Conversation: The conversation between human and AI assistant.
[|Human|] I got up the morning and could not walk straight falling to the left and about 3 hours it was better, but still walking to the left and poor balance. The MRI showed Mild burden of chronic microvascular ischemic changes. Can these symptoms also relate to MS? Thank you
[|AI|]  Hello! Welcome on Chat Doctor ! These MRI findings indicate a low blood flow the brain and the presence of small strokes, related to small vessel occlusion. These MRI findings have nothing to do with MS diagnosis. The gait problems could be related a small stroke in the vertebro-basillary artery system. Coming to this point, I would recommend taking daily aspirin 80 or 100 mg. It is also necessary avoid smoking contacts or alcohol and to closely monitor your blood pressure. I would also advise performing further tests: - fasting glucose and HbA1C levels for diabetes-blood lipid profile for dyslipidemia- a Doppler ultrasound of the carotid arteries. Hope you will find this answer helpful! Best wishes,