Frequently Asked Questions
- Stroke FAQs
- Varicose Veins FAQs
- Uterine fibroid FAQs
- Blood Clots FAQs
A stroke or a “brain attack,” occurs when ;
- The blood supply to a portion of the brain is disrupted ( reduced or stopped) leading to starvation of the affected brain part (also called ischemia) , and ultimately brain death (infarction).
- There is rapture of a blood vessel inside the brain , thus bleeding into the brain causing brain damage
Generally speaking , there are two types of stroke ;
- Ischemic stroke ; One where the blood supply to the brain is disrupted (stopped or reduced ) leading to brain damage (ischemia) , 80% of the strokes are ischemic in nature
- Hemorrhagic stroke ; Here there is bleeding into the brain , still causing brain damage.
- Major stroke ; this only recovers with treatment , if a major stroke is not timely treated , permanent disability or death ensues.
- Transient Ischemic Attack ( TIA) ; This can be seen as a ‘ warning stroke ‘ , because the associated stroke symptoms recover with in 24 hours .
Transient Ischemic Attack ;
Transient - Lasting only a short time
Ischemic - Means reduced blood flow to the brain causing brain starvation ( ischemia)
Attack - The brain ischemia causes the symptoms ( attack)
If untreated , the attacks may re-occur , followed by a major stroke.
The main symptoms of stroke can be remembered with the acronym BE FAST :
Balance : stroke patients may have trouble maintaining balance, sudden dizziness or unresponsiveness also known as a coma.
Eyes : sudden partial or complete inability to see is likely due to a stroke
Face – the face may have dropped on 1 side. The face appears asymmetrical or deformed.
Arms – the person with a suspected stroke may be unable to lift both arms (and legs) , because of weakness in one arm (and leg).
Speech – their speech may be slurred or the person may not be able to talk at all despite appearing to be awake; they may also have problems understanding what you’re saying.
Time – It’s time to dial +256763406330 immediately if you see any of these signs or symptoms. Seek medical attention even when symptoms resolve at home .
- Blood Clots ; Most stroke patients can not move and may be bed ridden , this increases the risk of getting blood clots.
- Frequent Infections.
- Bed sores.
- Challenges with eating or swallowing .
- Breathing difficulties.
Yes , stroke requires emergency treatment , to minimise brain damage.
Delaying treatment can cause permanent brain damage leading to disability , or death.
Myth | Fact |
Stroke is unpreventable. | Stroke is largely preventable. |
Stroke can not be treated. | Stroke requires emergency treatment. |
Stroke only strikes the elderly. | Anyone can have a stroke. |
Stroke happens to the heart. | Stroke is a brain attack. |
Stroke recovery is immediate. | Stroke recovery continues throughout life. |
Brain damage due to stroke causes physical , psychological / emotional and medical effects. Some strokes cause immediate death.
One sided body paralysis
Inability to move
Blindness
Hearing difficulties ; this is so rare , and mostly seen in stroke patients of advanced age. The hearing difficulties are rather age related.
Loss of sensation on side on the body
Prolonged unconsciousness ( coma)
Inability to perform activities of daily living like working , going to the bathroom , bathing , dressing up etc.
Swallowing difficulties
Loss of ability to control bowel and bladder ( incontinence)
- Anger
- Depression
- Feelings of irritability
- Forgetfulness.
- Confusion.
- Low self esteem , imagine an adult having to use diapers
- Mechanical thrombectomy for stroke ; a procedure that involves removing blood clots from brain blood vessels , to re-establish blood flow to the brain so as to minimise brain damage. This is the latest advancement in stroke care.
- Thrombolysis for stroke ; A special clot busting drug is injected to dissolve the blood clot in brain vessels . THis approach is for a selected patients , a few hours after stroke . Some clots just can not dissolve, and need to be taken out by thrombectomy.
- Stenting ; Specially designed tubes ( stents ) are put in the narrowed brain or neck vessels to re-establish blood flow to the brain.
- Some drugs and injections come handy to control brain damage
Stroke is a very serious emergency , it should be seen like a ‘fire in the brain ‘.
Immediately take the stroke victim to a stroke ready hospital near you
These are enlarged , tortuous , “rope like veins” veins seen beneath the skin.
