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Doctor insights on: Salt Substitutes For Stroke Patients

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Dr. Rex Mahnensmith
2,097 doctors shared insights

Sodium (Definition)

It's an element that is important in the cell functions ...Read more


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What are some suggestions for food allowed on water and salt restricted diets for CHF patients?

What are some suggestions for food allowed on water and salt restricted diets for CHF patients?

Proper diet: The american heart association's website (www.Heart.Org) has recommendations for proper diet for patients with heart failure. Your doctor should be able to provide a nutritionist with whom you can discuss healthy diets. ...Read more

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Are there any alternative to using warm salty water rinse for htn patients to avoid salty taste mouth and the additional sodium. ?

Are there any alternative to using warm salty water rinse  for htn patients to avoid salty taste mouth and the  additional  sodium. ?

Peroxide and water: This is the time of year for sore throats and colds, so i assume you are gargling with salt water to alleviate the symptoms. Mix water and peroxide half and half and gargle with that instead, then spit it out. ...Read more

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Which is better for controlling blood pressure in elderly patients with CKD cynt(moxonidine) or (chlorthalidone) witch is more safe?

Which is better for controlling blood pressure in elderly patients with CKD cynt(moxonidine) or (chlorthalidone) witch is more safe?

Best BP Rx CKD elder: 28M Iraq asks which is better/safer 4 BP control n elderly with CKD? Moxodine or chlorthalidone(CTD). ANS: moxodine inot used in US so have no experience & have been doing HBP 4 50 years. Depends on degree of CKD. CTD has long Hx of being the best BP med in the elderly . The famous SHEP study of HTN in the elderly showed that it reduced stroke, heart failure, & death. Low salt diet is also key. ...Read more

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What are some recommendations for food allowed on water restriction diets for CHF patients?

What are some recommendations for food allowed on water restriction diets for CHF patients?

Salt restriction: Salt restriction is more important than fluid restriction in most patients. Fluid restriction might be appropriate in a patient with low sodium. Salt restriction is important in all patients with congestive heart failure. A typical recommendation would be 2000 milligrams of sodium daily. ...Read more

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Any selective beta blocker alternatives to metoprolol xr for diabetic patients? Also on lasix (furosemide) that causes hyperglycemia and ototoxicity? Alternatives to ask cardiologist? Any non-nsaid antiplatelet (non- aspirin 81 mg) for ckd patient?

Any selective beta blocker alternatives to metoprolol xr for diabetic patients? Also on lasix (furosemide) that causes hyperglycemia and ototoxicity? Alternatives to ask cardiologist? Any non-nsaid antiplatelet (non- aspirin 81 mg) for ckd patient?

Discuss with your MD: Metroprololxr is a good beta blocker&is very well tolerated.There are other options but they are all have same action and side effects.Only Carvedilol is different as it is both alpha and beta blockerLasix is well tolerated. Can be ototoxic in high doses and if combined with other ototoxic drugs . Ototoxicity is rare. Aspirin is safe asking as no contraindications . Discuss your concerns with MD ...Read more

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Is gavilyte-G solution safe for heart patients with chronically low potassium and low blood sugar??

Is gavilyte-G solution safe for heart patients with chronically low potassium and low blood sugar??

Here are some...: Are you going to have colonoscopy? If so, direct this Q to your doctor who will perform it since s/he knows more about your individual conditions than anyone online. Generally speaking, follow the written instruction + common sense will suit most of people. In reality, despite exercising all precaution, some adverse effects may still occur to few because behind what we know still hides the unknown ...Read more

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Are there any alternatives to peanut butter for someone who is on a low potassium renal diet?

Are there any alternatives to peanut butter for someone who is on a low potassium renal diet?

List: There is an exhaustive list of low potassium palatable foods that you could try. Due to lack of space here, i would refer you to my website/blog where I do talk about such foods. Go to http://www.Kidneydoctorbradenton.Org/ and search for the link on the right that says "eating right for kidney disease". Thank you! ...Read more

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Warafin clopidogrel aspirin given Hospital patient 89yrs has COPD stroke and heart attack will need limit Vegetables high chance of bleed? Correct?

Warafin clopidogrel aspirin given Hospital patient 89yrs has COPD stroke and heart attack will need limit Vegetables high chance of bleed?
Correct?

Yes : We have to weigh the risk and benefit. It seems like the risk of recurrrnt stroke is high here . Suggest to stop Aspirin . This definitely needs a consultant for decision making ...Read more

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Is eno(fruit salt) good for diabetic patients?

Is eno(fruit salt) good for diabetic patients?

No: It will not help you in any way. Don't get your medical information from friends, tv or the internet. ...Read more

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Which drugs are mostly recomended to start therapy for patients with atrial fibrillation. Is quinidine a good chioce?

Which drugs are mostly recomended to start therapy for patients with atrial fibrillation. Is quinidine a good chioce?

Atrial fibrillation: Quinidine is only rarely used any more. We older doctors learned years ago that we killed some folks with it. There are more recent and safer drugs that we use now. Talk to your doctor to discuss if you have afib, a cloud doctor shouldn't be advising you without knowing your situation. ...Read more

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Please explain how warfarin contributes to arterial calcification, despite great lipid profile, in patient who has taken drug for 27 years.

Please explain how warfarin contributes to arterial calcification, despite great lipid profile, in patient who has taken drug for 27 years.

Some articles: I hope these studies help: http://goo.Gl/vnjyg http://goo.Gl/xwwh3 http://goo.Gl/yymu8 there are others, but i hope these help. Would be difficult to explain in this limited space. ...Read more

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Which is better if salt sensitive and nursing home wont give low salt diet? Hctz (hydrochlorothiazide) or lisinopril or both? Mild or erratic htn for 5yr. Ischemic cva. 92

Which is better if salt sensitive and nursing home wont give low salt diet? Hctz (hydrochlorothiazide) or lisinopril or both? Mild or erratic htn for 5yr. Ischemic cva. 92

Easy tips: Avoid salty snacks, canned foods, processed meats and cold cuts such as bacon, and sausage . Also avoid fast food. Do not sprinkle salt over your food. In my opinion, this is adequate for keeping your sodium intake at a safe level. ...Read more

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For patients with angina cases, will limiting daily food intake help their situation?

For patients with angina cases, will limiting daily  food intake help their situation?

Food intake: If the patient is overweight or has a poor lipid spectrum, then diet can be quite helpful. For diet to help more than just caloric restriction is important, the content of the diet especially trying to be plant based it likely to be more useful. Appropriate medicines and exercise and not smoking are also very important. ...Read more

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Is risperdal .5 mg dose safe for an elder patient with alzheimer's and vascular dementia? I read this drug can cause sudden death in elder patients.

Is risperdal .5 mg dose safe for an elder patient with alzheimer's and vascular dementia? I read this drug can cause sudden death in elder patients.

No: According to all studies so far, any antipsychotic used for the purpose of treating behavioral problems or psychosis related to dementia is associated with earlier stroke-related death. This occurs regardless of the antipsychotic and the dose. There are some studies that have shown some antipsychotics to be safer than others (like quetiapine) but those studies are small and inconclusive. ...Read more

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Any non-medical treatments for glaucoma, like a low salt diet, etc ?

Any non-medical treatments for glaucoma, like a low salt diet, etc ?

No good ones: A low salt diet is good for hypertension, but high blood pressure and high eye pressure haven't been linked. There aren't any clear lifestyle changes you can make to decrease eye pressure, that I am aware of. ...Read more

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Is there any disadvantage/ side effect to low sodium salt? When compared to salt, is low sodium salt definitely better alternative?

Is there any disadvantage/ side effect to low sodium salt?  When compared to salt, is low sodium salt definitely better alternative?

Probably no need: Views about sodium have changed over the years. The current consensus is higher sodium intake is harmless in the absence of high blood pressure and certain heart, kidney, liver or other metabolic problems. Probably you can use salt in cooking and salt your food to taste without worry. Salt substitues usually have potassium, which can have its own problems. If in doubt, check w/ your doctor. ...Read more

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Are strokes more common in patients with cancer?

Are strokes more common in patients with cancer?

Stroke: Yes. Cancer cause more clots in body and then cause more stroke. ...Read more

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How should a concussion affect a stroke patient?

How should a concussion affect a stroke patient?

