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Do You Recommend Anything Else My Father Started To Experience Memory Loss ?
Question: Hi Doctor, My father started to experience memory loss since 2 days. He failed to recognise our house. He thinks we are in native and was asking when can we return to XXXXXXX Then he started to respond to our conversations very slow after a brief thinking. He seems to be confused. However he recognises us, neighbors and did his few routines normally. Today we consulted a doctor and he ran some blood tests. His vitals, Sodium, Potassium, RBS, Urea, Creat, Electrolyts etc came normal. Only his sugar level is 285. He has BP and he is diabetic too. Then he asked us to a get a MRI done. After looking at the reports he recommended below medicines for a month. Rosuvas 20 (Night) Zukanorm 50 (Morning n night) Strocit 500mg (Morning n night) In addition he use to take below medicines regularly for many years, Morning: Stugeron 25mg, Dianil and Aten 50 Night: Metformin and Ecosprin Attaching the MRI report. Please take a look at the report and share your thoughts. Should we be worried? Do you recommend anything else? Will he come back to normal?
Brief Answer:
Acute infarct
Detailed Answer:
Hello,
I have seen the reports and read your query. Your father is experiencing neurological symptoms due to infarct in the brain. From the report and the symptoms these seem to be small in size that is why symptoms are also minor. In case of bigger infarcts, a stroke and paralysis could be worst outcomes. Some small size previous bleeds are also seen in report.
If the brain damage becomes irreversible then he may not come to complete normal, but our goal should be near normal.
I would recommend a neuro-surgical consult as well alongwith the medicines provided. This means doctors who are neurology and surgery experts should also be consulted.
Regards
Dr Vaishalee
Acute infarct
Detailed Answer:
Hello,
I have seen the reports and read your query. Your father is experiencing neurological symptoms due to infarct in the brain. From the report and the symptoms these seem to be small in size that is why symptoms are also minor. In case of bigger infarcts, a stroke and paralysis could be worst outcomes. Some small size previous bleeds are also seen in report.
If the brain damage becomes irreversible then he may not come to complete normal, but our goal should be near normal.
I would recommend a neuro-surgical consult as well alongwith the medicines provided. This means doctors who are neurology and surgery experts should also be consulted.
Regards
Dr Vaishalee
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
He is currently admitted to a hospital and is under observation. I will try to can find a neurology expert tomorrow. Thank you, Doc.
Is there any way I can avoid infarcts in the future? I know he is 74+ and age-related issues are unavoidable. However, I would like to know what's the best precaution he can take. Please advice.
Is there any way I can avoid infarcts in the future? I know he is 74+ and age-related issues are unavoidable. However, I would like to know what's the best precaution he can take. Please advice.
Brief Answer:
We need to identify any risk factors
Detailed Answer:
Hi again
Thanks for following up on the health issue
To prevent future infarcts, we need to identify risk factors like diabetes, cholesterol, hypertension, alcohol use, obesity and aim to keep these under control. So avoid high calorie foods like cream and sweets.
Aspirin and/or clopidogrel maybe prescribed for preventing further attacks.
Physical activity, preferably under physiotherapist or yoga expert guidance, should be regularly done.
Caregivers should keep a happy atmosphere around the patient.
Sometimes the emboli are coming from carotid arteries. Neuro-surgeon will able to confirm this. This maybe managed by surgery alongwith medicines.
Regards
Dr Vaishalee
We need to identify any risk factors
Detailed Answer:
Hi again
Thanks for following up on the health issue
To prevent future infarcts, we need to identify risk factors like diabetes, cholesterol, hypertension, alcohol use, obesity and aim to keep these under control. So avoid high calorie foods like cream and sweets.
Aspirin and/or clopidogrel maybe prescribed for preventing further attacks.
Physical activity, preferably under physiotherapist or yoga expert guidance, should be regularly done.
Caregivers should keep a happy atmosphere around the patient.
Sometimes the emboli are coming from carotid arteries. Neuro-surgeon will able to confirm this. This maybe managed by surgery alongwith medicines.
Regards
Dr Vaishalee
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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