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Last Updated: Nov 07, 2019
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Stroke - Symptom, Treatment And Causes

What happens in Stroke? What are the 3 types of strokes? What are the early symptoms of stroke? What are the effects of stroke? What happens to the brain during a stroke? What is the treatment for stroke? What are complications from stroke? What are the long term effects of a stroke? What are the preventive measures of stroke? How to prevent a stroke naturally? What are the home remedies for stroke?

What happens in Stroke?

Stoke happens when the blood supply to the brain is either reduced or interrupted. When this condition happens, the brain cells do not get adequate oxygen or nutrients which causes the tissues in the brain to die.As being said, strokes occur due to impaired blood supply to the brain. So it happens either the blood supply channel has been blocked or some blood vessel in the brain has ruptured.

What are the 3 types of strokes?

There are mainly three types of stroke:

  • Ischemic stroke
  • Hemorrhagic stroke and
  • TIA (Transient Ischemic Attack)

Ischemic Stroke:

This is the most common form of stroke, which account for more than 85% of strokes all across the globe. This type of stroke is a result of blocked or narrowed arteries, which sends blood to the brain. Arterial stenosis (narrowing) subsequently results in severe, reduction in blood flow to the brain.The block in arteries often happens because of blood clots. These clots can either get formed inside the main arteries that connect to the brain, or even in the narrowing arteries that are within the brain. These clots are mostly formed by fatty deposits within the arteries, which are medically known as plaque.

Hemorrhagic stroke:

This kind of stroke happens mainly due to leaking or bursting arteries that spilled blood inside the brain. The leaked blood from the arteries puts pressure inside the brain and damages the cerebral tissues. Blood vessels during a hemorrhagic stroke can burst in the middle of the brain or near the surface of the brain cells, leaking blood into the cellular space between the brain and the skull.

Hemorrhagic stroke can happen because of conditions such as trauma, hypertension, weakening in the vessel walls (aneurysm) or because of blood thinning medications like heparin and others.Intracerebral hemorrhage is the most prevalent type of hemorrhagic stroke. Subarachnoid hemorrhage, which is less common is the next type that happens during a stroke. In this case bleeding happens in the area the area between the brain and the thin tissue that separates it from the cranial bones, medically referred as the subarachnoid space.

TIA (Transient Ischemic Attack):

TAIs are a little different from the other two forms of strokes. In this case the blood flow to the brain gets interrupted for a very brief period of time as it happens in ischemic strokes. TAIs are often caused by small blood clots in the arteries.

However, nevertheless TAIs are also considered as medical emergencies, since they can be real warnings for future strokes. It has been found left untreated TAI patients have major strokes within a period of one year after getting affected with TAI. Since it’s an absolute medical emergency, call a doctor immediately, if found that you or anyone near you has been identified with symptoms of stroke.

What are the early symptoms of stroke?

There are some warning signs that are indicating strokes such as the feeling of numbness over the facial region, legs and hands, problems in understanding people, speaking or confusion, dizziness, keeping balance, etc. Fast is a term that is used for indication signs of stroke-like F= face (droop or an uneven smile on face), A= arms (numbness or weakness), S= speech difficulty (Slurred speech), and T= time (act fast). Other signs include memory loss, confusion, loss of sensation on part of the body, blurred vision, involuntary eye movements, temporary loss of consciousness, etc, that works as indicators of stroke.

What are the effects of stroke?

Stroke is mainly occurring and affecting the brain of a person. Starting from the nervous system, damage to the brain can cause some pain while performing regular activities as well as there are chances of perception and vision change. After a stroke, the patient may feel difficulty in eating and swallowing food if the part of the brain is damaged.

In the circulatory system, there are more chances of the formation of blood clots due to high levels of cholesterols, blood pressures that result in blocked blood flow to different parts of the body. Constipation, weakened muscles, involuntary bowel and bladder problems are also included in the effects of stroke.

What happens to the brain during a stroke?

Human brain is divided into three parts- cerebrum, cerebellum, and brainstem. There are different effects created by stroke on different parts of the brain as it is affecting that specific part. Cerebrum is a part of the brain that has control over movement and sensations, speech, thinking, reasoning, memory, vision, and emotions and if a stroke occurs in the cerebrum, functions like vision, cognitive, self-care ability, emotional control, sexual ability, etc, are affected.

