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What do my lab test reports indicate?

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Posted on Tue, 17 May 2016
Question: My father had a minor brain haemorrhage according to the doctors. There was no surgery and he's discharged now and the doctor said no more scans which I believe is a good sign right? We are continuing with the medication but he's not behaving properly.

He doesn't talk in complete sentences, forgets words, right side of his is little lethargic. How much time will it take to recover from this? Should he do any exercises?
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Answered by Dr. Ajay Panwar (5 minutes later)
Brief Answer:
Please upload the CT/MRI report or images.

Detailed Answer:
Hi XXXXXXX XXXXXXX
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

I shall try to address your concerns at best,but for the purpose I need to know about the site of her brain haemorrhage.Brain functions may be impaired differently, with lesions at different sites.So,it becomes important to know about his site of lesion,to predict the prognosis.

So,please upload his CT or MRI Brain report or image(as a scanned .jpg).If its not available,please upload his discharge summary from the last hospital he attended.

Further,apart from the brain haemorrhage-does he have any comorbidities like hypertension,diabetes,heart disease or any other disease?

I shall be glad to have you in follow-up with details,so that I can answer this well.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ajay Panwar (4 hours later)
Thank you so much sir. I've uploaded the reports. Please advise.

And no, he doesn't have any diseases except for HIV.
doctor
Answered by Dr. Ajay Panwar (10 hours later)
Brief Answer:
Continue same treatment. He should improve gradually.

Detailed Answer:
Hi XXXXXXX XXXXXXX
Thanks for being in follow-up.

I have gone through the MRI image and other documents you have uploaded.
I could clearly see the bleed in left basal ganglia.

I suggest that he should continue the treatment as advised. He is likely to improve gradually. It may take from few months to upto an year to achieve maximum recovery. He may not achieve 100% recovery, however. Stroke patients tend to have some residual deficits permanently,as the corresponding brain area gets damaged forever.

Physiotherapy and speech therapy will play an important role in improvement. So, please consult a physiotherapist and a speech therapist.

As he is having HIV,what is the CD4 count? Is he on ART at present?

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Sonia Raina
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Follow up: Dr. Ajay Panwar (38 minutes later)
What does IHD mean in his discharge report? The report says left basal ganglia haemorrhage with IHD.

Will physiotherapy and speech therapy help him be completely normal? And also when will he be less drowsy or sleepy? Is it the blood still irritating the brain? And how big is the bleed? How much part has it affected?
doctor
Answered by Dr. Ajay Panwar (7 hours later)
Brief Answer:
Does he have any heart issues?

Detailed Answer:
Hi XXXXXXX XXXXXXX
Thanks for being in follow-up.

IHD is standard abbreviation for 'Ischemic heart disease'. Does he have any heart related issues?Any changes on ECG?

Physiotherapy and speech therapy will definitely help his recovery but as I mentioned that it can't be predicted at this time,whether he will have a 100% recovery or not?Some patients may recover completely while others may remain with some deficit.

As far as drowsiness is concerned,his serum electrolytes and kidney function tests should be checked,for any abnormality.If these tests are normal and he is on adequate intake(with adequate fluids so as to avoid dehydration because dehydration may cause drowsiness)& passing urine normally-then,hopefully his drowsiness will improve soon.

There is nothing like blood irritating over here.Acute stroke settles after the few initial days.

Size of bleed is moderate. Radiologist who has performed the scan will tell exact measurements. It has involved almost whole of the basal ganglia and some part of thalamus, on left side.

Hope that I have answered your query.If you have some further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Dr. Ajay Panwar

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What do my lab test reports indicate?

Brief Answer: Please upload the CT/MRI report or images. Detailed Answer: Hi XXXXXXX XXXXXXX Thanks for being on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist,here to answer your query. I shall try to address your concerns at best,but for the purpose I need to know about the site of her brain haemorrhage.Brain functions may be impaired differently, with lesions at different sites.So,it becomes important to know about his site of lesion,to predict the prognosis. So,please upload his CT or MRI Brain report or image(as a scanned .jpg).If its not available,please upload his discharge summary from the last hospital he attended. Further,apart from the brain haemorrhage-does he have any comorbidities like hypertension,diabetes,heart disease or any other disease? I shall be glad to have you in follow-up with details,so that I can answer this well. Regards Dr.Ajay Panwar, MD,DM(Neurology)