This is a complex medical situation. In order to provide accurate recommendations, it will be necessary to review your entire medical history and prior studies as well as perform a thorough medical history. I strongly recommend you schedule an appointment with a neurologist
. After a thorough, in-person evaluation, the doctor
can make recommendations on the most likely cause of your symptoms and the most appropriate steps moving forward.
There are numerous disorders that make patients more likely to abnormally develop blood clots. Some examples include antiphospholipid antibody syndrome, Factor V Leiden, protein C or S deficiency, and lupus anticoagulant syndrome. Depending on where these blood clots form, they can travel to small blood vessels, thereby blocking blood flow to these areas. This can cause strokes. Some conditions, such as atrial fibrillation, can lead you to develop blood clots in the heart that can then migrate to the rest of the body, often causing stroke. Importantly, these disorders do not typically cause severe anemia
requiring blood transfusion, and it may be possible that you are suffering from two different disorders. Unfortunately, I cannot comment further on your symptoms without knowing more details of your medical history. Therefore, I strongly recommend you see a neurologist.