Hi doctor,My dad has been paralyzed for three years now. He was fine, but suddenly his speech is not clear. We cannot understand what he says. May I know why this has happened?
Hello. 1. Previous stroke. 2. Modifiable risk factors like hypertension, hypercoagulable status. 3. Infection due to UTI (urinary tract infection) or bed sores. Blood complete profile, CT scan without contrast, renal function test, liver function test and serum electrolytes. 1. CVA (cerebrovascular accident). 2. Sepsis. 3. Hypovolemia. Control modifiable risk factors. The patient is too late for thrombolytic agents. Prevention of re-stroke. Control hypertension and antiplatelet therapy, For further doubts consult an internal medicine physician online.--->