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Stroke Tips

Brain Stroke - Things You Must Know!

Dr. Rakesh Kumar 87% (27 ratings)
DM - Neurology, MD - Medicine, MBBS Bachelor of Medicine and Bachelor of Surgery
Neurologist, Bangalore
Brain Stroke - Things You Must Know!

A brain stroke can affect anyone at any point of time when the supply of blood to the brain is interrupted. It can threaten major physical functions and can prove to be fatally dangerous at times. The brain stem which is placed right above the spinal cord controls the breathing, heartbeat and levels of blood pressure. It is also in charge of controlling some elementary functions such as swallowing, hearing, speech and eye movements.

What are the different types of strokes?

There are three main kinds of stroke: ischemic strokes, hemorrhagic strokes and transient ischemic attacks. The most common type of brain stroke is the ischemic stroke is caused by narrowing or blocking of arteries to the brain, which prevents the proper supply of blood to the brain. Sometimes it so happens that the blood clot that has formed elsewhere in the body have travelled via the blood vessels and has been trapped in the blood vessel which provides blood to the brain. When the supply of blood to a part of the brain is hindered, the tissue in that area dies off owing to lack of oxygen. The other variant of brain stroke is termed as hemorrhagic stroke is caused when the blood vessels in and around the brain burst or leak. Strokes need to be diagnosed and treated as quickly as possible in order to minimize brain damage.  Remembering the F.A.S.T. acronym can help with recognizing the onset of stroke (Face, Arms, Speed, Time - explained below). 

What are the common symptoms of a brain stroke?

The symptoms of the brain stroke are largely dependent on the area of the brain that has been affected. It can interfere with normal functioning, such as breathing and talking and other functions which human beings can perform without thinking such as eye movements or swallowing. Since all the signals from the brain as well as other parts of the body traverse through the brain stem, the interruption of blood flow often leads to numbness or paralysis in different parts of the body.

Who is likely to have a stroke?

Anyone is at a risk of developing brain stroke although ageing is directly proportional to the risk of having a stroke. Not only that an individual with a family history of brain stroke or transient ischemic attack is at a higher risk of developing stroke. People who have aged over 65 accounts for about 33 percent of all brain strokes. It is important to point here that individuals with high blood pressure, high blood sugar, cholesterol, cancer, autoimmune diseases and some blood disorders are at a higher risk of developing brain stroke.

There are a few factors which can increase the risk of developing stroke beyond any control. But there are certain lifestyle choices as well which aids in controlling the chances of being affected by stroke. It is crucial to refrain from long-term hormone replacement therapies as well as birth control pills, smoking, lack of physical activity, excessive use of alcohol and drug addiction. A brain stroke is a life-threatening medical condition, and when an individual has symptoms that resemble that of stroke, it is crucial to seek immediate medical help.

Treatment for stroke

  1. Treatment depends on the type of stroke.
  2. Ischemic strokes can be treated with 'clot-busting' drugs.
  3. Hemorrhagic strokes can be treated with surgery to repair or block blood vessel weaknesses.
  4. The most effective way to prevent strokes is through maintaining a healthy lifestyle.

What is TPA?

TPA is a thrombolytic or a “Clot Buster” drug. This clot buster is used to break-up the clot that is causing a blockage or disruption in the flow of blood to the brain and helps restore the blood flow to the area of the brain. It is given by intravenous (IV). This can be given only within 4.5 hrs of the onset of symptoms

Time is brain

  1. Remember Every second Loss means brain cells die.
  2. Rush to the nearest Stroke Centre whenever you experience such symptoms.
  3. U can save the brain cells dying if you reach within 4.5 hrs by the CLOT BUSTER. 

Endovascular procedures 

Another treatment option is an endovascular procedure* called mechanical thrombectomy, strongly recommended, in which  trained doctors try  removing a large blood clot by  sending a wired-caged device called a stent retriever, to the site of the blocked blood vessel in the brain

Stroke prevention

The good news is that 80 percent of all strokes are preventable. It starts with managing key risk factors, including 

  1. High blood pressure,
  2. Cigarette smoking,
  3. Diabetes
  4. Atrial fibrillation and
  5. Physical inactivity.
  6. More than half of all strokes are caused by uncontrolled hypertension or high blood pressure, making it the most important risk factor to control. 