If stroke happened in the right hemisphere of cerebrum, it causes paralysis of the left body region along with the inability of the patient to localize body parts, to understand maps and subjects, etc. On the other side, the right side body gets paralyzed and sensory impairments when there is a stroke in the left hemisphere of cerebrum.

What is the treatment for stroke?

Depending on the type of stroke, doctors conduct the treatment of their patients. Patients with Ischemic stroke should be given a clot-busting intravenous injection of tissue plasminogen activator. Other emergency endovascular procedures include medications delivered directly to the brain, removing the clot with a stent retriever, carotid endarterectomy, etc.

In the case of hemorrhagic strokes, warfarin and other anti-platelet drugs like Clopidogrel are injected to prevent the blood clots and surgical clipping, coiling, surgical AVM removal, and stereotactic radiosurgery may be performed to repair the blood vessel.

What are complications from stroke?

Stroke is a condition where the brain of the human body is affected and even after or during recovery of such conditions, people may experience different complications. There are high chances of swelling of the brain after a stroke (brain edema), problems of respiratory system (pneumonia), swallowing problems, infection of urinary tract or difficulty in controlling bladder, abnormal occurrence of seizures or convulsions, emotional and physical illness depression, immobility caused bedsores, reduced range of motion of limbs due to shortened muscles, and blood clots or deep venous thrombosis.

What are the long term effects of a stroke?

The long term effects of a stroke depend on which part of the brain is damaged due to stroke. It has been observed that people who had stroke may have different physical changes, emotional and personality changes, communication and changes in perception, thinking, and memory. If there is a paralysis on one side of body limbs, the patient can recover but the impact will still remain.

There may be problems during the speech as people will be unable to pronounce the word in the same manner they were able to. Memory loss may be seen like forgetfulness of events occurred five minutes before in patient with stoke. Social appropriateness, persistent sadness, anxiousness, the feeling of guilt or hopelessness may occur in patient of stroke.

What are the preventive measures of stroke?

There are some preventative measures of stroke so that people can handle a situation of their loved ones when stroke occurs. First of all, people should be educated about the term FAST, as it is directly connected to warning signs of stroke. To avoid stroke, people should eat a healthy diet, maintain a healthy weight, and be active physically.

People who are suffering from diabetes, high blood pressure like conditions should go for regular medical check-ups to know their condition and any type of modification in lifestyle and diet if needed. Stress should be reduced as it can also contribute to stroke and it can be prevented through attempting relaxation techniques, biofeedback, yoga-like exercises, and counseling.

How to prevent a stroke naturally?

To prevent the occurrence of stroke, people should consume more vegetables, fruits, and nuts. Foods like meats and poultry should be replaced with seafood. There should be reduced or limited intake of salts, fats, sugars, and refined grains. Obesity is also an underlying cause of stroke and to fight it, people should become active and do exercises daily to maintain a healthy weight.

People should stop their bad habits of consuming alcohol and cigarette smoking to avoid the occurrence of stroke. Patients, who are already on prescription medications of high blood pressure like disease, should follow and take it as per the direction of their medical practitioners.

What are the home remedies for stroke?

The list of risk factors for stroke should be prepared as it can help in controlling its effects. It is advised to consume such foods which are helping in lowering the blood cholesterol levels. Black or green tea is more suitable as it contains full of plant nutrients that helps in decreasing blood pressure and cholesterol.

Pomegranate like fruits is advised as it is full of antioxidants and Phytosterols. Low impact exercises like yoga and Chinese exercise- Tai Chi are considered as good options for maintaining balance and promoting body movements. Aromatherapy, massages, positive self-talk, meditation are other options for stroke.

