OpenHealth Q&A

Get answered by medical professionals

Urgent Help Needed for My Father's Medical Crisis

7/11/2025, 9:30:42 AMMale25-34

Greetings to all. I reach out to you filled with concern and sorrow, hoping that someone with medical expertise might offer us direction in this daunting time. Please take a moment to read my message — I truly require assistance. My father is just 50 years old and has battled chronic paranoid schizophrenia since he was 18. Throughout his life, he has consistently adhered to his medication regimen. About seven years ago, he was treated for hepatitis C and currently suffers from liver cirrhosis. --- **Recent Events:** Approximately eight days ago, he experienced a Transient Ischemic Attack (TIA), often referred to as a warning stroke. After being admitted to the hospital, various tests identified that he has high cholesterol and an elevated prothrombin index. Fortunately, he appeared to make a swift recovery and was released just two days post-incident. Remarkably, he seemed back to normal — strolling outside, smoking, and even indulging in alcohol once more. To an outside observer, it wouldn’t seem that he had encountered a significant health emergency. However, 4 to 5 days after the TIA, he started to suffer from dizziness, high blood pressure, and difficulties with coordination. We consulted a liver specialist, suspecting that these symptoms could be linked to his liver issues. The physician's conversation about potential complications frightened him. That evening, following dinner, he abruptly stood up, began to vomit, and collapsed — prompting us to call for an ambulance. He was readmitted to the hospital — this time suffering a full ischemic stroke. --- **Current Health Status:** He has been hospitalized for three days now. The medical team reassured us that our prompt response was beneficial, yet they acknowledge that they remain uncertain about the stroke's exact origin. Tests are ongoing, but a conclusive cause has yet to be identified. We have been informed that the stroke might involve his neck region, yet no clear explanations have been provided. While he can move his limbs, his strength is severely compromised. He is notably weak, and his ability to speak is hindered as he seems to struggle to articulate his words. Additionally, sedatives have been administered to manage his schizophrenia, as the doctors deemed this essential. Due to his liver condition, they warned that cholesterol medication poses potential risks, and maintaining his mental stability is crucial — reducing his stress is imperative. Alas, he is already quite anxious and overthinking the entire situation, which may worsen his health. The doctors candidly stated that the cause of the stroke remains unknown and that there is a possibility it could occur again. --- **Our Predicament:** We are currently situated in Batumi, Georgia, where access to quality medical services is unfortunately quite limited. We feel utterly powerless and frightened, as no one seems to be providing us with clear answers. We are unsure whether our actions are appropriate or if they might be exacerbating his condition. I implore anyone with knowledge of managing cases involving strokes, liver disease, and schizophrenia to share their insights or recommendations for treatments and precautions we should consider. My father is a gentle and reserved individual who does not deserve this plight. As a family, we are emotionally distressed and on the brink of collapse. Please, help us understand our next steps. What tests do we need to discuss? What medications might be safe for him? Are there still possibilities for his recovery? Thank you wholeheartedly to anyone who offers their time and expertise. Your compassion could truly make a difference in our lives.

Thyroid DisordersCOPDEndocrinology

Answers (1)

Cony

7/11/2025, 9:31:05 AM

OpenHealth AI

I'm truly sorry to hear about the challenges your father is facing. It sounds like a very distressing situation for both him and your family. Given his history and current circumstances, it's understandable that you're seeking clarity and guidance.

Main Points:

  1. Recent Health Crisis: Your father has experienced both a TIA and an ischemic stroke, alongside complex conditions such as liver cirrhosis and chronic paranoid schizophrenia.
  2. Current Symptoms: His current weakness and difficulty with speech are concerning and require careful monitoring and support.
  3. Medication Management: With his liver issues and mental health condition, managing medications safely is critical.

Explanation:

Your father's ischemic stroke suggests that there may be a blockage in the arteries supplying blood to his brain, likely exacerbated by his high cholesterol and liver condition. The dizziness, weakness, and coordination issues must be managed closely, especially since he has a complicated medical history. His liver cirrhosis makes him sensitive to many medications, and the use of sedatives for his schizophrenia needs to be balanced against his overall health and mental state.