Rehabilitation

The best way to get better after a stroke is to start stroke rehabilitation ("rehab"). In stroke rehab, a team of health professionals works with you to regain skills you lost as the result of a stroke.

2679 people found this helpful

Brain Stroke - 8 Top Things That Can Prevent It!

Dr. Arun Sharma 89% (35 ratings)
MBBS, MS - General Surgery, MCh - Neuro Surgery
Neurosurgeon, Delhi
Brain Stroke - 8 Top Things That Can Prevent It!

As the famous quote says, 'prevention is better than cure', let us take you through some preventive measures to keep you and your loved ones away from the dreadful brain stroke. Brain stroke occurs due to an interruption in the regular blood flow to the brain or bursting of a blood vessel or due to the bursting of blocked artery, which reduces the supply of oxygen and nutrients, leading the brain cells to die.

Top 8 things that will reduce the likelihood of having a brain stroke:

  1. Eat well: Having good eating habits are not just good for a healthy outlook of the body, but also benefits the body in many other ways. Eating a plenty of fresh fruits and vegetables, fibre rich diet, reducing salt and fat content can prevent stroke.
  2. Stay Active: Regular exercising not just makes you feel and look good, but also reduces the odds of developing a brain stroke. Exercising regularly or keeping the physical activities regularly will keep you away from suffering a stroke. Pick any physical activity, but do work out to stay away from the brain stroke.
  3. Say no to Smoking and drugs: Yes! The more you smoke, the more are the chances of you of suffering the deadly brain stroke.
  4. Control your blood pressure: The ideal blood pressure for a healthy person is 120/88 mm HG. Regular check-up of blood pressure is advisable to control the chances of suffering a stroke as high blood pressure can result into damage of arteries, which causes brain stroke.
  5. Drink in limits: Limit the amount of alcohol you consume, as alcohol increases the blood pressure, which is one of the main reasons behind the stroke. The high amount of alcohol can increase the blood pressure to a higher level very quickly. Consulting a doctor is the best option in case you are not able to control your alcohol intake.
  6. Cholesterol: People suffering from high cholesterol are at higher risk of strokes as the cholesterol can travel to the arteries in the body making the arteries narrow and the body more prone to suffer a stroke. Choosing healthy lifestyle helps in reducing the cholesterol level.
  7. Diabetes: High level of diabetes is one of the most prominent reasons behind stroke. One should get his diabetes level checked and keep it under control since the arteries might get blocked because of fatty deposits because of higher sugar levels.
  8. Depression/Stress: Any kind of depression or stress, generally leads to avoidance of all or some of the points discussed above and hence becomes a reason for an unhealthy body, which is more prone to strokes. Consultation with a doctor and/or psychiatrist is advisable in case a person if suffering from depression.

Improving your health and taking charge of your life should be the top most priority and should never be ignored.
 

1873 people found this helpful

Know About Stroke And Different Myths Attached With It!

Dr. Rajarshi Mukhopadhyay 87% (17 ratings)
FRCP (Edinburg), DM - Endocrinology, CCT (Endocrinology), MRCP - Diabetes & Endocrinology, MRCP (UK), MD & DNB - General Medicine, MBBS Bachelor of Medicine and Bachelor of Surgery
Endocrinologist, Kolkata
Know About Stroke And Different Myths Attached With It!

Strokes occur when blood to the brain gets interrupted or reduced. When this occurs, brain cells begin to die as they don't get enough nutrients and oxygen. Such life-threatening episodes can strike you anytime.

Many myths surround this medical condition:

Myth 1: Women don't suffer from strokes

The opposite is true. It is women who suffer strokes more often than men. This is because women tend to live longer than men whose longevity gets affected by heart disease. Since they live longer than men, they tend to be more vulnerable to strokes.

Myth 2: Strokes aren't easy to recognise

Strokes can be easily diagnosed through the face, arm, Speech and Time test (FAST). If you suffer from slurred speech, droop or numbness on one side of the body, you're said to suffer from a stroke.

