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Estrogen therapy may be risky for stroke victims 

Strokes


By: Dr Gill Jenkins
bbc.co.uk.com

 

A stroke is an event in the brain, which causes injury to the tissue and affects the use of that bit of brain. Every year 100,000 people in the UK have a stroke.

There are several causes, including a burst blood vessel or a blood clot. You may notice anything from a temporary loss of use of a limb to permanent weakness down one side. Although anyone can have a stroke, it is more common in the over 55's.

Your symptoms will depend on which bit of the brain is affected. The most common is weakness in a limb but difficulties with speech, thought, balance, sight, hearing and swallowing can also happen.

If you are suffering just a temporary loss it is called a transient ischaemic attack (TIA), often known as a mini-stroke, and your symptoms will disappear within a few hours or days.

How do I know I am having a stroke?  

Risk factors...
~ high blood pressure

~ history of TIAs

~ heart disease and irregular pulse

~ high cholesterol

~ obesity

~ smoking

~ high alcohol intake

~ medication e.g. oral contraceptive pill

~ other illness e.g. diabetes

Look out for sudden numbness, weakness or paralysis on one side of the body. You may have a drooping arm, leg or even eyelid. You may dribble, slur your speech or be unable to talk at all. Your vision may be blurred or different to normal, especially in one eye. You may also feel dizzy and have a headache. You may know nothing about it but be confused and disorientated. If you get these symptoms, get help immediately.

What happens if I have a stroke?

It will depend on the type and severity but you may need to be in hospital for a while. You may need medication to treat the cause of the stroke and rehabilitation to help strengthen the muscles that are controlled by the affected brain. Speech therapy may also be necessary.

Sadly, a third of people who have strokes are left with permanent disability. This can reduce your quality of life immensely, changing the way you live and work, so it's better to try to prevent them in the first place.

What can I do to prevent stroke?  

The best way to prevent a stroke is to avoid the risk factors (see table). You may want to talk to your doctor about stroke prevention medicine. This is actually very simple and consists of aspirin, or other drugs to thin the blood slightly and stop clots forming. Aspirin is cheap and safe for most people.


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