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Suffering With BP And Stress Issue Please How To Control?
Question: End of May 2017 I was working at a nursing home in Las Cruces. (I have not been able to work the Roswell nursing homes because I was blacklisted for testifying against them in 1997.) We had to rent a place to live in Las Cruces to work the job. I was moved to a different hall and different pt. while still on orientation, I was under a lot of stress. My boss knew it been seven years since I worked as a nurse and had promise to be kind but it wasn’t happening. One night I went to the BR I had a H/A and felt stressed out. I happened to look in the mirror and the capillaries were bursting in my right eye. A few nights later I now had a new admit and other issues going on and I really felt overwhelmed. I had a H/A again. I went to the BR. and the capillaries in my left eye where breaking again. I had a tech take my BP and it was in the 170’s. I didn’t feel well and decided I had enough of this job. I didn’t need a stroke. The nurse orientating me took over and I left.
July 29, 2017 Bypass Surgery
BP ^ on meds but my BP soon got too low so stopped meds.
Feb. 2018 Chest feels like a thousand needles p0king it and itches. Healing process?
July 1, 2018, I have Phlebitis in my left leg, now.
July 12, 2018 Area over right eye feels like a bee stinging, bad, and is red. Both my eye lids are drooping.
Ears hurt. Right eye is blurry, maybe left too. Started July 5, Mild h/a. Feel pricking in other parts of my body.I have had balance problems off and on all my adult life. they were usually related to my ears being plugged. I have been told that I have more of a sinus problem then an allergy problem. A year ago I had bypass surgery. Over this past year I have realized tnat my balance, dizziness, h/a, and ears filling full, has increased. I have fallen two and almost fallen several times more. I was told by my eye Dr. that I probably had 8 cranial nerve damage. Is this true and what can I do about it. I see a Neurolgist in August. I have been on a long waiting list.
July 29, 2017 Bypass Surgery
BP ^ on meds but my BP soon got too low so stopped meds.
Feb. 2018 Chest feels like a thousand needles p0king it and itches. Healing process?
July 1, 2018, I have Phlebitis in my left leg, now.
July 12, 2018 Area over right eye feels like a bee stinging, bad, and is red. Both my eye lids are drooping.
Ears hurt. Right eye is blurry, maybe left too. Started July 5, Mild h/a. Feel pricking in other parts of my body.I have had balance problems off and on all my adult life. they were usually related to my ears being plugged. I have been told that I have more of a sinus problem then an allergy problem. A year ago I had bypass surgery. Over this past year I have realized tnat my balance, dizziness, h/a, and ears filling full, has increased. I have fallen two and almost fallen several times more. I was told by my eye Dr. that I probably had 8 cranial nerve damage. Is this true and what can I do about it. I see a Neurolgist in August. I have been on a long waiting list.
Brief Answer:
You need a detailed evaluation.
Detailed Answer:
Thank you for posting your query.
I am Dr Sudhir Kumar, Neurologist, and I would try my best to help you.
I have noted your clinical details. Based on this, we need to exclude both a cerebellar (a part of brain) and eight cranial nerve (vestibular part) problem.
Headache, dizziness, imbalance, tendency to fall, etc can be symptoms of either cerebellar disease or vestibular dysfunction.
A detailed neurological examination, followed by MRI brain are needed to confirm or exclude problems with cerebellum or vestibular nerve.
As of now, you can take symptomatic treatment- betahistine tablet for dizziness and naproxen tablet for headache.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
You need a detailed evaluation.
Detailed Answer:
Thank you for posting your query.
I am Dr Sudhir Kumar, Neurologist, and I would try my best to help you.
I have noted your clinical details. Based on this, we need to exclude both a cerebellar (a part of brain) and eight cranial nerve (vestibular part) problem.
Headache, dizziness, imbalance, tendency to fall, etc can be symptoms of either cerebellar disease or vestibular dysfunction.
A detailed neurological examination, followed by MRI brain are needed to confirm or exclude problems with cerebellum or vestibular nerve.
As of now, you can take symptomatic treatment- betahistine tablet for dizziness and naproxen tablet for headache.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Above answer was peer-reviewed by :
Dr. Prasad
I had forgotten I had an MRI last fall and nothing showed up.
Brief Answer:
That is great to hear.
Detailed Answer:
Thank you for getting back.
Normal MRI brain is a good news. It rules out most of the cerebellar diseases. AS]s of now, the eight nerve (vestibular) problem seems more likely.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
That is great to hear.
Detailed Answer:
Thank you for getting back.
Normal MRI brain is a good news. It rules out most of the cerebellar diseases. AS]s of now, the eight nerve (vestibular) problem seems more likely.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Remy Koshy
the only problem is I have failed the three question test. the three things I was supposed to remember. Mentally I know I have changed. Is it true that a TIA cannot always be detected? I was supposedly trying to have a stroke the night I worked and had the bad h/a. It because of that that I ended up with bypass surgery. See history.
also, my husband said they had problems getting me off the heart-lung machine. My resp would drop so they have to put me back on the machine. This happened several times after the surgery. I just know I woke up with the tube still in my throat. My throat was sore for weeks afterward.
Brief Answer:
Yes, MRI brain may be normal in 50% of TIA patients.
Detailed Answer:
Thank you for getting back.
MRI is "negative (normal)" in about half the patients with TIA.Therefore, if we strongly suspect TIA, we usually start an anti-platelet (aspirin or clopidogrel) and work up for possible risk factors for TIA (blood sugar, cholesterol, BP, heart disease, etc), even if the MRI comes normal.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Yes, MRI brain may be normal in 50% of TIA patients.
Detailed Answer:
Thank you for getting back.
MRI is "negative (normal)" in about half the patients with TIA.Therefore, if we strongly suspect TIA, we usually start an anti-platelet (aspirin or clopidogrel) and work up for possible risk factors for TIA (blood sugar, cholesterol, BP, heart disease, etc), even if the MRI comes normal.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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