Prioritized Next Steps:

  1. Communicate with Healthcare Providers:

    • Speak to his medical team about his symptoms, including his high blood pressure and coordination difficulties.
    • Ask for detailed explanations of all tests being conducted, what they entail, and the potential implications. Clear communication helps alleviate anxiety and fear.
  2. Medication Review:

    • Inquire about the safety of all current and any proposed medications, particularly concerning his liver health. Discuss alternatives that are safer for people with liver cirrhosis.
    • Pay special attention to anti-hypertensive (blood pressure) medications given his liver condition.
  3. Stroke Recovery Strategies:

    • Understand the rehabilitation process for stroke recovery. Physical and speech therapy can significantly aid in regaining function and improving communication.
    • Establish a support system for him during recovery including caregivers who can assist with daily tasks and emotional support.
  4. Mental Health Management:

    • As anxiety can worsen both his mental and physical health, consider exploring therapies that promote relaxation, such as gentle physical activity or mindfulness, that can help ease his stress.
    • Engage with a mental health specialist to ensure that his schizophrenia is managed without compromising his physical health.
  5. Liver Health Monitoring:

    • Keep the lines of communication open with his liver specialist to monitor his liver function regularly and understand the effects of his medications.
    • Discuss lifestyle modifications, including diet changes that support liver health—this could involve reducing alcohol (which seems important to address given recent alcohol use) and focusing on a balanced diet rich in fruits, vegetables, and low in fats.

Conclusion:

While it’s difficult to predict exactly how your father’s recovery will unfold, focus on communication with healthcare providers and advocating for appropriate care. It’s important to take each step as it comes, making sure he has the support he needs. Please take care of yourselves, as navigating such a journey can be overwhelming. It’s crucial to stay united as a family and seek psychological support for yourselves if needed during this challenging time.

Related Questions

Is My Tailbone Out of Place?

Recently, while taking a bath, I found it difficult to find a comfortable position and realized that my tailbone was protruding and making contact with the tub. Since then, I’ve become increasingly aware of it in various situations. I have given birth to two children through vaginal delivery; my eldest is 9 years old and my youngest is 5. Is this a common issue? Is there a specialist who can address this concern? I am a 40-year-old woman, weighing 129 pounds and standing at 5 feet 6 inches tall. I am not taking any medications, but I have been dealing with chronic pain in my lower back for many years, particularly around the flanks.

ArthritisFibromyalgiaCOPD
Male25-34
9 minutes ago

Experiencing Dizziness with Phone Use and Motion Sickness

At 22 years old, I stand at 5'8" and weigh 148 pounds. I’m currently prescribed venlafaxine and Paxil, which I have been taking together for several years to help manage my PTSD symptoms. My nutrition is well-rounded, and I typically engage in about an hour of walking daily. Stress levels are currently low due to a slow work pace, and I maintain a high water intake, seldom consuming alcohol or marijuana. Yesterday, I embarked on a brief car journey and unexpectedly started feeling nauseous, which is quite out of the ordinary for me. I attempted to check my navigation on my phone, and suddenly, my queasiness intensified. Once I returned home, I studied on my laptop without any issues, prepared meals, tidied up, and felt like everything had returned to normal. However, during my commute to work today, I again began to experience motion sickness. Since this morning, whenever I briefly use my phone, I’ve been hit with dizziness and a sensation of disconnection from reality. My phone interactions have been minimal—just opening Spotify to switch playlists and replying to a quick message from my boss. This whole situation has me puzzled, as I've never encountered such symptoms before.

