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According to studies done, antiplatelet therapy with aspirin reduced the risk of secondary stroke and MI significantly. And studies have also shown lower doses of aspirin are as effective as higher doses. Doses of 75 to 150 mg/day produced the same risk reduction, compared with placebo, as doses of 150 to 325 mg/day. Lower doses also reduce the risk of bleeding tendencies. As your father has been stable, his treating doctor may consider dosage reduction, please discuss this with him.
Another possiblity (though less likely perhaps given your multiple stroke risk factors) is could this be MS rather than stroke? Visual loss could have been optic neuritis and the "stroke" in cerebellum could be a plaque. Certainly don't mean to alarm you, just let you know that there may be other possibolities. There are special types of MRI that can easily distinguish between a stroke an dMS.
Hi Doc,
I have a few questions that I can't find answers to elsewhere.
1) The common wisdom seems to be that Listerine (or some other antiseptic mouthwash) before and after unprotected oral sex reduces the risk of STD transmission. I've also heard of using same on the genitals following genital contact. Is there any evidence for this? It seems plausible, though more for bacterial STDs than viral STDs. Would you recommend it?
Lowering cholesterol for secondary prevention, that is preventing second heart attacks in persons who already had had one, was next demonstrated in the eighties and primary prevention of heart attack and stroke (In persons who had never had a prior event) demonstrated in the nineties. The most recently published studies have demonstrated that lipid lowering therapy decreases cardiac events even in those persons with normal cholesterol.
Is the Aspirin really helpful for the prevention of stroke? What can you advise me to take in order to prevent the fate of the other members of my family.
Definite diagnosis of Cerebral palsy warrants s full neurological exam and diagnostic tests such as blood tests and imaging studies like CT scan or MRI of the head, EEG and vision and hearing tests. This link may help: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001734/
The following organizations are also good resources for information on cerebral palsy:
1. National Institute of Neurological Disorders and Stroke - www.ninds.nih.gov/disorders/cerebral_palsy/cerebral_palsy.htm
2.
Sorry to hear about your stroke. The data suggests that aspirin a day is enough treatment for your condition. I know that it sounds like you should have treatment such a coumadin but since you only have 50% blockage, the aspirin is the best choice. If you have comorbid atrial fibrillation then coumadin would be the medication of choice. How is the other carotid? Yes, CCF
takes medicare. From what you tell on the posting, aspirin is the choice for your condition and state of occlusion.
After reading the studies use one to back up your suggestion for an alternative treatment. Stroke can be caused by both clots and bleeds. Plavix is generally prescribed following a stroke from a clot. Often clots are caused by simple dehydration and inactivity. If you go off the Plavix keep well hydrated at all times with electrolytes.
The causes of stroke are multiple and could include embolism from the heart or other areas (such as the aorta or other parts of the body), bleeds, atherosclerosis of the blood vessels, vasculitis (or inflammatory processes affecting the blood vessels of the brain), and others. The prevention of stroke typically depends on what are the risk factors a patient has. These may include aspirin, certain blood thinners, or cholesterol-lowering medications.
The government database pubmed provides a synopsis of the most recent studies regarding the benefits of an aspirin a day and the protocols used in the studies in regard to dose.
//www.everydayhealth.com/health-report/atrial-fibrillation-and-stroke/diet-tips-for-afib.aspx?
by Emily_MHModerator,
And to clarify, it is this site's stance, based on studies and our own MedHelp experts (all of whom are world-renowned for their work in this field), that oral sex carries no risk for HIV.
If he was falling frequently, sometimes the risk of staying on these meds (bleeding with fall that could lead to death) outweighs the benefit (stroke prevention which is a few percent per year), which is something his physician needs to determine. Given his age, and history of blood in stool and falls, it is reasonable to keep him on warfarin (coumadin), especially due to the evidence in people over 75 on Pradaxa, and the difficulty of reversal with Xarelto given his falls history.
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