Conversation: The conversation between human and AI assistant.
[|Human|] Hello Sir, Last Friday(13/12/13) early in the morning my mother felt giddiness in her head when she was doing her daily routine activities. She was also complaining of weakness in her both legs, for that she relaxed for sometime.But immediate just after that she vomit out, and after that she was completely all right. Now two days before i. e. on 18/12/13, she felt again giddiness but not any vomit like sensation and after that every thing is all right. Her age is 45 years, ht 5 feet 3 inch, wt 62 kg.Her past medical history includes: 1) 9 years before she had a rt. side lacunar infarct stroke, but she recovered fully from it.2) 3 years before she had epileptic fits started but its under control due to  medication she was taking, which she stopped now one month back after her doctors instruction.3) In 2010, she was operated for left side breast cancer by MRM procedure. she took chemotherapy for it and now she is on hormone replacement therapy (anastrazole 1mg).4) she is also hypertensive for which she is taking medication and its under control.Now Im scared why she had attacks of giddiness, Please guide me by your suggestion....!!Thank you
[|AI|]  Hello, I have gone through your query and understand your concern.1. As he had lacuna infarct stroke, she is at high risk of getting new stroke or extension of previous infarct. This may be due to Repeated Transient Ischemic Attacks (TIA).TIA lasts for few minutes to hours and recovery with in 24 hours thus please do CT and MRI brain to detect any new infarct.2. She may have Cardiovascular disease. Please check her blood pressure. In addition, she needs complete cardiac evaluation Electrocardiogram, Echocardiogram and Treadmill test. Then consult your treating Physician for further management. Hope this helps. Please write back for further queries. Wishing you good health.