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Suggest Treatment For Swollen Fingers And Hand
Question: Hi...my father's right hand and the fingers remains swollen after paralysis due to stroke. What is the remedy?
Brief Answer:
Detail Follows.
Detailed Answer:
Dear Friend.
Welcome to HCM. I am Dr Anshul Varshney. I understand your concern.
The swelling in the paralyzed hand is due to stasis. Other reasons could be local cellulitis, thrombophlebitis due to IV cannula.
Tell me following:
1. When did he suffer from paralysis attack?
2. Is he able to move his hands ?
3. Is he on complete bed rest or he is mobile?
4. Any fever?
5. Any redness or inflammation over the hand?
6. Any injections given recently over there?
Revert with these details.
Detail Follows.
Detailed Answer:
Dear Friend.
Welcome to HCM. I am Dr Anshul Varshney. I understand your concern.
The swelling in the paralyzed hand is due to stasis. Other reasons could be local cellulitis, thrombophlebitis due to IV cannula.
Tell me following:
1. When did he suffer from paralysis attack?
2. Is he able to move his hands ?
3. Is he on complete bed rest or he is mobile?
4. Any fever?
5. Any redness or inflammation over the hand?
6. Any injections given recently over there?
Revert with these details.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Doctor,
Thank you for your feedback
Following are the answers to your queries:
1. My father suffered the stroke and paralysis attack (left infarct) on 21st June'14 and released from hospital on 14th July'14.
2. He is now able to move his right hand which was completely paralyzed at the time of the stroke attack. But he cannot still close his fingers and grasp any object. The hand remain swollen. His right foot which was partially paralyzed is also slightly swollen.
3. He is XXXXXXX
4. He is not suffering from fever.
5. No redness or inflammation over the hand.
6. No injection was given recently.
Apart from this he has developed global aphasia after the stroke attack and now has speech problem and cannot talk or communicate normally.
Medicine taken by him right now as prescribed by the Doctor are :
1. Strocit syrup - 5ml twice daily.
2. Levipil syrup - 5ml twice daily after food.
3. Tab Stamlo 2.5 - twice daily.
4. Tab Stator 20 mg - Once daily after food at bed time.
5 Tab Ecosprin 75 - Once daily after food.
6. Livoluk fibre -as he has constipatiion.
Please help.
Regards.
Thank you for your feedback
Following are the answers to your queries:
1. My father suffered the stroke and paralysis attack (left infarct) on 21st June'14 and released from hospital on 14th July'14.
2. He is now able to move his right hand which was completely paralyzed at the time of the stroke attack. But he cannot still close his fingers and grasp any object. The hand remain swollen. His right foot which was partially paralyzed is also slightly swollen.
3. He is XXXXXXX
4. He is not suffering from fever.
5. No redness or inflammation over the hand.
6. No injection was given recently.
Apart from this he has developed global aphasia after the stroke attack and now has speech problem and cannot talk or communicate normally.
Medicine taken by him right now as prescribed by the Doctor are :
1. Strocit syrup - 5ml twice daily.
2. Levipil syrup - 5ml twice daily after food.
3. Tab Stamlo 2.5 - twice daily.
4. Tab Stator 20 mg - Once daily after food at bed time.
5 Tab Ecosprin 75 - Once daily after food.
6. Livoluk fibre -as he has constipatiion.
Please help.
Regards.
Brief Answer:
Detail Follows.
Detailed Answer:
Dear Friend.
This seems to be due to residual effects of paralysis.
I advise you following in such situations:
1. To do passive movements of hand and regular physiotherapy.
2. To keep the hand elevated by putting pillow during rest and sleeping.
3. Some people also use hygroscopic dressings like Sumag over the effected swellon area.
1 and 2 are the same as suggested by your doctor. You can add the 3rd one and see response
Actually there is no special medicine to treat this. This gradually improves with time.
Don't fall into any false commitment given by any quack for this.
As far as Aphasia is considered that is due to damage of a particular part if brain that deals with comprehension.
This improves gradually. Speech therapy helps a bit in improvement. Again there is no particular treatment available for this.
If you have any further query please ask me.
Stay Healthy.
Detail Follows.
Detailed Answer:
Dear Friend.
This seems to be due to residual effects of paralysis.
I advise you following in such situations:
1. To do passive movements of hand and regular physiotherapy.
2. To keep the hand elevated by putting pillow during rest and sleeping.
3. Some people also use hygroscopic dressings like Sumag over the effected swellon area.
1 and 2 are the same as suggested by your doctor. You can add the 3rd one and see response
Actually there is no special medicine to treat this. This gradually improves with time.
Don't fall into any false commitment given by any quack for this.
As far as Aphasia is considered that is due to damage of a particular part if brain that deals with comprehension.
This improves gradually. Speech therapy helps a bit in improvement. Again there is no particular treatment available for this.
If you have any further query please ask me.
Stay Healthy.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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