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  5. My father-in-law is hospitalised with a brain blood clot, and his right arm and leg appear to be paralysed. He is 67 and has a history of smoking. We are seeking a second opinion because the doctors have not provided clear guidance.

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My father-in-law is hospitalised with a brain blood clot, and his right arm and leg appear to be paralysed. He is 67 and has a history of smoking. We are seeking a second opinion because the doctors have not provided clear guidance.

Asked by Male, 30 · 2 months ago

Dr S Aneela

Dr S Aneela

M. Pharm (Pharmacology)., PhD

2 months ago

Your father-in-law is likely experiencing a stroke caused by a brain blood clot, resulting in right-sided paralysis. You should seek a second opinion from a neurologist or stroke specialist and bring all medical records, including CT/MRI scans, lab reports, and a list of his current medications. Early rehabilitation, such as physiotherapy and occupational therapy, along with managing risk factors like smoking, is important for recovery and preventing further complications.
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Other Related topics like...

What are the signs of stroke worsening?How can we prevent another stroke?What rehabilitation options are available?Are there specific medications for stroke recovery?When should we seek emergency help again?

  1. Prognosis Factors

    • Age, smoking history, and stroke severity impact recovery.
    • Timely treatment and rehabilitation can improve outcomes.

  2. Treatment Options

    • Acute management: Thrombolysis or thrombectomy for clot removal.
    • Medications: Blood thinners, antiplatelets, and supportive drugs.
    • Supportive care: Control blood pressure, blood sugar, and prevent complications.

  3. Rehabilitation and Recovery

    • Engage in physical, occupational, and speech therapy.
    • Utilize multidisciplinary stroke rehabilitation teams.

  4. Lifestyle Modifications and Secondary Prevention

    • Cease smoking and manage hypertension, diabetes, and cholesterol.
    • Adhere to diet, exercise, and medication regimens.

  5. Clear Guidance Beyond Initial Opinions

    • Consider second opinions if needed.
    • Recognize warning signs of complications.
    • Maintain follow-up appointments and monitoring.
    • Provide emotional and psychological support for patient and family.

  6. Relevant Medical Specialties

    • Involve neurology, rehabilitation medicine, cardiology, and primary care.

  7. India-Approved Medications

    • Antiplatelets: Aspirin, Clopidogrel.
    • Anticoagulants: Warfarin, newer oral anticoagulants if indicated.

Answered 2 months ago

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