Am I Having a Stroke? 7 Signs of Stroke You Might Be Ignoring
Stroke is the fifth-leading cause of death nationwide. Brain
damage from strokes can be minimized if they are treated promptly, but
it’s common to mistake signs of a stroke for other health problems,
which delays treatment.
Never ignore these signs of a stroke
In
each minute of a stroke, your brain loses an estimated 1.9 million
cells. Each hour a stroke goes untreated ages your brain the equivalent
of three and a half years.
The longer a stroke lasts or a patient
doesn’t receive treatment, the greater chance of lingering speech
difficulties, memory loss, or behavioral changes. The earlier a stroke
is caught, the better the treatment options, which can minimize damage
and improve the odds of a fuller recovery. “Stroke is scary. Denial is
the biggest factor in delaying treatment. When I ask stroke patients in
the ER why they waited to call 911, the most common response is that
they wanted to see if it would go away,” says Carolyn Brockington, MD,
director of the Mount Sinai Stroke Center in New York City.
There
are two kinds of stroke. An ischemic stroke means blocked blood vessels
cause a reduction in blood flow in the brain. A hemorrhagic stroke
means a ruptured blood vessel is leaking blood in the brain. Symptoms
for both kinds of stroke can be the same. It’s important to call 911 as
soon as you notice any potential signs of trouble.
You think exhaustion is making you see double
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Vision problems like seeing double,
blurriness, or loss of sight in one eye can be a sign of a stroke, but
many people blame this on old age or tiredness. “Seeing two images is
very unusual for just being tired or reading too much,” Dr. Brockington
says. A blocked blood vessel can reduce the amount of oxygen getting to
the eye, which causes vision issues that may not be accompanied by any
other signs of stroke.
You think your arm is numb because it "just fell asleep"
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If you wake up from a nap and your arm
or leg is numb, it’s easy to assume it's due to a compressed nerve.
“Don’t feel like a hypochondriac. If your arm is suddenly numb or weak,
and it doesn’t go away in a few minutes, call 911,” says Ralph Sacco,
MD, professor of neurology at University of Miami North School of
Medicine. Decreased blood flow through the arteries that run up your
spine to the back of your head causes numbness or weakness on one side
of the body.
You blame slurred speech on your medications
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“Some medicines, like painkillers, can
cause slurred speech and people often chalk up speech issues to their
drugs as opposed to stroke,” says Dr. Sacco. But if that’s not a side
effect you usually experience, you might be having a stroke and should
seek help immediately, he says.
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You assume alcohol is behind your wobbliness
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“People think they’re having balance
issues because they had a drink, but see if that makes sense,” says Dr.
Brockington. “You won’t have delayed balance problems, so a drink from
earlier in the day probably isn’t to blame. It could be from a decrease
in blood flow to the brain.” If you suddenly start to stumble, can’t
walk straight, or experience sudden dizziness, don’t wait for it to
pass; call 911 right away.
You think that"it's on the tip of my tongue" feeling is due to being tired
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When people have trouble thinking of
the right words or lose their train of thought, they figure they're
tired or foggy, says Dr. Brockington. But sudden cognitive deficits are a
common sign of stroke. “You might struggle to think of a word every
once in awhile, but there shouldn’t be a long period of time where you
can’t think of anything to say or be unable to speak,” says Dr.
Brockington.
In some cases, stroke patients won’t be aware that
anything is wrong, so people around them should raise the alarm. “The
part of the brain that isn’t working well impairs the stroke patient’s
perception and the ability to think,” says Dr. Sacco.
You chalk that blinding headache up to a migraine
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It might just be a migraine, but if
you’re not prone to them, it could be a stroke. “Migraine headaches can
masquerade as a stroke because they have the same neurological
symptoms,” says Sacco. “I tell people to treat it like a stroke and call
for help; let us figure it out.”
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