Myth 3: Strokes are a form of heart attack

Although strokes and heart attacks are closely related, they are not the same. In strokes, blood supply to the brain gets interrupted; on the other hand, in heart attacks, blood supply to the heart gets severely affected.

Myth 4: Only older people suffer from strokes

This isn't true young people can experience strokes as well. About a quarter of stroke cases are reported by people aged 65 and below. More importantly, irrespective of the age group, the warning signs are the same; it is only in response that differences can be found between younger and older people.

Myth 5: Strokes can't be prevented

Through changes in your lifestyle, strokes can easily be prevented. You can reduce your chances of getting a stroke by having a balanced diet, exercising, keeping an optimum body weight and limiting alcohol consumption as well as quitting smoking. Moreover, up to 80% stroke cases can be prevented by leading a healthy lifestyle.  In case you have a concern or query you can always consult an expert & get answers to your questions!

3155 people found this helpful

How Different Types Of Stroke Can Be Managed?

Dr. Arun Sharma 89% (35 ratings)
MBBS, MS - General Surgery, MCh - Neuro Surgery
Neurosurgeon, Delhi
How Different Types Of Stroke Can Be Managed?

A stroke may be called a brain attack. It may happen to any person at any time. A stroke occurs when blood supply to the brain is cut off. The brain cells become oxygen deprived due to the stroke and eventually die. Dead brain cells result in brain dysfunction due to which patients lose control over muscle and memory.

Strokes can be mild to life threatening and requires immediate medical attention. Stroke requires advanced care and should be treated by extensively qualified and experienced medical experts. 

Neurosurgery satisfies all the required clauses for treatment of stroke and accounts for being one of the best ways for management of stroke. Renowned hospitals have a dedicated neurosurgical wing and a team of neurological specialists who know how to deal with stroke the best.

Vascular Neurology
This form of neurology focuses on patients who have undergone a stroke or have experienced symptoms of stroke. A multidisciplinary approach is taken for the prevention of recurrent cerebrovascular conditions.

Types of stroke

  1. Ischemic stroke: This kind of stroke occurs when there is a blockage in a blood vessel, which supplies blood to the brain. This form of stroke is the more common. The underlying cause of this stroke is known as atherosclerosis, which is a condition where fatty deposits occur in the walls of the blood vessels and cause blockage in them.
  2. Hemorrhagic stroke: This type of stroke occurs when a blood vessel gets weak and ruptures into the brain. This is caused by two types of weak blood vessels known as aneurysm and arteriovenous malformation.
  3. Transient ischemic attack: This type of stroke is also known as a mini stroke. These attacks occur because of blood clots. The blockage caused is temporary or transient in nature.

Treatment of Ischemic stroke

  1. Tissue Plasminogen Activator: This is one of the best ways to treat ischemic strokes. This medicine is given to the patient intravenously. It dissolves the blood clot and improves blood flow to the area of the brain which is affected. The medicine should be given within three to four hours after stroke symptoms appear.
  2. Endovascular procedure: This is a process by which the blood clot is removed using a catheter, which gets inserted into the area of the blocked blood vessel. It helps in restoring blood flow to that area. 

Treatment of Hemorrhagic stroke

  1. Endovascular procedure: Several endovascular techniques and methods are used so that the weakening of blood vessels is reduced and less bleeding is caused.
  2. Surgical treatment: Different modes of neurosurgery may be undertaken to stop bleeding and for relieving pressure within the skull.
2877 people found this helpful

All You Need To Know About Brain Stroke!

Dr. Vivek Kumar 89% (51 ratings)
DM - Neurology, MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Medicine
Neurologist, Ghaziabad
All You Need To Know About Brain Stroke!

What is Stroke?

A medical condition in which the blood supply to the brain is interrupted, hence prevents the brain tissues from getting enough oxygen and nutrients. In a matter of minutes, the brain cells tend to die.

What Are The Symptoms?

Paying attention to the warning signals is extremely important. It’s important to watch the signs, if you feel that any of your friends or near and dear ones might be having a stroke. The longer you take to detect, the treatment options would also get affected accordingly. Let’s take a closer look at the symptoms:

  • Person having problem with speaking as well as interpreting things : If you come across a person or for that matter, if you feel as if you are getting confused or eating up words while speaking, then it’s a clear indication as well as a warning that a stroke is on the cards.

