What Does This Doppler Report Indicate?

Posted on Sat, 20 Jun 2015

Question: I'm 34 year lady suffering from takayasu arteries from 2006. I had my coronary artery bypass on 2008 . Also replaced aortic valve with carbomedics valve. I was on steroids for long time. Few months before I had stopped my steroids without doctors advice, nowadays I'm having heaviness in my head, blurred vision and fatigue always , feeling loss of balance while walking . I can't able to concentrate Anything . Last week I had a Doppler scan of subclavian and neck arteries . Attaching the report . Please suggest me what to do

Answered by Dr. Naval Mendiratta (49 minutes later)

Brief Answer:
Takayasu Arteritis

Detailed Answer:
Good evening XXXXXXX

I have gone through your history and the Doppler report. There is a bit of inflammation going on in the carotid vessels which is causing decreased blood flow to your brain and hence the further symptoms.

Firstly, In takayasu you cant off medications cause once you stop the medications they start causing the symptoms again which causes further inflammation.

I would suggest you to visit a rheumatologist and restart on Steroids along with MEthotrexate. Steroids can be tapered over due course but methotrexate will go on.

Hope the information was useful

Do let me know for more queries

Regards
Dr Naval

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Naval Mendiratta (5 hours later)

Dr thanks for answer . Dr I didn't find any rheumatologist in my place . Please adjust my steroids . Now having wysolone 5 mg after bypass . Cardiologists always checking the condition of heart and valve. They are not adjusting steroids that's y I stopped steriodsbecauseof weight increase .No medical check up for takayasus after my coronary artery bypass . My RFT, LFT , Lipid profiles Are normal . Tell me what all tests to be done more. Can u please prescribe me how to take method methotrexate along with wysolone . Please waiting for ur reply.

Answered by Dr. Naval Mendiratta (2 hours later)

Brief Answer:
Management of Takayasu

Detailed Answer:
Good evening

1. You need to check for ESR, CRP to look for the disease activity.

2. I am sorry to tell you this, but we cant prescribe Folitrax dose online as it is a chemotherapeutic drug and the prescription needs to be given in hand. With this site, we can provide you the right guidance but the prescription for a new drug is not permitted. You should increase your wysolone to 1mg/kg body weight and the tapering has to be planned accordingly.

Could you tell me your exact location, so I can guide you to the nearest Rheumatologist. I feel, it s time we act quickly. You wont want to have anything affected in your Central Nervous system.

Do let me know for more queries. Would be happy to help out

Regards
Dr Naval

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Naval Mendiratta (40 minutes later)

Thanks Dr , I'm from XXXXXXX , XXXXXXX . i can understand your limitations . Anyway thanks for your advice. I hope you will send the details of rheumatologist as early as possible.

Answered by Dr. Naval Mendiratta (6 minutes later)

Brief Answer:
Rheumatologist in XXXXXXX

Detailed Answer:
Good evening

You can seek an appointment with Dr Shenoy. He is the head of Rheumatology in XXXXXXX institute of Medical Sciences. That would be your best bet around there.

Feel free to contact me whenever needed for any further advise

Take Good care of your health

Regards
Dr Naval

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar