Hi,
1. Since most of the investigations came normal but the symptoms are still persisting,
consult a neurologist for relevant examination and blood work, to confirm or exclude:
- TIA [transient ischemic attack/mini stroke]
- bell's palsy
-
Sarcoidosis.
-
Parotid Tumor.
-
Herpes zoster infection.
-
Middle ear disease.
PS. One can have a stroke and yet don't know it since symptoms caused by a mini-stroke can be undetectable if the tissue damaged by it does not serve a critical function, you should seek medical attention at once.
2. apart from a medical examination, one has to look out for any associated risk factor, like:
. blood pressure, blood sugar.
.
lipid profile, overweight.
3. The only way to tell the difference as to what has happened is to get a Neurologist opinion along with necessary investigation like C.T or M.R.I. scan, who may also check with
- carotid ultrasound.
-
echocardiogram [for any blood clots].
- EKG & Chest X-ray.
4. Only after exhaustive examination and investigation, treatment will be initiated by starting or adjusting medications that improve blood flow to the brain [antiplatelets/anticoagulants], along with lifestyle modifications like:
- maintain ideal body weight
- regular exercise, low salt intake
- eating fresh fruits & vegetables
- reducing undue physical/mental stress.
- routine blood investigations and keeping the level within normal limits.
- proper and adequate sleep.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Munish Sood, Ayurveda Specialist