  • Facing trouble to see in one or both the eyes: Are you having a blurred vision or feel as if there are blackouts at short intervals or you are seeing double of everything around you, all these are signs that you might have a stroke in the near future.

  • Feeling numb or paralysed on certain parts of the body: Sudden numbness or paralysis is a very common symptom for anyone who are about to get affected by stroke. This actually affects one side of the body, where you are unable to move your hands, legs or feel anything on the mouth. At that time, it’s important to try and raise both the arms over one’s head. In such a situation, if one arm starts to fall, then might be on the verge of having a stroke.

  • Trouble while walking: People who are on the verge of having stroke, might stumble or feel a tinge of dizziness, resulting in loss of balance or lack of coordination. All these point towards a definite chance that the concerned person might get affected by stroke.

When Should You Go To Visit A Doctor?

There is need to seek for immediate medical attention as and when you notice any of the symptoms of a stroke, even if you feel there is fluctuation in them or seems to have disappeared. Taking prompt action is the need of the hour. You can do the following:

  • You can ask the person to raise their arms and notice if one of them drift downward or they are having problem in raising one of the arms.

  • To see if they are able to talk properly, you can say a phrase and ask him or repeat after you, hence notice if their speech is twisted or strange.

  • Tell the person to smile and notice whether one side of the face droop.

So we have looked at the aspects of the symptoms related to stroke and how could you get an idea if a person is about to get affected by the disease. In case you have a concern or query you can always consult an expert & get answers to your questions!

 

2717 people found this helpful

Stroke Management - How Physiotherapy Can Help Manage Pain?

Dr. Amin A. Khan 90% (271 ratings)
MDT(Mc Kenzie) , P.G-Dietitian, N.D.T-( Neuro Development Technic ), Physiotherapist
Physiotherapist, Mumbai
Stroke Management - How Physiotherapy Can Help Manage Pain?

Stroke survivors often suffer from medical complications such as chronic pain. Medical literature estimates that an average of 30-40 percent patients suffer from chronic pain after 4-6 months of the stroke, while an estimated 10-20 percent of patients suffer chronic pain after 12-16 months of the stroke. Shoulder pain is believed to affect almost 72 percent of post-stroke survivors. While there could be a lot of reasons for chronic pain, the best course of action is to rightly identify the underlying cause of the pain and get treated for the same. 

Understanding the different type of pains post stroke surgery

 

 

  1. Central post-stroke painCentral post-stroke pain or CPSP was once believed to be triggered by thalamic injury. The perception has now changed in the medical community. It is now believed that CPSP is the result of a lesion in the pathway of spino-thalamo-cortex. An approximate 8 percent of stroke patients get affected by this type of pain. The pain is often intense in nature and can affect an entire side of the body with a burning sensation.
  2. Complex regional pain syndrome: Complex regional pain syndrome or CRPS is a kind of pain that is neuropathic in nature. It is estimated that an average of 12-30 percent of all stroke patient experience this pain within 1-5 months of the stroke. Limited range of motion, spasticity is believed to be the cause of CRPS. In terms of pain intensity, CRPS can be divided into 3 phases: 
    • Stage 1 of the pain can last for 1-6 months with possible implications of hypersensitivity, edema, intense pain and hyperhidrosis. 
    • Stage 2 of the pain is characterized by a decreased flow of blood into the limb
    • Stage 3 is the last stage where a patient can witness a loss of function. The treatment can be frustrating as it requires a multi-dimensional approach. Anticonvulsants and gabapentin are frequently prescribed by doctors to deal with this pain.
  3. Hemiplegic shoulder pain: This is the pain that can crop up due to the biochemical changes in the upper extremity of the body. Causes of shoulder pain post-stroke include adhesive capsulitis, rotator cuff injury, glen humeral subluxation, etc. While exercise proves to be most effective to treat this condition, for stroke patients it becomes a liability. Electrical stimulation has shown promise of treating this condition.
  4. Femur fracture: A stroke survivor has an increased risk of suffering from femur fracture due to the significant decrease in bone mass. Since the bone mass decreases, the weight-bearing capacity of the limbs decreases, thereby increasing the chance of a fall. Femur fracture can lead to intense pain, weakness, tenderness, shortening of the limb, etc. It requires routine fracture and pain management medication along with supporting bandages to recover from this condition.

