Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

135 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

I have just gone through an Ischemic Attack

I have just gone through an Ischemic Attack I want to know if I should worry about this or not.? It was a Transient Ischemic Attack to be more exact.
Wed, 16 Dec 2009
Report Abuse
Question is related to
Diseases and Conditions ,   ,  
  User's Response
's  Response
The mainstay of treatment following acute recovery from a TIA should be to diagnose and treat the underlying cause. Most patients who are diagnosed at a hospital's Accident & Emergency Department as having suffered from a TIA will be discharged home and advised to contact their primary physician to organize further investigations. An electrocardiogram (EKG) may show atrial fibrillation, a common cause of TIAs, or other arrhythmias that may cause embolisation to the brain. An echocardiogram is useful in detecting thrombus within the heart chambers. Such patients benefit from anticoagulation. If the TIA affects an area supplied by the carotid artery, an ultrasound scan may demonstrate carotid stenosis. For people with a greater than 70% stenosis within the carotid artery, removal of atherosclerotic plaque by surgery, specifically a carotid endarterectomy, may be recommended. Some patients may also be given modified release dipyridamole or clopidogrel. This is a life threatening emergency. You can not tell the difference between a CVA (stroke) and a TIA in the field. Ensure the patient's airway remains open. A person having a stroke may suddenly lose consciousness. Get the patient to sit down. Watch for any changes in the patient's speech or level of consciousness. If the patient loses consciousness, monitor respirations and pulse and be ready to perform CPR. Look for muscle droop on one side of the patient's face, or weakness on one side of the patient's body. Note if the pupil in one eye is larger than the other. If possible, record the patient's pulse and respiratory rate every five minutes and provide this information to the EMS or the treating physician. There is almost nothing that can be done in the field for a patient suffering a stroke or a TIA. If you have oxygen, administer it at low concentration, high concentration if the patient has difficulty breathing. DON'T GIVE ASPIRIN. If it is a stroke, it might be caused by a blood clot (embolism) or a ruptured blood vessel (hemorrhage.) Aspirin is a blood thinner. If given to a person who is bleeding, it will make it worse. Incidentally, there is not much an EMS crew can do for a patient who is suffering from a stroke. If the ambulance is delayed, the best thing you can do is put the patient in your car and go to the nearest hospital without any delay. Seconds count.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

I don t know if my husband has had a TIA. Several hours ago he complained about not being able to walk properly. He said if he concentrated and walked forcibly he felt in control but if he just tried to walk normally it was awkward and out of control. He has now gone to bed and is sleeping soundly. The symptoms had subsided somewhat over the evening. Should I be waking him and taking him to the hospital?

doctor1 MD

32yo male:Did the dr fail to diagnose a transient ischemic attack ? Sending me to eye doctor .?? Please help.? quick background...I am totally a hypochondriac, I have a habit of waking up with my right arm asleep. The first times I got this I thought it was a stroke (lol) because I couldn t make a muscle. forward to 2 and a half weeks ago. I have been seeing this small aura like thing in my right eye. (prism like fish scale) It lasts for about 5 to 15 seconds and then goes away. Its only in my right eye, happens several times in hour with increasing frequency. Its occupies a very small part of my visual field and always the same position(does not move). Been suspecting this might lead to a stroke or something and then 3 nights ago I awoke not with my right arm numb but COMPLETELY paralyzed.totally unmoveable. Within a minute (TIAs can last mere seconds to minutes) it was gone (but I did not get the same sensation of arm waking up i normally get(needles) it just came back. Then began to paralyze again for 30 secs and went away. dr thinks im too young. ive had episodes of atrial fibrillation b4. consider all details not just hypochondria and also please consider that my arm paralyzed again after unparalyzing itself.

doctor1 MD

Yesterday I was ill, weak, seeing stars and tingly tongue. Was this a TIA? I was also hypoglycaemic and had been having difficulties getting my blood sugars up. I have been hypo before, but never with these symptoms. Was this a faint or a TIA (mini stroke?)

