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Suggest Treatment For Heavy Bleeding And Severe Pain During Mensturation
Question: My wife is 42 years old asthmatic using foracort 400mg sos
Due to heavy bleeding n pain during periods was on medication using Devry. Daflon then to femilon for over 15 months. Thereafter
Undergone mirena insertion
7 weeks before first walked on treadmill for 40 min. After that started feeling restlessness. Dry throat .lightheadedness anxiety etc. After few hours she was stabilised at home itself. However similar symptoms started recurring very often. We visited neurogist and undergone brain MRI brain stroke protocol and neck vessel doppler. Doppler report was normal and mri report suggested focal stenosis in p2 segment of right pca.doctor said report normal and prescribed med for 15 days n review
Due to heavy bleeding n pain during periods was on medication using Devry. Daflon then to femilon for over 15 months. Thereafter
Undergone mirena insertion
7 weeks before first walked on treadmill for 40 min. After that started feeling restlessness. Dry throat .lightheadedness anxiety etc. After few hours she was stabilised at home itself. However similar symptoms started recurring very often. We visited neurogist and undergone brain MRI brain stroke protocol and neck vessel doppler. Doppler report was normal and mri report suggested focal stenosis in p2 segment of right pca.doctor said report normal and prescribed med for 15 days n review
Brief Answer:
Further evaluation is needed.
Detailed Answer:
Thank you for posting your query.
I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.
I have noted your wife's clinical details. The MRI brain is normal, except for mild narrowing of one of the blood vessels, which may not be significant.
She needs further evaluation to determine the cause of her symptoms:
1. Hemoglobin (Hb) level- a decrease in hemoglobin can cause dizziness,
2. Fasting lipid profile and fasting serum homocysteine- increased levels of cholesterol and homocysteine increase the risk of brain stroke.
3. MR venogram should be done, as the hormonal medicines that she has used may increase the risk of cerebral venous thrombosis (clotting of blood in brain veins).
There is no need to worry, as all these can be treated, once the diagnosis is confirmed.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
My BLOG: http://bestneurodoctor.blogspot.in
Further evaluation is needed.
Detailed Answer:
Thank you for posting your query.
I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.
I have noted your wife's clinical details. The MRI brain is normal, except for mild narrowing of one of the blood vessels, which may not be significant.
She needs further evaluation to determine the cause of her symptoms:
1. Hemoglobin (Hb) level- a decrease in hemoglobin can cause dizziness,
2. Fasting lipid profile and fasting serum homocysteine- increased levels of cholesterol and homocysteine increase the risk of brain stroke.
3. MR venogram should be done, as the hormonal medicines that she has used may increase the risk of cerebral venous thrombosis (clotting of blood in brain veins).
There is no need to worry, as all these can be treated, once the diagnosis is confirmed.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
My BLOG: http://bestneurodoctor.blogspot.in
Above answer was peer-reviewed by :
Dr. Raju A.T
Dear sir, as per ur advise patient have undergone blood tests and MR Venogram. Additionally thyroid, Vit XXXXXXX and Vit 12 tests are also done. All test reports are normal.
Patient is having random symptoms of needle prickly sensations, mild headache, dizziness etc. These symptoms prevail from a moment of time to few minutes . Pls advise
Patient is having random symptoms of needle prickly sensations, mild headache, dizziness etc. These symptoms prevail from a moment of time to few minutes . Pls advise
Brief Answer:
Please attach the reports here.
Detailed Answer:
Thank you for getting back with more information.
Please attach the medical reports. This site allows you to attach multiple reports here itself, so that I can review them and give my advice.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Please attach the reports here.
Detailed Answer:
Thank you for getting back with more information.
Please attach the medical reports. This site allows you to attach multiple reports here itself, so that I can review them and give my advice.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi, I have provided some attachments. Please review them.
Dear sir I hv attached reports for ur review. On 14th early hours patient suddenly work up complaining pin and needle situation in hands and limbs. As her anxiety started increasing we took her to city neuro center and got her admitted. On 15 the she was discharged after all reports were found normal. After coming patient is still under confused condition with random pin and needle contains. Sweating. Pain in head area behind ears. BP is normal but she is very anxious and cud not sleep yesterday night.
We feel that may be Merino acting inside her is also a reason for such symptoms. We r thinking to remove Merina for few days n see. Pls adv
Dear sir I hv attached reports for ur review. On 14th early hours patient suddenly work up complaining pin and needle situation in hands and limbs. As her anxiety started increasing we took her to city neuro center and got her admitted. On 15 the she was discharged after all reports were found normal. After coming patient is still under confused condition with random pin and needle contains. Sweating. Pain in head area behind ears. BP is normal but she is very anxious and cud not sleep yesterday night.
We feel that may be Merino acting inside her is also a reason for such symptoms. We r thinking to remove Merina for few days n see. Pls adv
Brief Answer:
I agree all reports are normal.
Detailed Answer:
Thank you for sending all the reports. They are within normal limits.
She has features of anxiety and would get better with simple medications. You may remove Merina for a few days.
If symptoms do not get better in a few days, you may show her to a psychiatrist.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
I agree all reports are normal.
Detailed Answer:
Thank you for sending all the reports. They are within normal limits.
She has features of anxiety and would get better with simple medications. You may remove Merina for a few days.
If symptoms do not get better in a few days, you may show her to a psychiatrist.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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