What To Do If You Have Suffered From Coronary Artery Disease?

Dr. Nitin Kumar 90% (22 ratings)
CCT - Cardiology (UK), MRCP (UK), FHEA (UK), MBBS
Cardiologist, Gurgaon
What To Do If You Have Suffered From Coronary Artery Disease?

Coronary artery disease, also known as coronary heart disease or CHD, is a kind of disease in which a wax-like substance called plaque, builds up in the coronary arteries.

Function of Coronary Artery
The task of coronary arteries is to supply oxygen rich blood to the heart muscles. When there is the growth of plaque in these arteries, the condition is termed as atherosclerosis. Plaque builds up over the years, and it hardens or ruptures with time. When plaque gets hardened, it narrows the coronary arteries and thus disrupts the flow of oxygen-rich blood to the heart muscles causing coronary heart diseases. Millions of people are diagnosed with heart diseases, nowadays.

Though it is true that living with a heart disease is not easy, it is not impossible either. Many people are successfully leading a happy life in spite of having such diseases. With some major changes in your lifestyle, food habits and with the help of exercises and a healthy diet, it is possible to enjoy a happy life, irrespective of your diseases. 

Here are six ways that would help you to lead a better life, even if you have been diagnosed with coronary artery disease.

  1. Lifestyle changes: This is the first point that needs to be kept in mind if you are a CAD patient. Lifestyle changes are essential to make for a better health and life. Smoking and drinking have to be given up completely. It is advised to avoid secondary smoke, as much as possible.
  2. Exercises: This is the next important activity that needs to be a part of your daily routine to lead a healthy life. Consult with your doctor about the types of exercise that would suit your conditions. Some common exercises that would help are walking, jogging, and swimming, for at least 30 minutes at the most. Choose whichever activity you like doing. The motive of exercises is to get your heart-rate up.
  3. A Heart healthy diet: Get a chart prepared for your diet by a dietitian or by your doctor. This will keep your disease from getting worse. Stick to a heart-healthy eating plan, which consists of foods that can lower your risk of heart attack, stroke, etc. Include more fruits, vegetables, and other high fibre foods in your daily diet. Go for foods that are low in saturated fats, trans-fats, and cholesterol. Try to include fish into your diet.
  4. Maintain a healthy weight: Being overweight or obese aggravates any disease. So it is important to keep your body weight perfect.
  5. Taking medicines as prescribed: It is important to take medicines regularly and as prescribed by the physician.
  6. Keeping tensions, anxiety to a minimum: These will make the situation worse if you are CAD patient. So try to keep tension and anxiety away and lead a healthy life. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

2862 people found this helpful

How To Avoid Sun Stroke?

Dr. Sumit Doraya 92% (421 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jaipur

Heat stroke or sun stroke: When we go outside without covering our head in noon time we can get heat stroke.

Symptoms-

Treatment-

  • lie down patient in cool air
  • remove tight clothing
  • cover head with a cotton cloth and soak it with cold water.
  • if patient is unconsious shift to a nearby hospital.

Things to remember:

  • always cover your head with cotton cloth while going out in daytime
  • drink plenty of liquid 
  • if heat stroke then drink onion ras or carry half cut onion in your pocket

Metabolic Syndrome: How It Puts You At The Risk Of Stroke?

Dr. Pavankumar P Rasalkar 96% (40 ratings)
DM - Cardiology, MD - Medicine, MBBS
Cardiologist, Bangalore
Metabolic Syndrome: How It Puts You At The Risk Of Stroke?

Heart disease doesn't affect all women in the same way and neither does it have the same warning signs as heart diseases in men. For women, heart disease is a bigger threat than breast cancer. Cardiovascular diseases also kill more women than men as the disease progresses differently in men and women. Here are a few things you should know about heart diseases.

Women have more atypical symptoms of heart attacks: The classic symptoms of heart attacks are pain in the left arm, chest pain and heart palpitations. Though women may exhibit these symptoms, they are more likely to have atypical symptoms. These include nausea, stomach aches, pain in the shoulders and upper back and extreme fatigue.

