User:please suggest a good place for his master health check up in bangalore
Doctor:He would need multiple counseling sessions
Doctor:You can get it done at Manipal Hospital, air port road
User:and counselling would be done with which specialist?
Doctor:There are Psychologists or even psychiatrist who do it
User:thank you so much dr. Shanthi
User:you have been a good help
User:I may bother you again with my queries
Doctor:Anytime, pleasure is mine to help you
User:specialy in my father's case
Doctor:Sure please
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