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History Of Panic Attack And Now Post Menopausal. Feeling Anxious And Tingling Foot. Should I Take Bp Medicine?

Posted on Mon, 29 Oct 2012

Question: hi i am 52 yrs female... i am asthmatic fom childhood and now post menopausal .i have history of panic attacks too .i take 25 units of botox since 2 yrs for cosmetic purpose on forhead . my husband not well since2 weeks .i feel anxious and tingling in my left foot and little numbing sensation some times in left cheek .my cholestol is 203 trigly are 109 .non diabatic .bp since 2 weeks in range of 131/79 to 141/90.pl tell me should i take bp med and am i getting tias// i have acidity and globus sensation for which i am being treated with nexpro -40

Answered by Dr. Sudhir Kumar (1 hour later)

Hi XXXXXXX,
Thank you for contacting Healthcare magic.
First of all, let me reassure you that you are not suffering from any serious problem.
Cholesterol is mildly elevated. You should take a low fat low cholesterol diet and do exercises such as walking for 20 minutes per day. There is no need of medicines for cholesterol.
BP is also in the normal range. Please check it once a week. Do not take extra salt in the diet and avoid pickles, chaat items, packed and processed food, etc. If the diastolic (lower) BP is more than 90 and systolic (upper) is more than 160, you should start BP medications.
Please also check your serum homocysteine.
I am sure your husband would improve (as I mentioned in my earlier report).
Please do not worry and take care of your health.
Please get back if you have any more queries.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (48 minutes later)

hi doc thanx for all the ans ... pls tell me in which case is dsa needed for my husband at this stage i.e wat symtoms now will need dsa his slur sounds little more today ...is it worrisome
thanx

Answered by Dr. Sudhir Kumar (19 minutes later)

Hi,
Thank you for getting back.
If CT angio is clear cut and there is no diagnostic confusion, DSA is not needed. However, if the radiologist was not sure of his findings on CT angio, DSA may be required.
Regarding the slur, don't worry.
Please watch for any weakness or numbness on right hand side (arm or leg). If that happens, you should take him to hospital early. Otherwise, no need to worry.
Best wishes,
Dr Sudhir Kumar MD (Medicine) DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (16 minutes later)

any chance of opening 100 percent carotid ?/ is it very XXXXXXX to have it blocked and how much rest needed after this episode?

Answered by Dr. Sudhir Kumar (29 minutes later)

Generally, in people with 100% carotid block on one side, blood supply reaches by branches on the other side, something, called as collateral branches. Inside the brain, blood vessels unite to form a circle (called circle of Willis), so, blood from one side can reach to other side also.
In your husband's case, the fact that he hardly has any problems (except for mild slurring) suggests that his left side is getting blood supply (despite the 100% block) and this happens with collateral supply from the right side.
100% block can not be opened. And there is no need to do so as there is supply from the other side in this case.
Two weeks rest should be fine.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar