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Not able to walk or stand. High blood pressure. On lasix. Feeling uncomfortable. What is wrong?

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Posted on Fri, 27 Jul 2012
Question: My friend who is 77 loss the ability to walk or stand. appears to have no ability to direct his feet and legs in any way. his blood pressure was up to 190/90. he apparently fell twice (once in bathroom and once while walking at the mall). I think he may have blacked out because he said "when he came to". Went to hospital emergency room. they did blood work, etc. and didn't find anything. he is on blood pressure meds. docs put him back on lasix after being off of it for two months (put him back on it today). any idea? he complained of discomfort in lower back (not in legs). has a very high tolerance for pain.
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Answered by Dr. Shiva Kumar R (3 hours later)
Hello and thank you for sending your question.

Your question is a good one and I will work on providing you with some information and recommendations regarding the symptoms you are experiencing.

From the details provided and considering your friend's age and recently treated high blood pressure I feel one has to consider these as signs of involvement of brain stem and cerebellum which is often the result of stroke. In view of black out we need to see if has associated new cardiac problems which at times can throw clots to the brain resulting in stroke. I feel the falls can be either due to black outs due to high blood pressure or some times due to imbalance caused by cerebellar stroke.

My recommendation would be for you to see your Neurologist as early as possible for a good neurological examination and consultation. MRI of the brain is required to exclude the possibility of stroke. His blood pressure has to be controlled with medications. A detailed cardiac evaluation in the form of ECG and ECHO is required to exclude new problems in the heart. He has to continue on antiplatelets and statins for suspected stroke.

I thank you again for submitting your question. I hope you have found my response to be helpful.

If you have additional concerns I would be happy to discuss them with you.

Sincerely,

Dr Shiva Kumar R
Consultant Neurologist & Epileptologist.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shiva Kumar R

Neurologist

Practicing since :2001

Answered : 504 Questions

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Not able to walk or stand. High blood pressure. On lasix. Feeling uncomfortable. What is wrong?

Hello and thank you for sending your question.

Your question is a good one and I will work on providing you with some information and recommendations regarding the symptoms you are experiencing.

From the details provided and considering your friend's age and recently treated high blood pressure I feel one has to consider these as signs of involvement of brain stem and cerebellum which is often the result of stroke. In view of black out we need to see if has associated new cardiac problems which at times can throw clots to the brain resulting in stroke. I feel the falls can be either due to black outs due to high blood pressure or some times due to imbalance caused by cerebellar stroke.

My recommendation would be for you to see your Neurologist as early as possible for a good neurological examination and consultation. MRI of the brain is required to exclude the possibility of stroke. His blood pressure has to be controlled with medications. A detailed cardiac evaluation in the form of ECG and ECHO is required to exclude new problems in the heart. He has to continue on antiplatelets and statins for suspected stroke.

I thank you again for submitting your question. I hope you have found my response to be helpful.

If you have additional concerns I would be happy to discuss them with you.

Sincerely,

Dr Shiva Kumar R
Consultant Neurologist & Epileptologist.