It is a progressive disease , capable of causing debilitating symptoms.
There are dilated cob-web like veins below the skin , it is actually a mild form of varicose veins.
Normal veins carry blood from the legs back to the heart. These veins have gates ( valves) that open and close intermittently to ensure that blood only moves from the leg back to heart.
Damage to vein valves to lead to back flow of some blood into the leg ( reflux) , so these veins over time stretch to accommodate the excess blood from back flow ( reflux).
- Leg pain , the pain may get worse after walking or standing.
- Cramping.
- Leg Heaviness.
- Leg Swelling.
- Darkening of the skin (in severe cases) .
- Leg Wounds , in the terminal stages.
No , varicose veins is a progressive disease , if left un-treated , patients can develop horribly painful non-healing leg wounds , severe leg pain and darkening of the affected limb
After listening to you complaints and examining you , an ultrasound scan of the affected leg ( or both legs is done) to confirm that it is varicose veins.
A dedicated scan also helps to plan and strategize treatment.
- Varicose veins are a cosmetic problems ; Varicose veins is actually a serious limb threatening disease if untreated.
- Surgery is the only treatment for varicose veins ; There are many descent options , you can have definite non-surgical treatment for varicose veins. I believe , trust and offer laser treatment for varicose veins.
- The varicose veins will heal if you use compression stockings ; this is not true , compression stockings are just supportive treatment , but at some stage it is the only treatment needed.
Laser is a way of treating varicose veins without surgery. The affected vein is pricked , and a thin laser wire is inserted into the damaged vein. The laser tip heats the entire vein and closes it down , the treated vein eventually becomes a scar.
It depends on the extent of the disease , not all varicose vein patients a procedure to be done. At times , use of compression stocking is sufficient to alleviate the symptoms.
These are long body socks , typically starting from the middle of the foot extending above the knee. The compress the veins the legs , so that the excess blood in the damaged veins ( varicose veins) can flow back to the heart , this relieves leg swelling.
The compression socks should just be tight enough to offer a decent compression , they should neither be too tight or too loose.
If need be , a special drug is injected into the spider veins to close them down.
The procedure is called sclerotherapy
The wall of the uterus is made up of stretchable muscles , as evidenced by enlargement of the uterus during pregnancy to accommodate the growing baby.
Fibroids should and surely must be imagined as hard solid swellings that grow in the wall (muscle) of the uterus.
I do not know , my close colleagues around the world too do not know , if anyone knows kindly educate me.
Fibroids however are commonly seen in people with melanin (blacks) , they are routinely seen in families , citing a possible role of genes.
Honestly , NO.
No , uterine fibroids are not cancer ( they are benign ).
No , fibroids are hard, composed of mainly the muscles of the uterus . They can not rapture ,in fact they are hard , very hard.
- Heavy and prolonged menstruation.
Anaemia which can lead to fatigue. - Back pain.
- Frequent
- urination.
- Constipation and / or bloating.
- Abnormally enlarged abdomen.
- Pain during sexual intercourse.
- Leg Clots can occur in
- patients with very big fibroids
Uterine Fibroid Embolization (UFE) is a procedure during which a tiny tube (catheter) is taken into the blood vessels feeding the fibroids.
A drug is injected into the blood vessels feeding the fibroids , blocking blood flow to the fibroids
This causes the fibroid(s) to starve and ultimately die off, they begin to shrink resulting in relief of the symptoms.
NO , in fact NEVER.
Yes , embolisation is a uterus sparing procedure , and one of the reasons we spare the uterus is to carry a pregnancy. You can also deliver by pushing the baby after embolisation , since embolisation causes no scars on the uterus.
After embolisation , wait for 6 months before trying to conceive.
Most women go back to work and normal activities in 8-14 days.
Usually , a screening ultrasound scan is done , this is sufficient to confirm fibroids.
If required , the fibroids may be characterised further with MRI scan , MRI provides extra information that the best done ultrasound scan may not offer.
No , many women are living with fibroids and they don't know , some fibroids are discovered incidentally say during a pregnancy scan.
Fibroids only require treatment if they are causing symptoms.
No , there are options for surgery.
There is a procedure called fibroid embolisation , a novel way to treat fibroids without surgery.