Popular Questions & Answers

Current condition of pappa age: 53 weight: 60 height: 168 cm my dad had 1 block of 95% so we did ptca-om on 10/10/2018. From that day to till now he is not normal and did not able to go to work. Currently our cardiologist prescribed 3 tablets: 1) rosurica gold 10 mg- contains: aspirin (75 mg) + rosuvastatin (10 mg) + clopidogrel (75 mg) 2) escigress cz 0.25 - contains: escitalopram (10 mg) + clonazepam (0.25 mg) 3) rabolin dsr: contains: domperidone (30) + rabeprazole (20 mg) he always says that he feels 1. Some times different sensations like vibration in blood vessels and minutes shocks in heart. 2. Continuous tingling in palms and more in fingers. 3. Numbness, or a decrease in the ability to feel or sense pressure or texture in hands. 4. Heart burn. 5. Feeling of burns in different parts of body like in back on left side of chest. 6. Always feel to lay on bed. 7. Second-degree hemorrhoids without blood from last 20 years 8. Hyperglycaemia sometimes (sugar level on border) 9. He feels that the stent became loose or pain at the site of stent in heart. 10. Always feels tired and weakness. 11. Hyper acidity with a lot of burps. 12. Digestion problem (sometimes indigestion and constipation). 13. Feeling of fluttering in vessels or muscles (now became rarer). 14. Feeling of piercing in back and on the site of stent in heart (now became rarer). 15. Sometimes pain in shoulder, upper back, chest. 16. Frequent pain or burning sensation in chest and upper back. Due to lighten our financial condition is worst, that's why he always takes tension, stress, depression, and burden. He thinks a lot even on a small thing and takes tension of that, his thinking capacity is too high. Irritability on small things. He always thought negatively, never thinks positive. He always blame us that why we did angioplasty, because he never became normal like how he was before angioplasty. He lost his 10 kg weight. He feels that his body is completely damaged from inside. When he hears something bad anything about health of somebody then he thinks alot and applies that's on himself and feels like that person's health condition on himself. He is vaccinated with 1st dose of covisheild vaccine on 12/04/2021.

MD - Psychiatry, MBBS
Psychiatrist, Vadodara
Your father's symptoms suggest that he might have post cardiac disease depression and anxiety. With proper medications and counseling sessions, he can definitely find improvement.

Good evening,  I am diagnosed with bipolar mood disorder after a traumatic brain injury in 2008: impairment in frontal lobe/executive dysfunction, t2 wi am using the above for my brain injury, white matter hyperintensity suggestive of a focal area of demyelination, central nervousness system damage -multiple sclerosis (ms), memory/ concentration, depression and agitation, sleep, epilepsy I had subsequently suffered kidney failure in 2017 and was in a coma for 2 weeks. I am currently on the following medication: I am using the meds below for my brain injury: topamax 200 mg x2 odiven 75 mg x3 yelate 60 mg x2 at night zyprexa 10 mg at night diabetic medications: actraphane hm (ge) 24 units in the morning 22 units at night indo metformin (glucophase) 1000 mg x2 in february 2019 I woke up with the most excruciating pain in my jaw, next to my nose, cheek and lower face area. This intense, stabbing, electric shock-like pain will last for several seconds every 2 to 5 minutes. At the hospital the Dr. said I had a stroke but my brain scan showed that the stroke happened a while back. The neuro specialist diagnosed me with trigeminal neuralgia and is treating me with carbamazepine 400g x2 per day. The side effects are killing me. I have lost 21 kg since feb. I am 52 years old, 1.73 tall and weight 65 kg. I have continuous diarrhea. Can't keep any food in and have abdominal pain. Every time I weigh myself I have lost another kg. Am I busy getting anorexia? Is there any way to manage this? I am short of breath, dizzy and fainting. I am exhausted have no energy my body is tired. Which vitamins can I take to boost my system? Is there any medicine or  supplement that is on the market that will make me feel better? The psychiatrist said they can't change the medication (carbamazepine) because of the medication that i'm currently using. Could you please advice.

MBBS, DPM
Psychiatrist, Bangalore
Dear , are you still on topamac? Now that you are on carbamazepine (helpful for neuralgia and brain injury), you may not need topamac (for brain injury). Request your doctor whether you can reduce and stop it. Topamac reduces weight. Stopping it m...

I am having angina pectoris for last 5 months. Doctor prescribed me metocard xl 25 and after talking tablets for 10 days. I feel weak and pressure sensation on left scapula. I feel very weak and also feel as if my heart will stop. Would I continue or stop.

DM - Cardiology, MD - Internal Medicine, MBBS, Training Course In Emergency Medicine
Cardiologist, Secunderabad
Get your ecg and echo. Metocard xl wil cause fatigue. Based on the said investigation you may need other medicines also if your tmt is not done get tmt also would like to seee your report and guide you accordingly.
1 person found this helpful

After standing done lat october, I was given flavedon Mr. 35 mg twice a day along with dytor 5 mg, ceruvin af150, tonact 10 along with janumet 50/500 twice for sugar control. Now all ok. Can I stop flavedon as no angina and 8 months over.

M.B.,B.S.,, Dip., Dia.
Diabetologist, Chennai
For this ask for private consultation with repeat ecg, fasting and pp blood sugar, hba1c and old records. Without medical advice it is not good to stop medications.

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