Doctor insights on:
Diet Menu For Stroke Patients
Great value: A nurse presence in the home can provide support for feeding, dressing, cleaning, and other activities of daily living. Extremely helpful during the process of rehab, as many patients will be unable to take care of themselves a visiting nurse in the home setting can allow other family members to pursue their individual responsibilities. ...Read more
Refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more
F/u with Neurologist: Take him to the neurologist who may try medicines for neuropathic pain like lyrica, (pregabalin) Gabapentin or others. Otherwise take him to pain management to help him control the pain. Attempt to pinpoint where is the pain located, which joints, or between joints, the back, the neck, shoulders, knees, elbows, hands? May benefit fron cortisone shots. ...Read more
Every 3 - 4 hours: Preventing bed sores is extremely important in a bedridden patient. Turning every 3 - 4 hours should suffice for most patients. Watch the sacrum and the heels, which are very susceptible. There are special beds available which can help as well. ...Read more
Very fast (TPA?): Improvement can be dramatic, sometimes within 10-15 min, and even up to an hour or so. ...Read more
How common do u see young patient with stroke. Is it becoming more cpmmon in young. Also what would be most common cause?
Common: I recently had a 22 yo female that developed a stroke a month after she started oral contraceptives. Young patient can develop stroke depending upon their risk factors, such as genetic predisposition, hypertension, diabetes, obesity, a combination of smoking and oral contraceptives, etc. ...Read more
This is a complex question. It depends on what percent of is already showing signs of infarction (dead brain) rather than just ischemia (brain at risk).... When we see > 1/3 of territory abnormal on initial ct scan, it is a contraindication for tpa (alteplase).
It also depends on how long the symptoms have been occurring.
But to answer your question, theoretically all could potentially benefit. ...Read more
Melas: Teens to 20s usually depending on age of first symptom or stroke. ...Read more
Stroke: Not necessarily in ICU, if unstable certainly patient goes to icu. ...Read more
Stroke: You have to be more specific - sabotage? Sounds like "goldfinger" is out to get you and only "james bond" can help. If you mean not covered by insurance - then this is becoming a reality with new healthcare these days. As stroke patient are regarded as not economically viable to society and hence dollars are not spent on them. Its rationed care-the new order of the day. ...Read more
Highly variable: Stokes come in all degrees of severity. Some people begin improving immediately. Others take longer. You should understand that improvement is possible for up to two years following a stroke so don't despair - keep trying and working with pt. ...Read more
Wrong question: There is no systematic evidence that korean ginseng is good for anything, let alone stroke. Ginseng is one of those bogus "ancient wisdom" things. Its use is based on a superstition called the "doctrine of signatures:" because the root looks like a little headless man, the ancients got this delusion that it would cure things. Arm yourself with modern knowledge, not ancient superstition. ...Read more
If a patient faces looks lopsided and he is drooling is he likely yo have a stroke or what disease might he be experiencing?
Please can drugs be given to stroke patient to heal and repair the damaged nerves and other parts, and also so help recovering process?
Drugs are usually: Given to prevent another stroke. Recovery requires time and rehabilitation. ...Read more
Vomiting: Vomiting in a stroke patient may mean increased intracranial pressure. Have the patient evaluated asap. ...Read more
They can: If having a stroke one can receive intravenous tpa (alteplase) up to 3 hours once symptoms begin and up to 4.5 hours in certain cases. After this intra. ...Read more
Two aspects: There are two aspects to a contracture in someone with a stroke. One is spasticity which is an overactivity of muscle contraction. This can be dealt with quite effectively with injections of botulinum toxin. The second aspect is the contracture of the tendons and joints if the contracture has been long standing. If this is a predominant issue, techniques such as serial casting or even surgery ...Read more
GI bleeding: Can be seen after stroke. It is a indicator of increased risk of death. ...Read more
Soon: Survival after stroke depends on many factors, mostly on the size of stroke and complications (pneumonia, bleeding etc). Acute therapy for stroke (clot busting medication) should be given within first 4.5 hours of stroke onset. It can potentially help to halt the stroke and improve outcome. ...Read more
Cholesterol: It is a medication that lowers elevated cholesterol which is a risk factor for stroke. ...Read more