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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For The Stroke In The Brain

Hi there my dad suffered a stroke on left side of brain quite a large bleed six weeks ago previous to this he had a bleed on the right side of brain five months previous. He recovered well from first bleed . As a result of second bleed he is now paralyzed on right side . Tonight his right leg was very swollen took bloods to check for clots and is due for an ultra sound in the morning...
Wed, 3 Dec 2014
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Neurologist 's  Response
I read your question and I understand your concern.
What I think is the most probable diagnosis which I think your doctors are also suspecting is a thrombosis of the deep veins in that limb. That is a possible complication in patients confined due to paralysis due to slower circulation in the paralyzed limb (no muscles contraction to help pump the blood). It is a dangerous complication because it could be also release blood clots in circulation and cause pulmonary embolism (infarction).
So if the ultrasound confirms that diagnosis he will be probably put into treatment with blood thinning products for many months. It is unfortunate since he has repeated bleeds in the brain and blood thinning products might increase the risk of that happening again (depending of course on the cause of those bleeds), so it's not a perfect solution but it's about addressing the issue with the higher percentage of risk at the moment.
I hope things work out for the best.
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Suggest Treatment For The Stroke In The Brain

I read your question and I understand your concern. What I think is the most probable diagnosis which I think your doctors are also suspecting is a thrombosis of the deep veins in that limb. That is a possible complication in patients confined due to paralysis due to slower circulation in the paralyzed limb (no muscles contraction to help pump the blood). It is a dangerous complication because it could be also release blood clots in circulation and cause pulmonary embolism (infarction). So if the ultrasound confirms that diagnosis he will be probably put into treatment with blood thinning products for many months. It is unfortunate since he has repeated bleeds in the brain and blood thinning products might increase the risk of that happening again (depending of course on the cause of those bleeds), so it s not a perfect solution but it s about addressing the issue with the higher percentage of risk at the moment. I hope things work out for the best.