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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes breathing difficulty after a stroke?

I was told I had a mini stroke. they saw this while doing a cat scan. Ive been having breathing issues , several tingling feeling all over my body, sharp spurs of pain that feels like very bad gas pain in my chest and very often, along with constant pain that just doesn t go away in my chest, I am very tired, I am very worried but also not sure if it is just me being scared.. I was also told that I have a small anerism in my head.. I am waiting to go see a specialist and won t get in to see him till middle of next month.
Wed, 20 Jun 2018
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Diabetologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I would have appreciated it if you would have included he symptoms that caused your doctors to take you up for scanning and diagnosing stroke. I would have also liked it better if you had included the medications suggested for stroke. That would have made the advice more specific. Anyways, first, regarding the aneurysm- please make sure your blood pressure is normal. It is unlikely that your aneurysm is causing you trouble as most aneurysms are incidental findings while doing a scan. It may have been more specific to the stroke if it was a hemorrhage. As of now, a good control of your BP should suffice.Pain in the chest and the gas can be related. I think you would have been prescribed antiplatelet medicines for your stroke. These are known to cause gastritis. And gastritis can cause both the symptoms. A simple addition of Pantoprazole would help you. Tingling feeling of one side of the body is probably related to stroke and would take time to heal as the stroke symptoms recover. I would have a liked a better description of your breathing issues. Commonly after the stroke, most patients develop microaspiration. This leads to kind of minor infection of lungs which causes breathlessness. I think this is what you are facing. A simple course of antibiotics as per local sensitivity may help. Please meet your local physician for the prescription as I am unaware of the current prescription you are on. Adding medicines again if already previously prescribed will not help. In this case existing medicines will need dose readjustment.

Hope I have answered your query. Let me know if I can assist you further.
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