Brief Answer:
Symptoms may be due to
uncontrolled hypertension.
Detailed Answer:
Hello XXXX
Thanks for writing to XXXXXXX
Your symptoms may be due to uncontrolled hypertension though you are getting right medicines.It may be due to many factors like irregular dose,improper diet,stress etc.You should consult your physician.
It is good that number of lesion is not increased.Marginal increase in size shouldn't be the cause of worry.It may be due to technical error in measurement. 2 mm increase in size is very small and it can be ignored.
FLAIR or T2 weighted hyper intensities less than five in number in deep
white matter of brain can be ignored.
Mostly it is due to ischemic changes(decreased blood supply) that involves small blood vessels.However
demyelination should also be ruled out with follow up scans.
Diabetes mellitus also aggravates the situation.
Hyper intensities more than five in number should be the cause of concern and it need investigations.
In your case,most likely it is due to ischemic changes.
You need monitoring of conditions that leads to ischemic changes like hypertension,altered
lipid profile,diabetes mellitus.
You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen.
If there is any more physical problems then it should be treated.
Disc bulge at C5-6 level is due to age related degenerative changes.You may need
physiotherapy.You should
consult neurologist.
It is good that you have quit smoking.It is not good for you at all.
Get well soon.
Hope i have answered your query.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX