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What Causes Dizziness, Blurred Vision, Confusion And Slurred Speech?
Question: Hi Sir,
Since last 15 days daily 1 or 2 times I am feeling Giddines,Diziness, Low Vision,Thursty, Slur Speach,confusion, semi consiousness( While walking ).
I Could not walk and talk properly that moment of time .
It is happening 1 or 2 times a day lasting for 30 minutes.Yesterday I faced 4 to 5 hrs. We went to emergency here. They did all blood ,Urine and ECG and checked BP and sugar said all are OK. They asked me to wait for 1 month for MRI & consultation.
But here I could not go to office due to this problem. Kindly suggest/help.
Since last 15 days daily 1 or 2 times I am feeling Giddines,Diziness, Low Vision,Thursty, Slur Speach,confusion, semi consiousness( While walking ).
I Could not walk and talk properly that moment of time .
It is happening 1 or 2 times a day lasting for 30 minutes.Yesterday I faced 4 to 5 hrs. We went to emergency here. They did all blood ,Urine and ECG and checked BP and sugar said all are OK. They asked me to wait for 1 month for MRI & consultation.
But here I could not go to office due to this problem. Kindly suggest/help.
Brief Answer:
You symptoms are suggestive of XXXXXXX strokes.
Detailed Answer:
Hi Mr XXXXXXX
Thank you for posting your query.
I have noted your current symptoms, past medical details and the MRI brain reports.
Your symptoms are suggestive of XXXXXXX strokes or TIA (transient ischemic attacks). You should be started on treatment to prevent recurrence of major brain strokes.
Medications would include- CLOPIDOGREL and ROSUVASTATIN. Clopidogrel is an anti-platelet agent and thins the blood. Rosuvastatin is a cholesterol lowering agent, as well as it prevents recurrence of stroke in people with normal cholesterol levels too.
I hope it helps. Please get back if you have any follow up queries.
Best wishes,
Dr Sudhir Kumar MD MD (Neurology) XXXXXXX Consultant Neurologist
You symptoms are suggestive of XXXXXXX strokes.
Detailed Answer:
Hi Mr XXXXXXX
Thank you for posting your query.
I have noted your current symptoms, past medical details and the MRI brain reports.
Your symptoms are suggestive of XXXXXXX strokes or TIA (transient ischemic attacks). You should be started on treatment to prevent recurrence of major brain strokes.
Medications would include- CLOPIDOGREL and ROSUVASTATIN. Clopidogrel is an anti-platelet agent and thins the blood. Rosuvastatin is a cholesterol lowering agent, as well as it prevents recurrence of stroke in people with normal cholesterol levels too.
I hope it helps. Please get back if you have any follow up queries.
Best wishes,
Dr Sudhir Kumar MD MD (Neurology) XXXXXXX Consultant Neurologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Sir,
Thank you very much.
One doctor suggested to use the following tablets to use the following tablets till I get the appointment.
1) Clopidogrel
2) Asprin - 300 Mg.
3) Omeprazole 20 Mg.
Can I proceed to use the following till I get an appointment.
Here they are taking lot of time for further treatment. Can I go XXXXXXX immediately to get the treatment?
What should I do till I get the further tratement?
Kindly suggest
Kind Regards,
xxxxxxxxxxxxxxxxxxx
Hi Sir,
I saw an emergency doctor in London on 6th Dec then given Aspirin and Clopidogrel until 3 days later when
I saw a neurosurgeon and had a carotid artery scan which was normal and advised to stop the tablets. They now advise an MRI of the brain on 13th XXXXXXX and follow up appointment on 26th,
I have discussed this with my landlady where I am staying in UK . She is a family doctor and advised me re the above response.
Id be interested in your views.
Sorry I did't mentioned the above information in previous mail. Please excuse me for that.
Kind Regards,
xxxxxxxxxxxxxxxxx
Thank you very much.
One doctor suggested to use the following tablets to use the following tablets till I get the appointment.
1) Clopidogrel
2) Asprin - 300 Mg.
3) Omeprazole 20 Mg.
Can I proceed to use the following till I get an appointment.
Here they are taking lot of time for further treatment. Can I go XXXXXXX immediately to get the treatment?
What should I do till I get the further tratement?
Kindly suggest
Kind Regards,
xxxxxxxxxxxxxxxxxxx
Hi Sir,
I saw an emergency doctor in London on 6th Dec then given Aspirin and Clopidogrel until 3 days later when
I saw a neurosurgeon and had a carotid artery scan which was normal and advised to stop the tablets. They now advise an MRI of the brain on 13th XXXXXXX and follow up appointment on 26th,
I have discussed this with my landlady where I am staying in UK . She is a family doctor and advised me re the above response.
Id be interested in your views.
Sorry I did't mentioned the above information in previous mail. Please excuse me for that.
