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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Slurred Speech Followed By Fainting?

Hello, I'm concerned about my sister, she called me at noon with slurred speech, and repeating herself. I thought she was drinking heavily before lunch.
I spoke with her a couple of hours ago and it was even worse, she repeated herself no less than 20 times about some bathroom rugs.
She just called and said she collapsed in the shower and was paralyzed for over 15 minutes and is now in bed, unable to move.
She’s had a big bump on her head for unknown reason for several days now. Also blood in urine and stool.
I told her to go to emergency. She won’t go. I asked my son who lives with her to bring her a big glass of water. She collapsed after going to the jacuzzi.
She also did a 10 mile bike ride today.
Mon, 18 Dec 2017
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Ayurveda Specialist 's  Response
**
Thanks for contacting with your health concern.

1.although you are not sure whether alcohol consumption was there or not but with features of slurred speech, paralysis, all points towards a probable diagnosis of SIE [stroke in evolution], OR Stroke so consult a neurologist for relevant examination and blood work with CT- scan to confirm or exclude the same diagnosis.

2. apart from 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 as to what is happening, the best 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.
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What Causes Slurred Speech Followed By Fainting?

** Thanks for contacting with your health concern. 1.although you are not sure whether alcohol consumption was there or not but with features of slurred speech, paralysis, all points towards a probable diagnosis of SIE [stroke in evolution], OR Stroke so consult a neurologist for relevant examination and blood work with CT- scan to confirm or exclude the same diagnosis. 2. apart from 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 as to what is happening, the best 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.