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left temporal lobe stroke about one month ago

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My dad had a left temporal lobe stroke about one month ago. He is a diabetic. His recovery seemed excellent where he was released from the hospital with outpatient therapy basically for his right hand. He has no mental issues and seemed pretty self sufficient but he seems to be regressing. He was able to use his hand a bit but now there is a lot of swelling and what progress he made seems to have reversed. He was able to walk and stuff but last night he was unable to get up out of bed and urinated o himself. He sleeps erratically and is obviously scared and is more and more convinced he is failing. Also every other morning because of his diabetes he is very unsteady and thus it seems like we expected and saw too much progress and now it looks like he is getting worse. Is this normal? Will his symptoms roller coaster until he gets steady?

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replied April 20th, 2011
Stroke Answer A22151
Hello, and thanks for your medical question on E Health Forum.

Symptoms and disability following a stroke vary greatly depending on factors such as the part of the brain affected, how quickly treatment was given, and the extent of the damage to the brain.

Since it has been just a month since the episode, your father has a long way to go for full recovery. This process will have ups and downs, but steady improvement will take weeks to months.

Unsteady gait, bed wetting etc are common problems, which can be solved by using walkers and diapers for a few months.

Having a caregiver for support of day to day activities and emotional support by the family is very essential.

Adequate control of Diabetes and other associated conditions are very important as well.

You may consult a neurologist and a endocrinologist for future interventions and treatment.

I hope this helps.

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