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What Causes Knee Pain, Dizziness And Impaired Speech?
Posted on
Sat, 20 Jun 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sat, 20 Jun 2015
Answered on
Fri, 10 Jul 2015
Last reviewed on
Question : I'm taking "clopidogrel bisulfate" 75 mg every morning. I'm going on two years, my kneel hurt, I'm little unbalance, and my speech is sometimes hard to underdstand. The bottle says to re-evaluate after a year. My Doctors appointment is in August. Haven't seen him in two years,as my medicare goes into affect in Aug...Have been seeing VA for now.,, When asked VA heart DOC. WAs told it was up to me. By the wayI had heart attack & had two stens placed in me.
Brief Answer:
Immediate consultation with cardiologist and neurologist advised...
Detailed Answer:
Hi,
I understand your concerns.
1. Clopidogrel bisulfate is a blood thinning medication inhibiting the platelet aggregation.
2. It is usually used after heart interventions as in your case, after stent placement.
3. It is recommended to use 1 consecutive year after the most recent intervention.
4. After 1 year, a re-evaluation of the patient is done by cardiologist and the doctor who did the intervention. After such re-evaluation, will be decided whether to go for clopidogrel again or switching to other blood thinning medications.
5. You are saying to be unbalanced and having difficulties with your speech. If I was your caring doctor would advise immediate heart evaluation through:
- monitoring blood pressure
- ECG
- echocardiogram
- ct-scan of the brain for possible brain vascular episodes
6. So, for the moment, I advise to monitor your bp and record the results (especially when you are having unbalancing episodes).
And I highly recommend to schedule an immediate appointment with cardiologist and neurologist.
7. With regards to the your knee hurting, it might be due to:
- any recent trauma you might have : observe for external changes like bruising, etc.
- arthrosis: x-ray of the knee is advised to check for changes
You can take oral pain killers and apply analgesic cream and warm clothing locally.
Hope it was of help!
Dr.Albana
Immediate consultation with cardiologist and neurologist advised...
Detailed Answer:
Hi,
I understand your concerns.
1. Clopidogrel bisulfate is a blood thinning medication inhibiting the platelet aggregation.
2. It is usually used after heart interventions as in your case, after stent placement.
3. It is recommended to use 1 consecutive year after the most recent intervention.
4. After 1 year, a re-evaluation of the patient is done by cardiologist and the doctor who did the intervention. After such re-evaluation, will be decided whether to go for clopidogrel again or switching to other blood thinning medications.
5. You are saying to be unbalanced and having difficulties with your speech. If I was your caring doctor would advise immediate heart evaluation through:
- monitoring blood pressure
- ECG
- echocardiogram
- ct-scan of the brain for possible brain vascular episodes
6. So, for the moment, I advise to monitor your bp and record the results (especially when you are having unbalancing episodes).
And I highly recommend to schedule an immediate appointment with cardiologist and neurologist.
7. With regards to the your knee hurting, it might be due to:
- any recent trauma you might have : observe for external changes like bruising, etc.
- arthrosis: x-ray of the knee is advised to check for changes
You can take oral pain killers and apply analgesic cream and warm clothing locally.
Hope it was of help!
Dr.Albana
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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