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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Loss Consciousness,dizziness And Fatigue

Cash summary Mrs. Kumkum Sarkar was apparently will till 3 weeks back when she developed ruling of head. She had to episode of loss of consciousness with fall on 17/07/2011 Pt. was admitted in AMRI Hospital Kolkata. Her 24 hrs. Holter Monitoring was normal, MRI brain normal, Hb % - 9.8% ,TSH – 10.3 Mciu/ml. FT4 – 1.07 mg./di, EEG shows cerebral dysrrhythmias. Pl. was discharged with :- Tab. Pantocid (40mg) one tab.once daily(before breakfast), tab- eltroxil-(50 mcg) 1 tab once daily, tab. Cipralex (10mg) – 1 tab once daily, Tab – oxetol (300 mg) 1 tab twice daily, tab- vertigon ( 25mg) 1 tab thrice daily, Tab- ferrium XT 1 tab once daily. At present Pt. complaining of 1) Heaviness of head while on standing or moving head. 2) Feeling of extreme weakness. 3) Balancing disorder while on walking. 4) Burning sensation over upper part of body. Pl.advice me the above treatment for the farther better progress of the patient. Address:- KUMKUM SARKAR C/O.NIRMALYA SARKAR Qtr.No- B-49/1, KTPP TOWNSHIP, PURBA-MEDINIPUR PIN – 721171 WB Phone :- 0000 Email ID :- YYYY@YYYY
Mon, 29 Apr 2019
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General Surgeon,  's  Response
Hi,

Noted the history well and understood the concerns about the patient having unconsciousness, dizziness and fatigue. Noted the reports and there is hypothyroidism well treated with Eltroxil 50 which should be continued and get the repeat thyroid functions after 1 month and later every 3 or 6 monthly interval to see if you need to change the dosages. Although MRI brain is normal the EEG is showing cerebral dysrrythmias hence you have to continue other medications as advised like Ciprlex, Oxetol, Vertigon and so on.

Also continue other medications as mentioned. Have a regular review with the treating Doctors for clinical evaluation, examination and review investigations to decide the changes and additions in the management. Take strict bed rest as it helps in recover. Avoid stress and anxiety.

I hope this answer helps you. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant
ENT & General Surgeon
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Suggest Treatment For Loss Consciousness,dizziness And Fatigue

Hi, Noted the history well and understood the concerns about the patient having unconsciousness, dizziness and fatigue. Noted the reports and there is hypothyroidism well treated with Eltroxil 50 which should be continued and get the repeat thyroid functions after 1 month and later every 3 or 6 monthly interval to see if you need to change the dosages. Although MRI brain is normal the EEG is showing cerebral dysrrythmias hence you have to continue other medications as advised like Ciprlex, Oxetol, Vertigon and so on. Also continue other medications as mentioned. Have a regular review with the treating Doctors for clinical evaluation, examination and review investigations to decide the changes and additions in the management. Take strict bed rest as it helps in recover. Avoid stress and anxiety. I hope this answer helps you. Let me know if I can assist you further. Regards, Dr. T. Chandrakant ENT & General Surgeon