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What Causes Vomiting And Headache Post An ICH Stroke?

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Posted on Tue, 23 Aug 2016
Question: My husband who is 36 years old just had an ICH Stroke last Thursday (4 days ago). He is still in the hospital as his lumbar puncture showed a white count of 150 (we were told it should be 5 or less). They are still waiting for labwork to confirm if there was a brain infection or if there was just a raised white count due to the stroke itself.
Today he had some suddent violent vomitting followed by a headache. He has slept most of the day but about a half hour ago he suddenly lost feeling in his right arm, lips, and tongue, was slurring his speech and delayed in answering us. THE NUMBNESS WAS ON THE OPPOSITE SIDE FROM THE FIRST STROKE. I am concerned he has had another small stroke but the dr is telling us to wait "an hour or two" and if it happens again they'll order another scan. Does that seem right?
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Answered by Dr. Bruno Mascarenhas (41 minutes later)
Brief Answer:
If I am the treating doctor, I will not wait. I will order CT Brain

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.

I am sorry that your husband has had an ICH

Q1
Today he had some suddent violent vomitting followed by a headache. He has slept most of the day but about a half hour ago he suddenly lost feeling in his right arm, lips, and tongue, was slurring his speech and delayed in answering us. THE NUMBNESS WAS ON THE OPPOSITE SIDE FROM THE FIRST STROKE.
A1
This can be due to the previous ICH (intra cranial haemorrhage) expanding and causing midline shift and pushing the brain to the opposite side

Lose of Feeling in Arm, Slurring of Speech, Delay in Answering are all danger signs which have to be evaluated immediately. If I am the treating doctor, I will not wait. I will order CT Brain Immediately

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.

Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.

-oOo-

PS 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback.

PS 2 : In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Bruno Mascarenhas

Neurologist, Surgical

Practicing since :2000

Answered : 813 Questions

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What Causes Vomiting And Headache Post An ICH Stroke?

Brief Answer: If I am the treating doctor, I will not wait. I will order CT Brain 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. I am sorry that your husband has had an ICH Q1 Today he had some suddent violent vomitting followed by a headache. He has slept most of the day but about a half hour ago he suddenly lost feeling in his right arm, lips, and tongue, was slurring his speech and delayed in answering us. THE NUMBNESS WAS ON THE OPPOSITE SIDE FROM THE FIRST STROKE. A1 This can be due to the previous ICH (intra cranial haemorrhage) expanding and causing midline shift and pushing the brain to the opposite side Lose of Feeling in Arm, Slurring of Speech, Delay in Answering are all danger signs which have to be evaluated immediately. If I am the treating doctor, I will not wait. I will order CT Brain Immediately 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. Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care. -oOo- PS 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback. PS 2 : In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno