How long does recovery from a stroke take?
Unfortunately what we feared happened, but we shall overcome
Hello once again ma'am.
I am really sorry to hear about this, but from our previous discussion I remember you were informed by a doctor that a stroke was ruled out?
Prognosis and recovery from a stroke mainly depends on how quickly it is diagnosed; my mother in the wee hours of the day experienced some difficulty in moving her right hand when she woke up for the morning prayers. My room (before marriage) was upstairs, and so she called me on my phone and asked me to come check on her, and being a doctor I soon recognised what was happening and rushed her to the hospital, treated her there, and then nursed her to health for the next 2 weeks at home. Now, praise God, you can't even tell she ever had a stroke by looking at her.
Physic can help anyone, even if it is by 5-10 %, it makes a big difference. Oral medications include statins (to help control the cholesterol/lipid profile), anticoagulants (mandatory), anti-hypertensives to control the blood pressure, and better blood glucose control. These medications should be taken for life.
If the stroke is minor, as was with my mother, oral medications, lifestyle modifications, and a specific diet can help sort the issue ma'am; no surgery would be required, but quarterly checkups on his progress and maintenance will be mandatory for the rest of his life.
Returning of mobility mainly depends on him, and how early we diagnosed the stroke ma'am; I would not like to say it is not possible, but it is not going to be easy. Things like fatty food, fried food, oily food, smoking, alcohol, stress, etc; cannot be a part of his life anymore.
Life after a stroke is mainly what helps prevent future strokes or cardiac events, so not only does it depend on his family (to support him, guide him, and also not to tempt him with unhealthy habits or food that can cause him harm). There is a saying where I live, prevention of future strokes and cardiac events depends on the family, the family makes lifestyle and dietary changes along with the patient.
I hope and pray he makes a rapid and complete recovery. But for any guidance, assistance, information or clarifications, you know you can always depend on me ma'am. I am always here for your family and you.
Ma'am, request for these tests for a better way forward
I understand this is getting frustrating and the best thing you can do right now is to request for:
+Nerve conduction studies
These tests should provide us with more concrete results and a direction forward towards finding the cause for his presentation.
ECG: sinus tachycardia, US carotid doppler <50% stenosis b/l
Examination revealed Left LL 4/5 hip/knee extensions and the rest was not remarkable. A diagnosis of ischaemic stroke has been made.
CT brain report as above.
Sorry hba1c 60 not 69
CT report: long standing areas of focal low attenuation at the posterior aspect of the right striatum and within the left lentiform nucleus. No acute intracranial hammorhage or infarction. No evidence of acute intracranial abnormality.
always here to help, don't lose hope, keep trying
Hello once again ma'am.
The approach, now is to rehabilitate him well enough. This will include the following:
+Statins (e.g. atorvastatin)
+Physiotherapy and/or exercise everyday
+Continue good control of blood glucose
It takes a lot of time and patience to actually see results; and in some patients it may even take years to even show a 5-10 % improvement. But that should not stop you from trying ma'am. I am really sorry to hear about his limb function not returning to normal, but you will have to be stronger and keep trying. Make sure you have a physiotherapist who can visit home and get him to exercise at least twice a day (I did just that for my mother as well).
Best of luck ma'am.
He will improve, but we cannot expect him to reach his full potential
Lets hope he does respond to the therapy and all the medications. Being bluntly honest with you ma'am, only about 30 % or lesser individuals who suffer a stroke return to their pre-stroke state and function. Even my mother, although you cannot tell through her physical appearance and activity that she ever had a stroke, but she does suffer from some limitations and quite often pain.
So we can only hope for the best ma'am, but do not expect him to return to his complete previous potential, sadly.
Best of luck.
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