Recent questions on  Stroke

doctor1 MD

Hello Doctor, My name is Careyanne Johnson I am a 21 year old female. I am growing concerned with my well being because I have been experiencing some foreign symptoms. Starting with today the right side of my mouth has been partially numb for going on several hours now & I am having throbbing headache that comes and goes behind the back of my lower head & temples. Just a couple days ago my toes (on the right side again) were numb as well. I have also been having sharp, deep chest pains for a few months now. At first I thought it could maybe be heart burn but realized it is a much different ache. I think its safe to say the chest pains have grown more frequent because I m counting them every day now instead of once or twice a week. The only other symptoms I can think of is my ears will ring every now and then but still more so then I would think is normal. & I feel like I have poor circulation to my legs cause sometimes they feel stiff, however I also have a job where I stand without sitting for up to 8 hours a day. I have had Health issues in the past where I would become very light headed, my vision would go black, and I sometimes would faint. the fainting spells never lasted more then 5 mins. I was only unconscious for 30 seconds to 1 min. I have seen a neurologist and he conducted many tests, an MRI or brain scan being one of them. My results were all negative. The dr. did refer me to a cardiologist that I never went to. My fear is I may have a stroke or heart attack please help!

doctor1 MD

The question is about my son. 18 yr old athlete. He was lifting weights doing an overhead press. He felt a pop or crack in his neck and some pain. very soon after that he got a Migrane headache. He has got them before when he didn t have good sleep habits. This Migrane seemed stronger than previous ones but he did not throw up. The next day he woke up with a very sore neck and numbness on the left side of his body. The numbness was in the back of his arm and down his leg. We took him to the hospital and he started a bunch of tests. MRI s, Echo, ect. Things they found were. The possibility of two very small dots on the occiptial lobe of the brain which they said could be there and if so could represent a stroke but also could not really be there. They said he has Chiari Type 1 which could be the cause. They don t believe there has been a disection of arteries in the neck according to MRI s. He did not have a PFO. We left the hospital yesterday with a wide range of possibilities from very scary to no big deal. He continues to have numbness in his left arm and leg. Also he hasn t had a stool movement for a couple of days which is atypical. My questions are 1. If its just a pinched nerve then how long would the numbness typically last. 2. from looking at the information on the web is it possible he had a Sporadic Hemiplegic Migraine (SHM) and if so how long does the numbness usually last in those cases. 3. Does the Chiari have an effect on the nervous system after an injury. The web seems contradictory in this area. 4. Can a stroke or mini stroke be associated with a minor neck injury. 5. How do we know if the chiari is affecting his nervous system. My son is a college football player and its a big part of his life. So this has the family very concerned.

doctor1 MD

hello doctor, while I was on my vacation in India I had a stroke there. I was standing in my balcony at that time and my mother called me from behind, as soon as I turned back I fell to ground. I regained my senses after around 35 40 minutes and I didn t remember what happened to me at that time. my whole body shock for few minutes with a liquid coming out of my mouth. All the scans(MRI, ECG, EEG) were done as per directed by doctors there. After the results they told me about having a clot in my brain because of high cholesterol levels. I am taking crestor 10 mg with aspimed 75 mg daily one tab after dinner. Even after having these medicines I am having unbearable head ache sometimes at night and I am not able to sleep properly. Please advice......

doctor1 MD

Our 92 year old mother is in a deep sleep like state, then she will pop out for 30 sec - 2 min and suddenly fall back into the sleep like state from which it is impossible to arouse her. She had a bad headache last night, took Tylenol and then slept for 11 hours before our father realized that he could not wake her up. What could this be? Acc to the hospital, she has not had a stroke or major brain bleed or heart attack. Her blood pressure was high also.

doctor1 MD

Can testicular torsion cause LOW grade pain?

doctor1 MD

I am experiencing a partial vision loss - probably a TIA - what will happen when I go to the emergency room?? YYYY@YYYY

doctor1 MD

My left testicle has been giving me slight pain and discomfort for around a week now. Especially when I lay on my side to go to sleep, it floats substantially in front of my right testicle. When I m standing it is more elevated than my right, and...