Suggest Treatment For Vertigo In An Asthma Patient

Posted on Mon, 27 Jul 2015

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

Mon, 27 Jul 2015 Answered on

Mon, 17 Aug 2015 Last reviewed on

Question : Hi,

My dad age is 64 year and recently he is feeling vertigo while he is walking and he is also patient of Asthma from last 4-5 years. His also suffering from arthrits.

Answered by Dr. Sudhir Kumar (45 minutes later)

Brief Answer:
MRI brain shows features of ischemia.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted your father's symptoms and MRI brain report.

MRI brain shows features of ischemia (lack of blood supply to brain). It is a minor problem and can be easily treated.

He should be started on clopidogrel tablets, to prevent lack of blood supply to brain.

Piracetam tablets would also help him.

I hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.

Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (3 minutes later)

Thanks for quick response!

1) can I continue with physician only or need to look Neurologist?
2) Is this the reason for vertigo?
3) Please also suggest some medicines.

Thanks
XXXXX

Answered by Dr. Sudhir Kumar (2 minutes later)

Brief Answer:
Please show to a neurologist.

Detailed Answer:
Thank you for getting back.

1. Please show the patient and MRI report to a neurologist.

2. Vertigo is not due to the brain MRI findings.

3. Clopidogrel and piracetam tablets as suggested above. Betahistine tablets for relief of vertigo.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (7 hours later)

Thanks for your reply,

Just last opinion I m sorry for multiple follow up.

This diagnose was for vertigo we have already done following medication.

1) postural hypertension - negative
2) Ent inner issue - negative
3) brain MRI - negative

Please suggest next step for vertigo diagnose and possible causes.

Answered by Dr. Sudhir Kumar (57 minutes later)

Brief Answer:
At this stage, no further evaluation is needed.

Detailed Answer:
Thank you for getting back.

As of now, no further investigations are needed.

Please start the medications under the guidance of a neurologist, as I have listed in my above two replies.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj