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Flu followed by transient right arm and leg weakness

Resolved Question:

Hello Doctor,
My name is Ahmed Batis, I am from Yemen and live in Saudi Arabia.

My father is 75 years old and he got a health issue last week as sorted bellow:

*****************************************
1- On Wednesday 23 he couldn't sleep of his seasonal sickness (Flu and fever and terrible headache).

****************************************
2- On Thrusday 24, he got to nearby clinic and he was prescribed to some medicins:
A- Mobic:
-hydroxy- -methyl-N-(-methyl--thiazoly)-H-,-benzothiazine--carboxamide-1,1dioxide
(=meloxicam)
B-Cefix:
200 mg capsule:Each capsule contains 200 mg Cefixime (thrihydrate).
C- Co-Diovan:
Active substances: Valsartan, hydrocholorothiazide. Excipients: Tableting excipients.

***************************************
3- On Friday 25 (2:00 PM), he loosed his full-control of right-arm and right-leg (He feels them, but he couldn't walk normally or take a glass of cup) we should help him.

**************************************
4- After around 8 hours, he recovered his control on his right-arm and right-leg, but he still in need of stick to help him walk.

***********************************
5- Saturday morning, we got to Consultant Neurologist and he asked us to do the following:
A- Blood analysis
https://drive.google.com/file/d/0B1sVm_f8qsrDZjNLVlpDdGg3bmM/edit?usp=sharing
B- Urine analysis
https://drive.google.com/file/d/0B1sVm_f8qsrDUlI1YnF6c0hrTU0/edit?usp=sharing
C- MRI Brain
https://drive.google.com/file/d/0B1sVm_f8qsrDNmRBQWtKRnA1NzA/edit?usp=sharing
D- U/S - Doppler Carotid 2 Sides
https://drive.google.com/file/d/0B1sVm_f8qsrDdzk2QW1oTkxweHM/edit?usp=sharing

And we adviced to this medicines:
https://drive.google.com/file/d/0B1sVm_f8qsrDeU40WXEyWWI4LWM/edit?usp=sharing

***************************************
6- Sunday evening, I felt uncomfortable.. So we choose to show up for Consultant Cardiologist and he checked the following:
A- Doppler Electrocardiography Report
https://drive.google.com/file/d/0B1sVm_f8qsrDM3JMSXFWUjV5Qzg/edit?usp=sharing
B- Exercise Stress Test Report
https://drive.google.com/file/d/0B1sVm_f8qsrDdXEyQTZmVWt5UmM/edit?usp=sharing

I need to know.. What should I expect? What other analysis I should do to be sure that my father was watched carefully?

I will fly with him to Thailand, for Bumrungrad International Hospital and I need your help to choose the doctor which is bettter to start with my father case:

Please use this URL and advice me:
http://www.bumrungrad.com/en/search-for-a-thailand-doctor

Looking forward to hearing from you..
With best regards
Ahmed Batis


Category: Cardiologist

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Category: Cardiologist
Dr. Vivek Mahajan is online now


Patient replied :

Sorry.. To be more clear,

My father now could walk without stick help, he recovered his normal ability to walk, Yes.. a little weakness.

We let him stay at home to get rest this week.. And we would like to know


Expert:  Dr. Vivek Mahajan replied 3 Days.

Hello,

I have reviewed the medical details and files. Your father has a stroke caused by blockage of the artery in brain. From a Cardiology standpoint his heart function is normal Glad to know that he has recovered. There is no need for any further complex treatment. Take the drugs as prescribed (which includes aspirin) . Main thing to do is make sure that his Diabetes to be under good control. Since he is taking Diatab I assume he is Diabetic. Blood pressure if high need to be kept controlled too. It seems he has received the right care (with the avialable reports)

His Echo and stress test is normal. If you plan to fly for treatment purpose I do not think there is any need as of now. Moreover he might not be fit for travel. What you need is find a good Physician / Internist at your place,as he will require life long treatment for his Diabetes.

Hope everything is clear.
Please let me know if you need clarifications.
Thank you

---------

Thank you for choosing DoctorSpring.
I shall discuss with our Team Neurologist and update you.

Thank you
Dr.VM'
Cardiologist


Dr. Vivek Mahajan
Category: Cardiologist
Experience: 
Fellowship: DM, Cardiology, PGIMER, 2013
Residency: MD, Internal Medicine, AIIMS, 2007
Internship: King Edward Memorial (KEM) Hospital, 2003 
Medical School: MBBS, Seth G.S. Medical College, 2002
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