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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Further Treatment After Second Stroke

My brother 57 year old suffered from STROKE (brain) on 15/04/2014. Hospitalised and medicinne started after 5.30 hours after incidence. Left hand, Left Leg , mouth left side got paralysed. He was discharged from hospital on 30/03/2013. He was improoving very well and phsiotherapy was in continued. he started walking with support.In hand also some action observed. Detected due to blood supply to brain. After 28 days on 12/04/2014 at 8 PM again mild attack/Fit occured leading to some blood leakage in INFRACT. After attack he was unconcicious for 8-10 minutes with twisting phenomena in mouth, hand. After 15 minutes he became stable and normal as 15 minutes before. I talked to consulting doctor , he advised to shift to hospital for observation. Since 36 hours he is normal and food also taking normal. Reason for second attack and whether it will reoccur again. kindly suggest for further line of treatment.
Mon, 6 Apr 2015
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Physical Therapist or Physiotherapist,  's  Response
You need to understand the type of stroke are two. Either ischaemic or due to infract. In both this the basic cause is either high blood pressure or clotting in blood vessels supplying blood to brain tissues.
After stroke attack I always suggest to all my patient, to keep regular check on blood pressure. And if it is staying on higher side I suggest people to take medication or change medication to control it with guideline of your doctor. If you follow this then chances of recurrence is very less.
For treatment, as you have started after first attack again its all same. Once all his medical parameter are good he has to start with physio rehabilitation and should continue on medication as per neuro physician doctor suggestion.
Here recovery will depend again on amount on damage which has happen in brain.
Take care.
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Suggest Further Treatment After Second Stroke

You need to understand the type of stroke are two. Either ischaemic or due to infract. In both this the basic cause is either high blood pressure or clotting in blood vessels supplying blood to brain tissues. After stroke attack I always suggest to all my patient, to keep regular check on blood pressure. And if it is staying on higher side I suggest people to take medication or change medication to control it with guideline of your doctor. If you follow this then chances of recurrence is very less. For treatment, as you have started after first attack again its all same. Once all his medical parameter are good he has to start with physio rehabilitation and should continue on medication as per neuro physician doctor suggestion. Here recovery will depend again on amount on damage which has happen in brain. Take care.