Get your Health question answered in 3 easy steps

128 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Diabetic. Have multiple chronic lacunar infarcts on brain stem and unable to belch. Reason?

Answered by
Dr. Raju A.T

General & Family Physician

Practicing since :2008

Answered : 3692 Questions

Posted on Sat, 9 Feb 2013 in Diabetes
Question: 68 yr pt ,diabetes x30 yrs on 70\30 insulin , had 2 myocardial infarcts.for the last month had 3 tia episodes. had gastroscopy . results gastroscopy .and exam by ENT doctor. had ct scan . report showed approx 2.1x0.6 hypodensearea notedin the rt XXXXXXX capsulewithfeatures suggestive of a chronic ischaemic infarct still present. on present scan multiple chronic lacunar infarcts seen on brain stem .Pt c/o of being unable to belch . worse in pm
Answered by Dr. Raju A.T 3 hours later

Thanks for your query.

Inability to belch does not suggest a serious organic medical illness. It may be related to conditions in the stomach or in the gastroesophageal junction. I may be able to comment better if you could specify or upload Gastroscopy test reports here. You can use this websites uploader to upload the images.

Though some neurological conditions also can cause problems in gastric movements, TIA episodes are associated with self resolving symptoms. Therefore it is unlikely to be related to the inability to belch.

Lacunar infarcts involving the deeper parts of the brain could led to weakness in the body either in limbs or in the muscles of the face and throat. The severity of the health upset due to Lacunar infarct can be graded based on the symptoms patients has.

Waiting for your response...


Above answer was peer-reviewed by : Dr. Prasad

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,  

Recent questions on  Stroke

doctor1 MD

I stopped a birth control pill two weeks ago because of blind migraines with the risk of stroke. I have now had a headache for two weeks and getting Ice cold soaking sweats at night. Should I be concerned or is this normal after stopping birth control?

doctor1 MD

The last two days I have been experiencing buzzing in my right ear. This is also the side I have some blockage going on in carotid. Five years ago I had a mild stroke because the left carotid artery was almost completely blocked. I had surgery, and I have no residual effects of the stroke. I have kept an eye on the carotids with ultrasound every year. This ringing in the right ear is not constant, but comes & goes. It is a loud mechanical buzzing noise. Am I right in thinking it is probably due to the carotid blockage, or would you think it could be something more significant that needs further testing? Thank you.

doctor1 MD

My partner has epilepsy. ..she had a miscarriage and since suffered manu seizures at hospital. least 18 a day. The hospital didn t do much to help. At one point overdosed her. She suffered a stroke and had left feet has curled inwards. Will she be able to use or walk again

doctor1 MD

ref my father: 88, stroke 10 years ago, vascular dementia 4 years, eating well, drinking 2 ltrs water a day, catheter. Stools sloppy or soft, urine production low (was 1ltr plus, gradually dropped to 200 mils overnight). Concerned colon shutting down.

doctor1 MD

Can testicular torsion cause LOW grade pain?

doctor1 MD

I am experiencing a partial vision loss - probably a TIA - what will happen when I go to the emergency room?? YYYY@YYYY

doctor1 MD

My left testicle has been giving me slight pain and discomfort for around a week now. Especially when I lay on my side to go to sleep, it floats substantially in front of my right testicle. When I m standing it is more elevated than my right, and...