Kind Regards,
xxxxxxxxxxxxxxxxx
Brief Answer:
Either Aspirin or clopidogrel is fine.
Detailed Answer:
Thank you for getting back.
There is no need to take two blood thinners. Only one- either Aspirin or clopidogrel- is enough.
Also, omeprazole is for acidity, and if you have it, you can use it.
As mentioned, you should also take Rosuvastatin.
If possible, you can get evaluation and treatment earlier, rather than last week of January.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Either Aspirin or clopidogrel is fine.
Detailed Answer:
Thank you for getting back.
There is no need to take two blood thinners. Only one- either Aspirin or clopidogrel- is enough.
Also, omeprazole is for acidity, and if you have it, you can use it.
As mentioned, you should also take Rosuvastatin.
If possible, you can get evaluation and treatment earlier, rather than last week of January.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Sir,
I saw an emergency doctor in London on 6th Dec then given Aspirin and Clopidogrel until 3 days later when
I saw a neurosurgeon and had a carotid artery scan which was normal and advised to stop the tablets. They now advise an MRI of the brain on 13th XXXXXXX and follow up appointment on 26th,
I have discussed this with my landlady where I am staying in UK . She is a family doctor and advised me re the above response.
Id be interested in your views.
Sorry I did't mentioned the above information in previous mail. Please excuse me for that.
Kind Regards,
xxxxxxxxxxxxxxxxxxxx
I saw an emergency doctor in London on 6th Dec then given Aspirin and Clopidogrel until 3 days later when
I saw a neurosurgeon and had a carotid artery scan which was normal and advised to stop the tablets. They now advise an MRI of the brain on 13th XXXXXXX and follow up appointment on 26th,
I have discussed this with my landlady where I am staying in UK . She is a family doctor and advised me re the above response.
Id be interested in your views.
Sorry I did't mentioned the above information in previous mail. Please excuse me for that.
Kind Regards,
xxxxxxxxxxxxxxxxxxxx
Brief Answer:
Take only one- Aspirin or clopidogrel.
Detailed Answer:
Thank you for getting back.
As explained, take either aspirin or clopidogrel, not both of them.
MRI and neurologist appointment should be completed, as early as possible.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Take only one- Aspirin or clopidogrel.
Detailed Answer:
Thank you for getting back.
As explained, take either aspirin or clopidogrel, not both of them.
MRI and neurologist appointment should be completed, as early as possible.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Sir,
Thank you very much for your suggestion.
One last question, Can you suggest what MRI test should I go for ?
So that I will straight away as soon as I get down in XXXXXXX
Thank you very much for your patience to reply all these questions.
Kind Regards,
xxxxxxxxxxxxxxxxxxxxx.
Thank you very much for your suggestion.
One last question, Can you suggest what MRI test should I go for ?
So that I will straight away as soon as I get down in XXXXXXX
Thank you very much for your patience to reply all these questions.
Kind Regards,
xxxxxxxxxxxxxxxxxxxxx.
Brief Answer:
MRI brain stroke protocol.
Detailed Answer:
Thank you for getting back.
You should go for MRI brain stroke protocol, which includes angiogram of brain and neck vessels. If in XXXXXXX I would be pleased to see you.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
MRI brain stroke protocol.
Detailed Answer:
Thank you for getting back.
You should go for MRI brain stroke protocol, which includes angiogram of brain and neck vessels. If in XXXXXXX I would be pleased to see you.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Sir,
I would be glad to meet you for treatment but My family is in XXXXXXX They are finding dificulty to move XXXXXXX and asking me to come XXXXXXX
I will keep in touch with you online for the suggestions.
Today I went to TIA clinic in Norwich, UK. They did ECG, CT scan of Briain and said all are normal. They are again referring to MRI head may be in after 10 days.
They prescribed the following tablets for the giddiness
Pprchloroperazine 5 mg - 3 times a day.
Kindly suggest.
Kind Regards,
xxxxxxxxxxxxxxxxxxxxxxxxxx
I would be glad to meet you for treatment but My family is in XXXXXXX They are finding dificulty to move XXXXXXX and asking me to come XXXXXXX
I will keep in touch with you online for the suggestions.
Today I went to TIA clinic in Norwich, UK. They did ECG, CT scan of Briain and said all are normal. They are again referring to MRI head may be in after 10 days.
They prescribed the following tablets for the giddiness
Pprchloroperazine 5 mg - 3 times a day.
Kindly suggest.
Kind Regards,
xxxxxxxxxxxxxxxxxxxxxxxxxx
Brief Answer:
You can follow the current advice.
Detailed Answer:
Thank you for getting back.
You can follow the current advice of TIA clinic.
I would be pleased to pleased to help you with medical advice online.
At XXXXXXX you can consult Dr XXXXXXX Kumar MD DM at XXXXXXX Hospital.
