patient 65 yrs old male... suddenly suffered from unconsciousness for 2 min with inability to recognize family members with b.p 170/100...this just run for 5 min duration, then patient become normal having no other symptoms with b.p 150/100...then within 1 hr 130/80... h/0 diabetes , hypertension.. depression... on tab Amlodepin AT for 4 years and tab glyciphage and daily needs rivotril 5 mg please suggest dx rx




In this 65 yrs male with sudden onset of unconsciousness for a while without leaving any major or minor reaidul, this part or conditions is known as TIA( transient ischemic attack) which is a worning sign for impending cerobrovascular stroke ,such kind of pt ,if don’t follow medical advice strictly may be unfortunate for stroke , moreover his pre existing dis like hypertension,dm ,cerebral atrophy with ischamic foci,,hyperlipidimia,low B12 and along with this his medication for hypertension,dm,fit/convulsions/epileptic, now on account of he is taking Revotril 5 which is adrug for epilepsy,if I consider he is an epileptic patient then another dilemma is ,dose of epileptic drug is low or re adjust to control it . At present pt is ambulent so he should maintain his blood pressure under control by any means,sometimes amlodipin may cause such side effect one should consider also, we have enough time to keep this pt in safe zone .

Thanks for this nice explanation sir!!!

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Fluctuation of blood pressure is more dangerous then normal bp Cholesterol level s.trig is more Give drugs trayodasanga giggulu 250mg bd Kaisora guggulu 250mg bd Arogyavardini vati 250 mg bd Rasonadi vati 500mg bd Use any one from this to control cholesterol level One of the fluctuation reason might be it so better use

Shirodhara With Bramhi Tailam Bramhi Vati Divya Muktha Vati Mouktika Kaamdudha Rasa Avipattikar Churna Saraswatarishtha

रोगी मानसिक तनाव से ग्रस्त है। चिकित्सा संबंधी योग,, तगर 50 ग्राम जटामांसी 25 ग्राम लेकर दोनों का पाउडर बनाकर 5 ग्राम सुबह-शाम पानी से दें अश्वगनंधारिष्ट 25 ग्राम सुबह-शाम खाने के बाद दें योग परिक्षित है पिछले 40 वर्ष से प्रयोग कर रहा हूं

I think this is due to depression and anxiety Try to find out cause ,take more h/o patient about it

This pt was under sedative His triglycerides, ESR, TSH, n even creatinine is also above normal Ayurvedic management includes Takradhara Padabhyanga Abhyanga to spinal cord by brahmi taila Arjuna ksheer pak Sarpagandha tab Kanchanar Guggulu Bhastrika, Brahmari, udgeeth pranayam will help

Pls get US Scan for measure the size of thyroid gland. Also get CT SCAN for investigate pituitary condition. Then come to diagnose. Thank GOD.

For BP high n low very useful Ssrparjun ( sarp gandha Arjun ) 1 bd n for diabetes Glucomep 1bd before meals shilajeetwadi vati 1 bd Sutsekhar 2 bd.

It is a case of senile dementia due to long term hypertension and diabetes TT is Ginko biloba extract,Bacopamonier,choline chloride,pyritinol and L glutamic acid With antihypertensive like telmisarton or losarton with diauratic And antidiabetic and cholesterol,triglysride lowering agents

Sir I am expecting unani management from you so please

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