Preeclampsia and gestational diabetes can increase risks of heart disease: Even though your blood pressure may go back to normal and conditions like preeclampsia or gestational diabetes may go away post pregnancy, their effects linger on. The risk of heart disease for a woman who suffered from preeclampsia doubles while gestational diabetes can cause glucose intolerance leading to obesity or other such conditions which are risk factors for heart diseases.

Hot flashes could be a sign of heart problems: Hot flashes are usually associated with menopause but may also be a symptom of underlying heart problems. Hot flashes that occur after a exerting a strenuous effort on something can be a sign of angina in women.

Men and women do not face equal risks: Traditional risks to heart diseases such as cholesterol, obesity and high blood pressure affect both men and women but some factors such as diabetes, stress, depression and smoking affect women more than they affect men. Since women tend to lead a more sedentary lifestyle than men, a lack of exercise also affects them more than it affects men. In addition, a low level of estrogen can also increase the risk of cardiovascular conditions. This is usually seen after menopause.

Metabolic syndrome increase your risk of getting a stroke:

There are five metabolic risk factors for heart disease. If you have 3 or more of them, it is termed as metabolic syndrome. These risk factors are:

  1. A waist circumference of more than 35". This is also called abdominal obesity
  2. A triglyceride level higher than 150 mg/dL
  3. A low level of good cholesterol i.e. HDL cholesterol that is less than 50mg/dL
  4. High blood pressure
  5. High blood sugar. This could also be a sign of diabetes.

While some factors like genetics are out of our control, most of these factors can be controlled by conscious lifestyle changes. Your doctor may also prescribe medication for the same. Heart disease can occur at any time so do not take your heart for granted.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1879 people found this helpful

Did You Know The Risk Of Stroke Is Higher In Young Pregnant Woman?

Dr. Aradhana Aggarwal 90% (57 ratings)
MS - Obstetrics & Gynaecology, Fellowship in Fetal Medicine
Gynaecologist, Amritsar
Did You Know The Risk Of Stroke Is Higher In Young Pregnant Woman?

Older women usually face more complications when it comes to pregnancy when compared with younger women. There are other genetic and environmental factors apart from age which may also lead to a host of complications, in many cases. However, recent studies show that younger women are twice as likely to get strokes during pregnancy when compared with older women. Women between 16 to 35 years of age get more strokes during pregnancy than older women. This usually happens during and after the pregnancy, and there are many reasons for the same, many of which are still under research and medical examination.

While the reason for such strokes occurring is unknown, doctors suggest that pre-eclampsia is one of the reasons. It usually occurs because of high blood pressure during pregnancy. The third trimester or the post-partum stage is when the risk of these strokes increases. According to the latest study, the risk of stroke was two times higher in women between 16 and 24 years of age, whereas in women between 25 and 34, there was a 60% chance. In women above 35 years of age, the risk was comparatively minimal.

There are many kinds of complications that may occur during pregnancy if the pregnant lady is under stress or does not take care of her body in a proper manner. Pregnancy might boost the risk of strokes in younger women because of the following reasons:

  1. High blood pressure
  2. Diabetes
  3. Chances of blood clot formation increase during pregnancy are high. This is so that women do not bleed excessively while they deliver. Therefore, there is a major shift in blood flow during or right after delivery. This can cause a stroke. In younger women, this seems to be more common.
  4. More hormonal changes in younger women increase the chances of a stroke.
  5. Older women are healthier overall than younger women.
  6. Many of the younger women these days go through a number of hormonal problems like polycystic ovary disorder (PCOD) because of which they face a lot of complications and weakness.
  7. Hereditary weakness
  8. Lesser haemoglobin levels compared to older women
  9. Difference in the daily diet

Some of the stroke symptoms include weakness, dull face, weakness in the body, especially arms and legs, severe headaches and difficulty in speaking. Therefore, pregnant women and those around them need to understand the stroke signs and symptoms so that when required, they could take the necessary measures if required. Moreover, doctors should be aware of the fact that younger women are at a higher risk for strokes than older women, particularly if they have pre-eclampsia. They should, therefore, be watched more carefully, especially the weeks during and after they are supposed to give birth.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2584 people found this helpful
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