Acute stroke dysphagia screen
Common Questions and Answers about Acute stroke dysphagia screen
stroke
After 7 days on Depakote it affected her swallowing much worse than when she had her stroke. But she could have just has a stroke relapse. They took her off the Depakote to see if the swallowing would come back and it has not (been off it for 9 days). CAT scans did not show a new stroke, either. Very unsure if it was this medicine (the internet did say it can cause glossitis and dysphagia in less than one percent of females over 60 years old).
My experience is limited, and with the super elderly with stroke disorders. Dysphagia has to be evaluated by a specialist in this disorder, and they do not always figure out the etiology. I can only speak of one case of a woman in her late 90's in which, following a stroke, the ability to swallow did return after eight months. I would not give up hope.There is a great deal of redundancy in the human nervous system.
Dysphagia is the medical term for difficulty swallowing, or the feeling that food is "sticking" in your throat or chest. The feeling is actually in your esophagus, the tube that carries food from your mouth to your stomach. You may experience dysphagia when swallowing solid foods, liquids, or both.
Oropharyngeal dysphagia is when you have trouble moving food from your mouth into your upper esophagus.
When I looked in a mirror a few minutes later, I had a huge subconjunctival hemorrhage. I did go to an ER to R/O possible stroke. A CT scan was negative for stroke, and ECG was negative for heart attack. DX. Vertigo possibly due to virus (???) Eye not related to Vertigo (???) .......Referred me to see eye specialist, cardiologist, and primary. Today my eye and left temple are sore and I am experiencing discomfort in the orbital area.
Background Info.
My father had a hemorrhagic stroke 10 days ago. His right side is paralyzed and he can't speak and he can't swallow. In the first five or so days, he seemed to have some awareness and was able to answer yes or no questions by pointing at YES or NO on a sheet of paper. When they asked him to hold up two fingers, he could hold up two fingers. Unfortunately, because of the dysphagia, he had to go on and off of a ventilator twice, and now he seems to be much less cognizant.
I read a study that music therapy helps stroke survivors suffering with dysphagia make connections and speak more. I am telling you it works. All I did is put and ipod on her favorite radio station and she started mouthing the words in sync with the song. Your wifes peg can be reversed, the trach can be reversed. Once her meds are correct she will improve. This will be a constant fight for both of you. She will improve, and I pray she will improve sooner rather than later.
Dermatological - Urticaria pigmentosa, slow healing (yesterday she had an incision reopen from a procedure 6 weeks ago)
Neurological - seizures, left MCA ischemic stroke, stroke-like episodes, hypotonia, autonomic dysregulation, global developmental delay, behaviour and impulse control issues, ataxia, tremors
Cardiovascular - ECG abnormalities, bradycardia
Respiratory - recurrent pneumonia, asthma, respiratory muscle weakness
Ophthalmological - significant hyperopia, exotropia
Gastrointes
The nex day, I felt fatigue and a sore throat with slightly swollen lymph nodes and the sore throat has been like that for the past week (on and off,mostly in the mornings when I wake up) and one night I felt heavy dysphagia (difficulty in swallowing, which I also heard was a herpetic symptom). This is accompanied by mucus when i blow my nose and light cough.
•Oropharyngeal dysphagia (high dysphagia). The problem is in the mouth and/or throat. This is usually caused by a neurological problem - there is something wrong with the nerves (and muscles). Doctors say this type of dysphagia is more difficult to treat.
•Oesophageal dysphagia (low dysphagia). The problem is in the oesophagus. This is usually because of some blockage or irritation. Often, a surgical procedure is required to solve the problem.
The problem you have is dysphagia, and you require a consult with an expert. Not a GP or primary carte provider. Dysphagia is a specialty. There are many possibile etiologies, from stroke to Parkinson's disease to physical disorder. It is unusual for two people to develop symptoms simultaneously. I would consider this a serious issue that requires an in-person appointment as soon as possible.
Rapid assessment of acute ischemia is critical for the management of acute stroke patiens who may benefit from thrombolytics or neuroprotective therapeutics. Differentiation of acute from chronic stroke, which may all appear hyperintense on T2- Weighted Imaging(T2WI ), is essential in determining the management of patiens.
The onset of pain under any circumstance shouldn't be ignored. I highly recommend that you pay a visit to your doctor as soon as possible.
That said, I'm not sure why your post bears the title "Stroke". Strokes usually present over the course of several hours and involve a plethora of neurological symptoms, like confusion, difficulty speaking, memory loss, sudden lethargy, tingling or numbness down one side of the body, and sometimes a sharp pain in the head.
If there was evidence of an acute stroke on the MRI, investigation for causes of stroke in a young person (of which there are many many causes including blood clots from various areas of the body including heart and legs, various clotting tendencies including the clotting tendency that occurs in all women around pregnancy but also other hereditary or non-hereditary clotting disorders, and some genetic disorders such as CADASIL and mitochondrial disorders).
My mother suffered an acute subdural hematoma after falling down the stairs, hitting her head. She had surgery to drain the blood within a 2 hour window.
Her recovery was outstanding at first, and was sent home a week later. She seemed to be pretty close to 100% mentally - able to carry on inteligent conversations with no problems.
All of a sudden a couple days after she had been taken home, she began to be unable to "spit out" what she was trying to say.
My Dad suffered a massive hemorraghic stroke on 12/29/07. He is paralyzed on the left side, has vision and swallowing problems, but can speak/communicate well and his mind is very sharp. He was sent to an acute care rehab hospital on 1/5/08. They said that their goal is to offer high intensity therapy and get patients off to a good start. Today. less than two weeks later, I was told that they plan to discharge him on 1/31/08 and that he will need to go to a skilled nursing facility.
I enjoy reading that research is leading to new breakthroughs to help victims of stroke. I have also read that although most recovery for stroke patients is seen within the first 6 months, that patients may recover for YEARS after stroke.
I personally believe that a persons will and the support they receive greatly assist in their ability to recover. Researchers are also making breakthroughs to assist in the treatment of aphasis, dysphagia, paralysis etc.
anyways my question is about acute relapses i awoke at approx.
The next day he woke up with the same symptoms as the stroke 6 years ago and we assumed he had another stroke. The MRI, CTScan shows no new stroke, but his symptoms continue and he doesn't seem to be getting much better. He has lost his job due to the memory loss issues. Any thoughts on what could have happened? We are seeing a neuropsychologist.
Recommended