Surgery involves taking out the fibroids (also called myomectomy) or taking out the uterus ( also called hysterectomy).
Embolisation neither takes out the uterus nor the fibroids , instead blood supply to the fibroids is cut off , the fibroids starve and start shrinking,which relieves symptoms.
Embolisation treats all fibroids ,and spares the uterus.
Surgery involves taking out the fibroids (also called myomectomy) or taking out the uterus ( also called hysterectomy).
Embolisation neither takes out the uterus nor the fibroids , instead blood supply to the fibroids is cut off , the fibroids starve and start shrinking,which relieves symptoms.
Embolisation treats all fibroids ,and spares the uterus.
Nothing is experimental about the procedure, it has been an alternative to surgery for the past 30 plus years.
World wide, fibroid embolisation has been performed more than million times,but majority of the patients are never told about this option, even in the first world , the reasons are obvious..
Myth 1 : Surgery (fibroid Removal also known as myomectomy or uterus removal , also known as hysterectomy) is the only option .
Myth 2 : Uterine Fibroid Embolisation Causes Infertility.
Myths 3 : You have too many fibroids , just take out your uterus . Embolisation treats all fibroids , number does not matter
Myth 4 : Your done with child birth , just remove the uterus ! You certainly need your uterus , do not lose it because of fibroids.
You need your uterus , do not lose you ( your uterus) because of fibroids.
A uterus sparing procedure called embolisation is a very decent option.
Clotting is a normal way the body stops bleeding whenever there is injury.
Usually when a blood clots forms with in the blood vessels in the body
What are the main types of blood vessels where blood clots form?
Veins ; these are mostly blood vessels taking blood back to the heart.
Arteries , these are mostly blood vessels taking nutrient and oxygen rich blood from the heart to different body parts.
It is the medical name for clot formation.
Superficial veins are just below the skin , the go to veins when they need your blood samples or when they need to put a canula for medications.
Deep veins are really deep inside the body , are bigger than superficial veins and carry most of the blood back to the heart.
Veins in the arms and legs ; 90 % of the clots.
Veins in the neck.
Veins in the abdomen (tummy).
Veins in the brain ; also called cerebral venous thrombosis.
Veins in the arms and legs ; 90 % of the clots.
Veins in the neck.
Veins in the abdomen (tummy).
Veins in the brain ; also called cerebral venous thrombosis.
Acute DVT ; usually less than two weeks , they are soft and fliable clots.
Subacute DVT ; usually two weeks to one months old clots
Chronic DVT ; more than one months old blood clots.
- Prolonged sitting , often the case when you take long journeys in an aeroplane, a train, or a car.
- Prolonged bed rest , often the case after surgery or long term illness.
- Infections , COVID is a popular one.
- Pregnancy.
- Smoking.
- Obesity.
- Birth control pills.
- Cancer.
- Major surgery.
- Age , especially over the age of 60.
- A family history of blood clots.
Some blood clots just form , without any identifiable risk factors . These are called non-provoked clots.
Blood thinners ; these are oral drugs and injections that stop blood clot formation.
Catheter directed thrombolysis ; a tiny catheter is inserted into the clot , to directly infuse clot busting drugs into the clot.
DVT thrombectomy ; the blood clots are sucked out of the body using special devices.
Venoplasty ; Here a special catheter called a balloon is used toopen up narrowed veins.
Stenting ; A special device called a stent is inserted to open up the blocked veins
It depends on the type and extent of the clots.
It depends on a number of factors , majority of patients take blood thinners ( anticoagulants) for 3 months , others need life time anticoagulation.
Some clots are soft , they can break and travel into the blood vessels of the lungs , this is called pulmonary embolism ( PE).
Pulmonary embolism can instantly kill , it is a serious medical emergency with debilitating symptoms.
- Chest Pain.
- Breathlessness / Difficult In Breathing .
- Dizziness.
- Fainting.
- Fast Breathing.
- Racing Heart ( Very Fast Heart Beat).
- Coughing Blood.
- Falling / Low Oxygen Saturation.
- Sudden Death , 25% of the patients die instantly or on their way to hospital.
No , not at all.
However all blood clots should be well to timely contain the situation.