Hello doctor, Age : 55 years old. Sex : Male. Height: 5.4 feet. Weight : 70 kg. Initial symptoms noticed before two months: 1. Slight imbalance in walking. 2. Unable to walk properly, unable to control the direction of legs. 3. Needed support of wall (sometimes) or a person. 4. Unable to walk on uneven road.
Hi. It appears that the patient is having neurological problem at multiple levels. 1. Causes for imbalance while walking:  - Problem in cerebellum (part of brain), unlikely in this case as the MRI of brain was normal (attachment removed to protect patient identity).  - Weakness in one part of the body might have happened due to stroke, even then MRI brain should have shown that. - Weakness in both lower limbs due to problems in spinal cord. This is more likely as loss of control over urine and motion can also be seen in spinal cord problems and the test mentioned by you have not evaluated spinal cord problems.  My advice is get one MRI whole spine done and upload me the report.  2. BP tablets will not cause any of these symptoms, so I advise to continue the BP tablets so that BP is maintained less than 140/80.  3. Vertin and Vertizac can be stopped.  4. Stop Deplat- A, Rozucor instead start tablet Ecosprin -AV.  5. Because of taking previous all those tablets he might be having acidity problems which gets exacerbated by any citrus fruits like lemon, so, I advise him to take antacid like Syrup Mucane gel 10 ml 3 times a day before food.  Also, tell me what is the level of power and how is his control over urine and motion revert back with the details and report of MRI whole spine.