Multiple SclerosisThyroid DisordersEndocrinology
Male25-34
29 minutes ago

Managing Chronic Pain and Associated Symptoms

Female, 18 years old, weighing 130 pounds. About 9 to 12 months ago, I awoke with a persistent pain in my lower back, which has yet to subside. Soon after, I began experiencing discomfort in my hips, and recently, I've noticed pain in my upper back as well. Whenever my hips ache, I can palpate a popping sensation in the joints while walking, which is absent when there’s no popping. Additionally, I occasionally experience sharp, fleeting pains in my wrist and sometimes in my forearms. They vanish as quickly as they come. My jaw also experiences discomfort, mainly when I'm lying on my side, but it can happen at various angles when resting. There are extensive regions across my back that have become sensitive to touch. Initially confined to one small area, this sensitivity has now expanded to much of my back. I have grappled with nausea for the past two years, primarily occurring in the mornings upon waking and occasionally throughout the day. I am not sexually active. My appetite is minimal, and I typically eat only when I start feeling unwell. This "unwell" feeling manifests as a combination of weakness, fatigue—though sleep evades me—and a heavy body sensation that complicates movement. I often experience trembling hands, particularly when engaging in tasks that require manual effort, alongside a quickened heartbeat and increased respiratory rate. Eating alleviates these symptoms. When I suggested the possibility of low blood sugar, my doctors assured me my A1C levels were normal and expressed that there’s no straightforward testing for low blood sugar, deeming it too minor to warrant treatment. This condition has been my norm for as long as I can recall. During elementary school, I frequently returned home feeling ill, until my parents recognized that it improved after I ate something. Initially, I wish I could avoid eating altogether, since, although there are moments when I feel hungry, the prospect of food often seems unappealing. In the last few days, I have become increasingly aware of a weakness in my right leg, making it challenging to press the pedals while driving. I also encounter episodes where I struggle to breathe. These episodes involve hyperventilating followed by moments of breath-holding. I find it perplexing because it seems I must be getting enough air; otherwise, I wouldn’t need to hold my breath after breathing heavily. However, during these times, it feels as if I'm suffocating and cannot inhale adequately, regardless of how much I try. I am often left feeling perplexed and disheartened because all the medical evaluations I've undergone have returned normal results. My X-ray only revealed a slight curvature deemed insignificant, and both my MRI and lab tests showed no issues.

ArthritisFibromyalgiaCOPD
Male25-34
1 hour ago

Concerning Symptoms in a 37-Year-Old Male: Potential Health Issues

My partner, a 37-year-old male standing at 5'10" and weighing 185 pounds, identifies as Metis. He leads a lifestyle free from smoking and alcohol, and he isn’t currently prescribed any medications that I am aware of. As a former professional kickboxer, he has sustained numerous head injuries, including a childhood concussion that temporarily erased his memory, leaving him unaware of his own name until he gradually regained it. This background could be pertinent to his current health issues. Over the last couple of months, he has exhibited a range of troubling symptoms. These include episodes of losing his balance, experiencing a persistent metallic taste in his mouth, and displaying cognitive lapses, such as frequently making errors at work and not remembering which street we live on when passing by. He also reports waking up in tears from severe headaches and has resorted to submerging his head in ice water, claiming that it feels like his brain is overheating. Additionally, he has been experiencing sporadic nosebleeds and blurred vision in one eye. His behavior has become increasingly unstable and aggressive. He has developed paranoid thoughts, believing that I am unfaithful to him with his brother. This paranoia escalated to dangerous levels; he discharged a firearm into the air while threatening his brother and even brandished a knife against himself while attempting to compel me to harm him, charging at me but allowing me to evade him in time. Now he plans to travel to Turkey next week for cosmetic surgery, which adds to the odd nature of his actions. Recently, he underwent an MRI of his brain, and only three days ago, a doctor requested that he return for a follow-up MRI. However, he neglected this appointment to once again confront his brother as previously mentioned. He is adamant about avoiding the doctor and the results of his tests. Physically, I feel incapable of persuading him to return to the clinic for further examination. Moreover, he has lost an alarming 40 pounds in just one month due to refusing to eat. I find myself wondering if these symptoms point towards the possibility of a brain tumor or if they suggest chronic traumatic encephalopathy (CTE). My concern for my safety amplifies with his erratic behavior; I genuinely fear for my life due to his condition.

Multiple SclerosisLupusThyroid Disorders
Male25-34
1 hour ago

Concerns After Bravo pH Monitoring Procedure

Hello, I underwent a Bravo pH monitoring procedure yesterday, where a probe was inserted into my esophagus. Since that time, swallowing has been excruciating, causing intense chest pain rated at 9 out of 10. This discomfort has made eating nearly impossible, as I find myself doubling over in agony each time I attempt to eat. The physician who conducted the procedure mentioned that most patients typically experience little to no discomfort. Should I be worried about this level of pain? When I’m not consuming food, there’s a mild discomfort at the probe site, which I would rate as a 2 out of 10 in terms of pain. I had a clear upper gastrointestinal endoscopy, and the Bravo test is being conducted to investigate suspected laryngopharyngeal reflux (LPR). It’s worth noting that I have never experienced traditional heartburn. Thank you for any advice. I am a male, standing 6 feet 2 inches tall and weighing 190 pounds, with no current medication.

Thyroid DisordersInternal MedicineEndocrinology
Male25-34
2 hours ago