Best wishes,
Dr Sudhir Kumar MD DM
You can follow the current advice.
Detailed Answer:
Thank you for getting back.
You can follow the current advice of TIA clinic.
I would be pleased to pleased to help you with medical advice online.
At XXXXXXX you can consult Dr XXXXXXX Kumar MD DM at XXXXXXX Hospital.
Best wishes,
Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Sir,
Thanks for your suggestion.
Today when I went to outside i could able to go , it started small digginess when crowded area and it increased when I went to Mall. I feel of taking seat and sat for some time , Could not walk only slowly and came out took taxi.
After coming to home I am normail Most of the time it is happening in Mall and crowded area.
Kindly suggest.
Kind Regards,
xxxxxxxxxxxxxxxxxxxxxx
Thanks for your suggestion.
Today when I went to outside i could able to go , it started small digginess when crowded area and it increased when I went to Mall. I feel of taking seat and sat for some time , Could not walk only slowly and came out took taxi.
After coming to home I am normail Most of the time it is happening in Mall and crowded area.
Kindly suggest.
Kind Regards,
xxxxxxxxxxxxxxxxxxxxxx
Brief Answer:
Need to rule out anxiety disorder too
Detailed Answer:
Thank you for getting back.
I have noted your new symptoms. We need to also exclude co-existing panic disorder, where one may have anxiety attacks in crowded places. This condition is called agoraphobia.
A psychiatrist opinion would help.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Need to rule out anxiety disorder too
Detailed Answer:
Thank you for getting back.
I have noted your new symptoms. We need to also exclude co-existing panic disorder, where one may have anxiety attacks in crowded places. This condition is called agoraphobia.
A psychiatrist opinion would help.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Sir,
Good Evening. Thanks for your suggestion.
Today I met the psychiatrist, He is given medicine initially for 5 days and asked for Blood test and Brain MRI - Angiogram. He asked me to meet me on Thursday with the reports.As per discussion he is asking for psychometric tests may be this will be decided on Thursday.
I got the reports online now and I am enclosing the reports below.
Prescription
--------------
MRI Report - Brain with Angiography
______________________________
Technique:
Axial T1 FLAIR, T2 FRFSE, 3D SWAN, FIESTA
Sagittal T1 FLAIR v Coronal T2 FRFSE
Axial T2 FLAIR and Diffusion b = 1000 sec/mm2
Findings:
** Few small ill-defined diffusion non-restricting T2 FLAIR hyperintense areas are seen in the right corona radiata.
**The cerebellopontine angles and the 7th - 8th nerve complexes appear normal bilaterally.
The posterior fossa shows normal cerebellum. The fourth ventricle shows normal size, shape and position. The orbits and their contents are normal.
The medulla, pons and midbrain show normal signals in both the sequences. The basal cisterns are normal. The pituitary gland and optic chiasm are normal.
The third and lateral ventricles are of normal in size, shape and position. No midline shift is noted. The thalami, basal ganglia and internal capsules are normal on both sides.
Rest of the cerebral hemispheres show normal intensities of grey and white matter. The cerebral sulci are normal. The extra cerebral spaces are clear.
MR - Angiography (Brain)
MR angiography of brain is done by 3D TOF technique and correlated with axial, sagittal and coronal reconstructed images.
The study reveals normal course and caliber of intracranial portion of internal carotid arteries. Proximal portion of ACA and MCA are normal.
Vertebro-basilar artery and PCA are normal. No vascular malformation noted
Impression:
** Few small ill-defined diffusion non-restricting T2 FLAIR hyperintense areas in the right corona radiata - ? ischemic.
** No significant abnormality is detected in the circle of Willis.
Blood Reports
-------------------
IMMUNOASSAY
Prolactin (Serum/Chemiluminescent Immunometric Assay (CLIA))
6.77 ng/ml FEMALES : Non pregnant : 2.8 - 29.2 pregnant : 9.7 - 208.5 post menopausal: 1.8 - 20.3 Males : 2.1 - 17.7
Cortisol - Random (Serum/Chemiluminescent Immunometric Assay (CLIA))
13.25 mcg/dL 7 am-10 am : 5.0 - 23.0 4 pm-8 pm : 3.0 - 16.0
THYROID PROFILE / TFT
T3 (Triiodothyronine) - Total (Serum/Chemiluminescent Immunometric Assay (CLIA))
0.98 ng/ml 0.8 - 1.6
T4 (Tyroxine) - Total (Serum/Chemiluminescent Immunometric Assay (CLIA))
8.0 µg/dl 4.2 - 12.0
TSH (Thyroid Stimulating Hormone) (Serum/Chemiluminescent Immunometric Assay (CLIA))
3.18 mIU/ml 0.5 - 6.0
Kindly Check and suggest.
Kind Regards,
xxxxxxxxxxxxxxxxxx.
