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Suggest Treatment For High BP, Vomiting And Chest Pain

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Posted on Thu, 5 Feb 2015
Question: His bp went up 270/130, he vommitted and complained chest pain. this is the CT of brain.
he even smokes and drinks
doctor
Answered by Dr. Sudhir Kumar (27 minutes later)
Brief Answer:
BP is very high.

Detailed Answer:
Thank you for getting back.

The BP is very high. There is a higher risk of brain stroke including bleeding in brain with high BP and smoking.

Please ask the radiologist to give a report about the CT scan and upload it here.

Regarding chest pain, please get an ECG done to rule out heart attack.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (33 minutes later)
sir pls reply as soon as possible , reports attached
doctor
Answered by Dr. Sudhir Kumar (4 minutes later)
Brief Answer:
CT scan shows infarct.

Detailed Answer:
Thank you for getting back with CT scan and ECG reports.

I have seen both the reports.

CT scan of brain shows infarct (blood clots), where the blood supply has reduced on right side of brain. This can cause weakness of arm and leg.

Treatment should include aspirin and rosuvastatin tablets to prevent further strokes. In addition, his BP should be treated and brought to normal level.

He should be asked to stop smoking and drinking.

His ECG appears within normal limits.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (8 minutes later)
pls find the medicine provided by doc. is it correct, since he is in very small places, we dont have specialised doctors. Also let me know if there is anything serious.
doctor
Answered by Dr. Sudhir Kumar (1 minute later)
Brief Answer:
Please send the list of medicines.

Detailed Answer:
Thank you for getting back.

It is not serious and can be treated with medicines.

Please send a list of his current medications.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (3 minutes later)
i attached. please see
doctor
Answered by Dr. Sudhir Kumar (3 minutes later)
Brief Answer:
Medicines are correct.

Detailed Answer:
Thank you for getting back.

Medicines are correct.

Important medicines in his list are:

Olmesartan AM 40 and Metocard XL 50 for BP control and heart.

Clopitab -A for brain stroke.

Only medicine to be added in this list is- Rosuvas (rosuvastatin) 10 mg at bed time.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (11 minutes later)
any restriction in diet, non veg and all
doctor
Answered by Dr. Sudhir Kumar (1 minute later)
Brief Answer:
Yes.

Detailed Answer:
He should avoid oily and fatty foods.

He may take Non veg once or twice a week, mainly fish or skinless chicken. Avoid mutton.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6232 Questions

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Suggest Treatment For High BP, Vomiting And Chest Pain

Brief Answer: BP is very high. Detailed Answer: Thank you for getting back. The BP is very high. There is a higher risk of brain stroke including bleeding in brain with high BP and smoking. Please ask the radiologist to give a report about the CT scan and upload it here. Regarding chest pain, please get an ECG done to rule out heart attack. Best wishes, Dr Sudhir Kumar MD DM (Neurology)