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Likely to have migraine, mri done in last march '25
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Nervous System Disorders
Question #11286
45 days ago
115

Likely to have migraine, mri done in last march '25 - #11286

Surojit barui

I am 49 years old male person.Dizziness and heavyness left side of the head.mri done in march 2025.reports are with me, it states microanglopathic changes. Mra was also done at the same time, it states normal. Now what to do?

Age: 49
Chronic illnesses: No
Dizziness
One sided pain
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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
45 days ago
5

Hello sir As the name suggests it is damage to minor blood vessels which may lead to Cognitive impairment Dementia or memory loss Stroke which can be fatal I suggest you to please consult the concerned doctor for better clarification and further tests Regards

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
44 days ago
5

This requires frequent follow up. Please visit a nearby physician. Thank you.

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In terms of the MRI findings indicating microangiopathic changes, these often point to small vessel disease. Given your age, this can be linked to chronic conditions like hypertension, diabetes or high cholesterol. It’s crucial to ensure that any risk factors you may have are well managed. Regular monitoring and maintaining optimal blood pressure, blood sugar, and cholesterol levels are key. If you have lifestyle factors like smoking or high alcohol consumption, addressing these can also help manage the condition. The symptom of dizziness and head heaviness may be associated with these changes, although you should really consult with a healthcare provider to determine the specific cause as there could be other underlying issues. Since your MRA is normal, it’s a good sign that there are no significant blockages in larger blood vessels; however, it doesn’t rule out other neurovascular causes. In terms of immediate steps, it might be helpful to keep a symptom diary—recording when these symptoms occur, their duration, and any triggers you can identify. Regular follow-up with your physician is important, as they could decide if further investigation or a neurologist referral is necessary. They can assess whether medications might be beneficial to improve blood flow or if specific lifestyle adjustments are advised. If symptoms worsen or new ones like sudden numbness or weakness appear, seek immediate medical attention to rule out a more acute issue like a mini-stroke or stroke. Balancing and being proactive with heart-healthy lifestyle changes and regular medical oversight will be crucial in managing your condition safely.

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