Good Evening. Thanks for your suggestion.
Today I met the psychiatrist, He is given medicine initially for 5 days and asked for Blood test and Brain MRI - Angiogram. He asked me to meet me on Thursday with the reports.As per discussion he is asking for psychometric tests may be this will be decided on Thursday.
I got the reports online now and I am enclosing the reports below.
Prescription
--------------
MRI Report - Brain with Angiography
______________________________
Technique:
Axial T1 FLAIR, T2 FRFSE, 3D SWAN, FIESTA
Sagittal T1 FLAIR v Coronal T2 FRFSE
Axial T2 FLAIR and Diffusion b = 1000 sec/mm2
Findings:
** Few small ill-defined diffusion non-restricting T2 FLAIR hyperintense areas are seen in the right corona radiata.
**The cerebellopontine angles and the 7th - 8th nerve complexes appear normal bilaterally.
The posterior fossa shows normal cerebellum. The fourth ventricle shows normal size, shape and position. The orbits and their contents are normal.
The medulla, pons and midbrain show normal signals in both the sequences. The basal cisterns are normal. The pituitary gland and optic chiasm are normal.
The third and lateral ventricles are of normal in size, shape and position. No midline shift is noted. The thalami, basal ganglia and internal capsules are normal on both sides.
Rest of the cerebral hemispheres show normal intensities of grey and white matter. The cerebral sulci are normal. The extra cerebral spaces are clear.
MR - Angiography (Brain)
MR angiography of brain is done by 3D TOF technique and correlated with axial, sagittal and coronal reconstructed images.
The study reveals normal course and caliber of intracranial portion of internal carotid arteries. Proximal portion of ACA and MCA are normal.
Vertebro-basilar artery and PCA are normal. No vascular malformation noted
Impression:
** Few small ill-defined diffusion non-restricting T2 FLAIR hyperintense areas in the right corona radiata - ? ischemic.
** No significant abnormality is detected in the circle of Willis.
Blood Reports
-------------------
IMMUNOASSAY
Prolactin (Serum/Chemiluminescent Immunometric Assay (CLIA))
6.77 ng/ml FEMALES : Non pregnant : 2.8 - 29.2 pregnant : 9.7 - 208.5 post menopausal: 1.8 - 20.3 Males : 2.1 - 17.7
Cortisol - Random (Serum/Chemiluminescent Immunometric Assay (CLIA))
13.25 mcg/dL 7 am-10 am : 5.0 - 23.0 4 pm-8 pm : 3.0 - 16.0
THYROID PROFILE / TFT
T3 (Triiodothyronine) - Total (Serum/Chemiluminescent Immunometric Assay (CLIA))
0.98 ng/ml 0.8 - 1.6
T4 (Tyroxine) - Total (Serum/Chemiluminescent Immunometric Assay (CLIA))
8.0 µg/dl 4.2 - 12.0
TSH (Thyroid Stimulating Hormone) (Serum/Chemiluminescent Immunometric Assay (CLIA))
3.18 mIU/ml 0.5 - 6.0
Kindly Check and suggest.
Kind Regards,
xxxxxxxxxxxxxxxxxx.
Brief Answer:
Ischemic changes are seen on the MRI.
Detailed Answer:
Thank you for getting back.
I have gone through the reports of MRI brain, which shows ischemic lesions (due to lack of blood supply) on the right side of brain.
Clopidogrel and rosuvastatin would help in that.
Blood reports are within normal limits.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Ischemic changes are seen on the MRI.
Detailed Answer:
Thank you for getting back.
I have gone through the reports of MRI brain, which shows ischemic lesions (due to lack of blood supply) on the right side of brain.
Clopidogrel and rosuvastatin would help in that.
Blood reports are within normal limits.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Sir,
Thank you very much for your suggestion and medication.
I am little worried even I am very cautious This is the second time I am facing after 20 years. . Can we find the root casue of this. Dr also asked for 24 hrs urine test for adreanal related . I will keep in touch with you once i get the those reports and psychreatist consultation which is on Thursday.
I am very glad and very happy for your suggestions and help. Kindly help me Sir.
Kind Regards,
xxxxxxxxxxx
Thank you very much for your suggestion and medication.
I am little worried even I am very cautious This is the second time I am facing after 20 years. . Can we find the root casue of this. Dr also asked for 24 hrs urine test for adreanal related . I will keep in touch with you once i get the those reports and psychreatist consultation which is on Thursday.
I am very glad and very happy for your suggestions and help. Kindly help me Sir.
Kind Regards,
xxxxxxxxxxx
Brief Answer:
Please keep me updated.
Detailed Answer:
I would be glad to follow your progress and help you.
Please keep me updated.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Please keep me updated.
Detailed Answer:
I would be glad to follow your progress and help you.
Please keep me updated.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Sonia Raina
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