It may worsen the sy: Any injury to the head, if severe enough, can worsen the deficits cased by the stroke. ...Read more

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How can you reverse the process of contraction in a stroke patient?

How can you reverse the process of contraction in a stroke patient?

Rehab/Therapy: Physical or occupational therapists can work with stroke patients to help minimize contractures. The sooner you start rehab/therapy after a stroke, the more successful your outcome will be. ...Read more

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Is it ok for a stroke patient be treated for cancer at the same time?

Yes: Having a prior stroke is not a contraindication to being evaluated and possibly being treated for cancer. ...Read more

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How quick after stroke should treatment start so that a patient can survive?

How quick after stroke should treatment start so that a patient can survive?

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

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Help please! is an inability to swallow in a stroke patient a sign that the end is near?

No: About 50% of stroke patients have swallowing problems right after a stroke. This usually improves with time with few patients having problems long term. ...Read more

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Because of bp stroke occur in midbrain.Now the patient in uncontious why? When it will clear?

This is bad: Damage to the midbrain' reticular activating system may preclude regaining consciousness. Or the person may be conscious but totally paralyzed. Be very sure you know the person's wishes especially before you allow any tubes to be placed. ...Read more

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Is HBOT safe technique.Can it harm or degrade the patient health who is suffering from stroke?

Is HBOT safe technique.Can it harm or degrade the patient health who is suffering from stroke?

Relatively safe: About 2% can have ear trauma. There are other issues like sinus trauma, and pneumothoraces(collapsed lungs). Probably the most concerning adverse effect, are seizures, but they are rare, on the order of 1 seizure in every 10,000-100,000 treatments. ...Read more

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What should I be careful of when performing a massage on a stroke patient with right side paralysis

Gentle: Just must make sure you do gentle passive range of motion and that they may not feel pain so if you are too rough you may break something. Gentle is the key. ...Read more

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Is dabigatron suitable for a patient who has had a rriple bypass many years ago and has recently had a stroke?

Anticoagulant: When dabigatran is appropriate for an individual relates to a number of factors. It is a 'blood thinner' and used to minimize the risk of stroke in patients with atrial fibrillation and no valvular heart disease. There are other situaltions when it may be appropriate. You should discuss the question with the dr. That knows you best. ...Read more

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When patients have a symptom of headache for a stroke, is it the most severe headache (thunderclap.) or can it be a minor h/a that doesn't get worse?

When patients have a symptom of headache for a stroke, is it the most severe headache (thunderclap.) or can it be a minor h/a that doesn't get worse?

Headache: Headaches are a very common complaint and most people get it now and then. A thunderclap headache however is most often associated with subarachnoid hemorrhage, it can also be from any process that acutely increases intracranial pressure. The key about headaches is whether or not they are very unusual for you (location, duration, severity). If its unusual or severe: seek medical attention. ...Read more

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Is it common to wait more than a day to operate on a patient dianosed with a stroke? The patient was in good health a day prior to being diagnosed with a stroke and is only in his early 40's.

There : There really is't enough information in this question to answer it well. First, strokes are not usually treated surgically. If this 40+ year old person was about to have some non-neurological surgery, waiting would be sensible while the reason for the stroke was being investigated. Perhaps the person was given anticoagulants which would make any kind of surgery risky. If the patient were older and had developed a blockage in the carotid artery in the neck, surgery may be done to remove the blockage. After a completed stroke (not a tia) it has been customary to wait two weeks or more before operating because brain tissue is damaged by a stroke and the damaged tissue can bleed. If this is not information for you please rephrase the question adding more details. ...Read more

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What % of ischemic MCA stroke patients benefit from tpa (alteplase)?

Depends: 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

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What should you do to massage a stroke patient?

What should you do to massage a stroke patient?

Seek doctor's aid: See your local healthcare professional to make sure it is okay to get massages after a stroke. ...Read more

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Dr. Alan Ali Dr. Ali
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What is the acronym used to help assess stroke patients?

Dr. Alan Ali Dr. Ali
2 doctors agreed:
What is the acronym used to help assess stroke patients?

Stroke: FAST ; F.......facial drooping. A.......arm weakness. S........speech difficulties. T........time. ...Read more