65yr old woman with rt side weakness since 4_5month

65yr old woman with rt side weakness since 4_5 month
Occupation __ house wife
Rt side weakness since4_5 month
Rt shoulder pain...
Anxiety since 5 month
Patient complaining speech problem. .pain below tongue....
Acidity since 5 month...pain in abdomen....constipation
Motion... difficult
Itching in whole body.... since 5days
M/h
Menopause..
Obd/history
1m child
2f child
All delivery are normal
LCB _ 35yrs
Personal /history
Appetite __ ⬇ed
Thirst__⬇ed
Examination ___
Reflex__ rt side exaggerated
Manual muscle test__ 3rd grade
BP_ 140/90