My Father Mr XXXXXXX K MANDAL Is Heart Patient With

Posted on Sun, 4 Aug 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 4 Aug 2019 Answered on

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Question : My father Mr XXXXXXX K MANDAL is heart patient with bifascicular block. Recently due to suspected UTI (( urine routine was ok but culture showed Kleibsella oxytoca) went wrong. He was prescribed Dytor5 in morning for pressure and 2 times nitofurantonin. He took Nitrofuratonin 100 at night 10 pm on Wednesday . started head spinning from 4:00 hrs and throughout morning then again took Nitrofuratonin 100 at noon and head spinning increased with eyes blurring. We stopped the medicines after consulting local doctor. Now he is taking Vertigon 25 and vertistar 8 .His head spinner reduced but remaing. Did he has brain stroke not diagnosed. He had previously history of stroke 15 years before. .
6 days ago he was checked by Dr Arup DASBISWAS Cardiologist with recent echo and ecg - all ok

Regular medicine he takes-
Calaptin 40 thrice
clopitab 75
aztor 10
seroflow inhaler thrice

Answered by Dr. Drkaushal85 (28 minutes later)

Brief Answer:
Possibility of brain stroke is very very less.

Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
By your history and description, possibility of stroke is very less.
But better to get done plain MRI brain if his head spinning is not reduced in 2-3 days.
So in my opinion, you should wait for 2-3 days and continue Vertistar and Vertigon.
If he is improving then nothing should be done.
But if he is not improving in head spinning then get done plain MRI brain to rule out brain stroke.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Drkaushal85 (20 minutes later)

this type of spinning is occuring due to what reason?
is that due to bp medicine or due to nitrofurantonin

Answered by Dr. Drkaushal85 (19 hours later)

Brief Answer:
It is less likely due to nitrofurantoin.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
Sorry for late reply as I was busy.
This is less likely due to Nitrofurantoin.
May I know his blood pressure readings?
Is he having any kind of stress at present?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wishing good health to your father. Thanks.

Above answer was peer-reviewed by : Dr. Vaishalee Punj