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Suggest Treatment For Severe Vertigo In A Person After Suffering A Brain Stroke
Question: In year 2010,my mother has suffered brain stroke and she has been prescribed the following medications:
1) Morning:Volibo 0.2M,Seloken XL50,Nicardia R20 and Neurobion
2) Afternoon:Ecosprin 75
3) At Night: NicardiaR20,Atorva 5mg and Neurobion
On 23rd March,she suffered from severe vertigo along with vomitings.She was admitted in Hospital and MRI,2D-Echo were done.The doctors said that MRI shows no acute infarct so its a case of simple benign positional vertigo and she is on Vertin16mg and Cinzan25mg 3 times a day.
However,since her BP was well under control in the hospital,doctors advised to stop Seloken XL50 and NicardiaR20.From last 7 days,she is taking only 1 NicardiaR20 instead of 3 hypertension medicines.I have read thru net that beta blockers cant be stopped suddenly.Can you please advise is it ok or not?
Her current BP range is from 110/70 to 135/80 in last 4 days.He pulse is from 75 to 89.I think this has increased as it used be around 67 to 72.Pls suggest asap.
1) Morning:Volibo 0.2M,Seloken XL50,Nicardia R20 and Neurobion
2) Afternoon:Ecosprin 75
3) At Night: NicardiaR20,Atorva 5mg and Neurobion
On 23rd March,she suffered from severe vertigo along with vomitings.She was admitted in Hospital and MRI,2D-Echo were done.The doctors said that MRI shows no acute infarct so its a case of simple benign positional vertigo and she is on Vertin16mg and Cinzan25mg 3 times a day.
However,since her BP was well under control in the hospital,doctors advised to stop Seloken XL50 and NicardiaR20.From last 7 days,she is taking only 1 NicardiaR20 instead of 3 hypertension medicines.I have read thru net that beta blockers cant be stopped suddenly.Can you please advise is it ok or not?
Her current BP range is from 110/70 to 135/80 in last 4 days.He pulse is from 75 to 89.I think this has increased as it used be around 67 to 72.Pls suggest asap.
Brief Answer:
Low BP can cause Vertigo. Doctors have done the right thing
Detailed Answer:
Hi,
Welcome to HealthCareMagic.com I am Dr.J XXXXXXX Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.
Your Mother had suffered from Severe Vertigo along with vomiting. This can be due to
1. Reduced Blood Supply to Brain
2. Benign Positional Vertigo
Now
Let us look at the first cause 1. Reduced Blood Supply to Brain
Reduced Blood Supply to Brain can occur due to
(a) Obstruction in Blood Vessels
(b) Low Blood Pressure
For Example,
When you open the Tap
The water has to come at full flow
If the water is not coming at full flow, then, it can be due to either low pressure in the Tank or blockage in the pipe
Same Way
The Vertigo and Vomiting can be due to Block in Arteries (Stroke) or just low Blood Pressure or Bening Positional Vertigo
You have mentioned that her BP was 110/70
THis BP can cause Low Blood Flow
So we need to increase the BP
So We need to Decrease the Dose of Anti Hypertensives (Drugs for BP)
Now Coming to your Comment
>
This is a general statement
And this does not apply to case of Vertigo in a Patient with BP 110/70 who has already suffered a stroke
The answer for your question > is that
The Doctors have done the right thing
Hope you found the answer helpful.
If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.
Low BP can cause Vertigo. Doctors have done the right thing
Detailed Answer:
Hi,
Welcome to HealthCareMagic.com I am Dr.J XXXXXXX Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.
Your Mother had suffered from Severe Vertigo along with vomiting. This can be due to
1. Reduced Blood Supply to Brain
2. Benign Positional Vertigo
Now
Let us look at the first cause 1. Reduced Blood Supply to Brain
Reduced Blood Supply to Brain can occur due to
(a) Obstruction in Blood Vessels
(b) Low Blood Pressure
For Example,
When you open the Tap
The water has to come at full flow
If the water is not coming at full flow, then, it can be due to either low pressure in the Tank or blockage in the pipe
Same Way
The Vertigo and Vomiting can be due to Block in Arteries (Stroke) or just low Blood Pressure or Bening Positional Vertigo
You have mentioned that her BP was 110/70
THis BP can cause Low Blood Flow
So we need to increase the BP
So We need to Decrease the Dose of Anti Hypertensives (Drugs for BP)
Now Coming to your Comment
>
This is a general statement
And this does not apply to case of Vertigo in a Patient with BP 110/70 who has already suffered a stroke
The answer for your question > is that
The Doctors have done the right thing
Hope you found the answer helpful.
If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.
Above answer was peer-reviewed by :
Dr. Raju A.T
Sir,thanks for replying.My queries are:
1) On the day of episode,her BP was high ie 170/80 so i dont think it happened due to low BP and since her MRI also has not shown any actute infarct so it could be related to Positional Vertigo.However,i am afraid of stopping beta blocker.
