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Suggest Treatment For Weakness In Wrist

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Posted on Thu, 9 Apr 2015
Question: Hi. I just recently have been experiencing extreme weakness in my wrist. I can be holding a cup of coffee and all of a sudden my wrist cannot hold it. It is like it has become disconnected and I have no control. If I wait about 5 minutes, I get the strength back. What could this be?
doctor
Answered by Dr. Sudhir Kumar (1 hour later)
Brief Answer:
Need to exclude TIA

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted your symptoms and they are suggestive of transient ischemic attacks- TIAs. This is a type of minor brain stroke, and is caused due to lack of blood supply to brain for a short while.

A neurological evaluation followed by MRI brain would be required to confirm the diagnosis.

Risk factors such as high BP, sugar and cholesterol should be screened for.

In the meanwhile, you can start aspirin tablets to prevent similar episodes from occurring in future.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sudhir Kumar (18 minutes later)
Thank you so much I cannot take aspirin because I have ITP, although my platelet levels are high now and I have had no reoccurrence for years. Is there something else I can take?
doctor
Answered by Dr. Sudhir Kumar (7 minutes later)
Brief Answer:
Can be decided after investigations.

Detailed Answer:
Thank you for getting back.

We need to investigate further in order to determine the cause and risk factor of possible TIA in your case. I agree aspirin is not safe in ITP, as it may lead to bleeding.

However, if the risk of stroke is high (after investigations), low dose aspirin or clopidogrel tablets may be used. As of now, please do not start any medication.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (6 minutes later)
Thank you. I think I will make an appointment. I would assume I should see a neurologist. Are you in the Fort XXXXXXX area?
doctor
Answered by Dr. Sudhir Kumar (3 minutes later)
Brief Answer:
Yes, you should see a neurologist.

Detailed Answer:
Thank you for getting back.

You should consult a neurologist for further evaluation.

I reside in XXXXXXX however, I have visited Florida.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6232 Questions

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Suggest Treatment For Weakness In Wrist

Brief Answer: Need to exclude TIA Detailed Answer: Hi, Thank you for posting your query. I have noted your symptoms and they are suggestive of transient ischemic attacks- TIAs. This is a type of minor brain stroke, and is caused due to lack of blood supply to brain for a short while. A neurological evaluation followed by MRI brain would be required to confirm the diagnosis. Risk factors such as high BP, sugar and cholesterol should be screened for. In the meanwhile, you can start aspirin tablets to prevent similar episodes from occurring in future. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, XXXXXXX XXXXXXX Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in