Managing Vascular Hardening: Essential Tips and Doctor Recommendations

What should I do about vascular sclerosis? What should I pay attention to? Which doctor should I consult?

Hello Dr.
Lai,
I would like to ask a few questions.
First, let me explain my father's recent condition.
Over the past few months, my father has been experiencing dizziness.
Since he is somewhat overweight, we initially thought it might be a heart-related issue.
However, the doctor informed us that we were seeing the wrong specialist and referred my father to a neurologist.
At the hospital, my father underwent a brainstem examination and a carotid ultrasound.
The results of the brainstem examination indicated central balance aging, while the carotid ultrasound showed vascular sclerosis.
The technician specifically advised my father to be cautious because his blood vessels are particularly small.

After hearing the technician's advice, we became concerned about the risk of a stroke.
During the consultation, I asked the doctor if there were any dietary or lifestyle changes we should consider, but the doctor only told me to focus on medication and did not address any other concerns.
My father returned home feeling quite down and helpless, often sleeping the entire day after taking his medication, and still feeling dizzy upon waking.
Since I am not familiar with medical matters, I would like to ask the following questions:
1.
What dietary considerations should be made for vascular sclerosis? Are there specific foods he should eat more of or avoid?
2.
Should he engage in physical exercise? He previously went for walks, but due to dizziness and feeling faint, he was unable to return home.
I am unsure if he should continue exercising, as it is commonly said that exercise is important regardless of the illness.
What types of exercise would be appropriate?
3.
What steps can be taken to prevent a stroke?
4.
Are there any doctors in Taipei who are attentive to patients' conditions and have good medical skills? Since I cannot find Dr.
Lai's available consultation times, could you please recommend another doctor?
Thank you.

Xiao Cha, 20~29 year old female. Ask Date: 2005/01/15

Dr. Lai Lunxiang reply Neurology

Hello!
1.
As we age, vascular sclerosis is inevitable.
In terms of diet, it is advisable to reduce the intake of fats and increase the consumption of vegetables and fruits.
Ensure adequate hydration (about 2000 ml per day), limit the intake of stimulants, control body weight, and quit smoking.

2.
Engage in regular exercise, in moderation, preferably with a companion.
A daily walk of 20 to 30 minutes is sufficient.

3.
Maintain a regular daily routine, drink plenty of water, and pay attention to changes in weather.
If you have any medical conditions, it is important to take medications regularly (including for hypertension, diabetes, heart disease, sleep issues, anxiety disorders, etc.).

4.
I apologize for not being familiar with Taipei.

Reply Date: 2005/01/15

More Info

Managing vascular hardening, particularly in the context of your father's recent health issues, requires a multifaceted approach that includes dietary changes, exercise, and regular medical follow-ups. Here’s a comprehensive overview based on your questions:

1. Dietary Considerations for Vascular Hardening
Diet plays a crucial role in managing vascular health. Here are some dietary recommendations:
- Increase Omega-3 Fatty Acids: Foods rich in omega-3s, such as fatty fish (salmon, mackerel), flaxseeds, and walnuts, can help reduce inflammation and improve heart health.

- Fruits and Vegetables: A diet high in fruits and vegetables provides essential vitamins, minerals, and antioxidants that can help combat oxidative stress and inflammation. Aim for a variety of colors to ensure a wide range of nutrients.

- Whole Grains: Incorporate whole grains like brown rice, quinoa, and whole wheat bread, which can help lower cholesterol levels and improve heart health.

- Limit Saturated and Trans Fats: Reduce intake of red meat, full-fat dairy products, and processed foods that contain trans fats. Instead, opt for lean proteins and healthy fats, such as olive oil and avocados.

- Reduce Sodium Intake: High sodium levels can contribute to hypertension, which is a risk factor for stroke. Encourage your father to limit processed foods and use herbs and spices for flavor instead of salt.

- Stay Hydrated: Adequate hydration is essential for overall health. Encourage your father to drink plenty of water throughout the day.

2. Exercise Recommendations
Exercise is beneficial for cardiovascular health, but it must be approached cautiously, especially given your father's symptoms of dizziness and fatigue:
- Consult a Doctor: Before starting any exercise program, it’s crucial to consult with a healthcare provider to assess what types of activities are safe.

- Start Slow: If cleared by a doctor, consider starting with gentle activities such as walking or stretching. Short, frequent walks may be more manageable than longer sessions.

- Balance and Strength Training: Incorporating balance exercises can help prevent falls, which is particularly important if your father experiences dizziness. Simple strength training exercises can also improve overall stability.

- Listen to the Body: If your father feels dizzy or unwell during any activity, he should stop immediately and rest. It’s important to prioritize safety over intensity.

3. Stroke Prevention Strategies
To reduce the risk of stroke, consider the following strategies:
- Medication Adherence: Ensure that your father takes any prescribed medications as directed. These may include antihypertensives, cholesterol-lowering drugs, or anticoagulants.

- Regular Monitoring: Regular check-ups with a healthcare provider to monitor blood pressure, cholesterol levels, and overall cardiovascular health are essential.

- Lifestyle Modifications: Encourage stress management techniques, such as mindfulness or relaxation exercises, which can help lower blood pressure and improve overall well-being.

4. Finding a Specialist in Taipei
For specialized care, consider seeking out a neurologist or a vascular specialist who has experience with vascular health issues. You can look for recommendations through:
- Local Hospitals: Major hospitals in Taipei often have specialized departments. You can inquire about neurologists or vascular specialists.

- Online Reviews: Websites that provide patient reviews can help identify doctors with good reputations.

- Support Groups: Local health support groups or forums may have recommendations based on personal experiences.

Conclusion
Managing vascular hardening and preventing stroke involves a combination of dietary changes, appropriate exercise, and regular medical care. It’s essential to work closely with healthcare professionals to tailor a plan that suits your father’s specific needs and health status. Encourage open communication with his healthcare team to ensure all concerns are addressed, and don’t hesitate to seek second opinions if necessary.

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