Please do let me know what should be BP and heart rate which would be considered higher to contact doctor for revising her dose.
Are there any other symptoms to be watched for due to sudden stopping of Seloken XL50
1) On the day of episode,her BP was high ie 170/80 so i dont think it happened due to low BP and since her MRI also has not shown any actute infarct so it could be related to Positional Vertigo.However,i am afraid of stopping beta blocker.
Please do let me know what should be BP and heart rate which would be considered higher to contact doctor for revising her dose.
Are there any other symptoms to be watched for due to sudden stopping of Seloken XL50
Brief Answer:
Was the High BP Before the Vertigo or After the Vertigo
Detailed Answer:
Dear Madam
I want a small clarification from you
// On the day of episode,her BP was high ie 170/80//
Was this before the Vertigo
or
After the vertigo
or
Both Times
Can you please help me with this information
Regards
Bruno
Was the High BP Before the Vertigo or After the Vertigo
Detailed Answer:
Dear Madam
I want a small clarification from you
// On the day of episode,her BP was high ie 170/80//
Was this before the Vertigo
or
After the vertigo
or
Both Times
Can you please help me with this information
Regards
Bruno
Above answer was peer-reviewed by :
Dr. Kampana
I have checked the Blood Pressure only during Vertigo episode n it was high and also doctor checked at ER.
Also,2day she suffered from palpitations..heart rate was around 125 to 140.We went to Emergency again.
The ecg was ok.Doctor has restarted Seloken Xl50 again.R der any side effects for restarting seloken xl50 again or its okay now.She has not taken Seloken for last 7 days.
Also,2day she suffered from palpitations..heart rate was around 125 to 140.We went to Emergency again.
The ecg was ok.Doctor has restarted Seloken Xl50 again.R der any side effects for restarting seloken xl50 again or its okay now.She has not taken Seloken for last 7 days.
Brief Answer:
The treating doctors would be able to decide at the correct dose by close o
Detailed Answer:
//I have checked the Blood Pressure only during Vertigo episode n it was high and also doctor checked at ER.//
Madam
The usual sequence of events is
Low Blood Pressure --> Low Blood Flow --> Ischemia of Brain Stem --> Vertigo + High BP + High Pulse Rate
BP would be always higher after a TIA. Hence a High BP During the vertigo or after that does not rule out the possibility of a low BP having caused this
//Also,2day she suffered from palpitations..heart rate was around 125 to 140.We went to Emergency again.
The ecg was ok.Doctor has restarted Seloken Xl50 again.R der any side effects for restarting seloken xl50 again or its okay now.She has not taken Seloken for last 7 days.//
This means that your mother needs close observation
She need the right dose
The dose should not be too low to cause Increase BP and increased heart rate
The dose should not be too high to cause low BP
The treating doctors would be able to decide at the correct dose by close observation and monitoring
//Please do let me know what should be BP and heart rate which would be considered higher to contact doctor for revising her dose.//
If Pulse Rate crosses 90, you need to contact the doctor and dose has to be increased
If BP falls below 120 Systolic or 80 Diastolic, you need to contact the doctor and dose has to be reduced
//Are there any other symptoms to be watched for due to sudden stopping of Seloken XL50//
If Pulse Rate crosses 90, you need to contact the doctor and dose has to be increased
Hope you found the answer helpful.
If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.
The treating doctors would be able to decide at the correct dose by close o
Detailed Answer:
//I have checked the Blood Pressure only during Vertigo episode n it was high and also doctor checked at ER.//
Madam
The usual sequence of events is
Low Blood Pressure --> Low Blood Flow --> Ischemia of Brain Stem --> Vertigo + High BP + High Pulse Rate
BP would be always higher after a TIA. Hence a High BP During the vertigo or after that does not rule out the possibility of a low BP having caused this
//Also,2day she suffered from palpitations..heart rate was around 125 to 140.We went to Emergency again.
The ecg was ok.Doctor has restarted Seloken Xl50 again.R der any side effects for restarting seloken xl50 again or its okay now.She has not taken Seloken for last 7 days.//
This means that your mother needs close observation
She need the right dose
The dose should not be too low to cause Increase BP and increased heart rate
The dose should not be too high to cause low BP
The treating doctors would be able to decide at the correct dose by close observation and monitoring
//Please do let me know what should be BP and heart rate which would be considered higher to contact doctor for revising her dose.//
If Pulse Rate crosses 90, you need to contact the doctor and dose has to be increased
If BP falls below 120 Systolic or 80 Diastolic, you need to contact the doctor and dose has to be reduced
//Are there any other symptoms to be watched for due to sudden stopping of Seloken XL50//
If Pulse Rate crosses 90, you need to contact the doctor and dose has to be increased
Hope you found the answer helpful.
If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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