Understanding And Recognizing the Early Signs of A Stroke

Editor: Maharshi Soni on Feb 13,2025
Blured photo of a woman suffering from Stroke

 

A stroke is a serious medical emergency that occurs when the blood supply to the brain is interrupted, leading to damage or death of brain cells. This can result in long-term disability, speech impairment, paralysis, or even death. Despite its severity, stroke can be prevented, and its impact can be minimized if detected early. Recognizing a stroke's early signs and symptoms can make a significant difference in saving a life or preventing severe complications. Stroke treatment is most effective when administered within the "golden hour," the critical first 60 minutes after the onset of symptoms.

Understanding Stroke

A stroke occurs when the brain is deprived of its essential supply of oxygen and nutrients due to a blocked or ruptured blood vessel. Without a steady blood supply, brain cells begin to die within minutes, leading to severe neurological damage. There are three main types of strokes:

Ischemic Stroke

When blood does not flow into the brain because a clot or plaque blocks it, this condition is known as ischemic stroke, and it accounts for about 87% of all strokes. The blockage may occur because of fatty deposits in the arteries (atherosclerosis) or when a clot has traveled from another part of the body.

Learn More: Early Warning Signs of Strokes: Learn to Listen to Your Body

Hemorrhagic Stroke

A type of stroke in which blood bleeds into or around the brain because of the burst of a weakened blood vessel is termed hemorrhagic. High blood pressure, aneurysms, and arteriovenous malformations are common causes of blood vessel rupture. The brain receives extra pressure as bleeding occurs, resulting in rapid damage.

Transient Ischemic Attack (TIA)

Often referred to as a "mini-stroke," a transient ischemic attack is a momentary blockage of blood flow to the brain. Permanent brain damage does not occur, but it is an important warning sign of a future possible stroke. After a TIA, immediate medical advice should be sought, as fast treatment may prevent a full stroke from occurring. In fact, those who have experienced a TIA are at a greatly increased risk of having a full stroke in the following days or weeks.

Renowned Stroke symptoms

Sudden Numbness or Weakness

One of the most common signs of a stroke is sudden weakness or numbness, especially on one side of the body. This often affects the face, arm, or leg. A person might have difficulty moving a limb or experience a sensation of "heaviness" on one side.

Difficulty Speaking or Understanding Speech

Stroke can affect the brain's language center, leading to slurred speech, difficulty forming coherent sentences, or trouble understanding spoken words. The person might suddenly appear confused or unable to respond correctly to simple questions.

Blurred or Lost Vision

A stroke can cause sudden changes in vision, such as blurriness, double vision, or complete vision loss in one or both eyes. These changes may come and go or persist.

Loss of Coordination or Balance

Many stroke victims experience dizziness, loss of balance, or trouble walking. They may stumble, feel disoriented, or struggle to perform simple movements.

Severe Headache

A sudden and intense headache, often described as the "worst headache of my life," is a key sign of a hemorrhagic stroke. This headache may come with nausea, vomiting, or dizziness.

Early Signs of a Stroke

man trying to hold a glass of water with shaking hands

Facial Weakness or Uneven Smile

A very early sign of stroke is slight weakness or drooping on one side of the face. Ask someone to smile; if one side of the mouth doesn't lift properly, it could be a hint the person is beginning to suffer a stroke.

Tingling or Numbness in the Arms and Legs

The numbness associated with a stroke usually begins as a tingling feeling or as "pins and needles," which might be an important warning if it happened all of a sudden and without any specific explainable cause. 

Brief Spells of Confusion

Suddenly, a person may not be able to understand conversations, he may forget familiar words, or he may feel as if mentally he is in a fog

Short-Term Loss of Vision or Blurred Vision

Temporary visual disturbances such as momentary blindness of one eye or blurry vision can be precursors to an impending stroke.

Dizziness and Trouble Walking 

Feeling off-balance or dizzy in either standing or walking is an early warning sign to take seriously.

Check This Out: Learn About Different Types Of Stroke And Their Effects

FAST Stroke Test

F-Face Drooping

One of the first and most recognizable signs of a stroke is sudden drooping of the face, which occurs when the muscles on one side of the face become weak or paralyzed. This indicates that muscles are unable to be controlled due to a stroke affecting muscle movement control in the brain. To test for facial drooping, ask the person to smile: a healthy smile is one that is symmetrical, where both corners of the mouth are lifted equally. However, when one side remains still or sags downward, this would be a strong indication of a stroke. The person may have numbness or tingling on that particular side of the face and may also have trouble closing their eye effectively.

A-Arm Weakness

Stroke often causes sudden weakness or numbness on one side of the body, especially the arm and leg. This happens because the brain controls movement on the opposite side of the body. If a stroke happens in the left hemisphere of the brain, it will probably affect the right arm and leg, and vice versa. To test an arm for weakness, ask the person to raise both arms and hold them at shoulder level. If one arm drifts downward or the person cannot raise one arm at all, it is a very strong indication of a stroke. 

S-Speech Difficulty

The brain controls language and speech, so a stroke can interfere with someone's ability to speak or understand language. This condition is called aphasia or dysarthria. To check for difficulty in speech, ask the person to repeat a simple phrase like "The sky is blue" or "Today is a sunny day." If the person speaks with slurred, garbled, singsong, or difficult-to-understand speech, it could be a sign of a stroke. In some cases, they may have difficulty coming up with the right words, distort their syllables, or just be unable to speak. Although they seem to understand your words, their speaking ability may suffer.

T-Time to Call 911

The most important part of the FAST test is to act. If any of the above signs are present, do not wait for them to get better or to go away. Call 911 or your local emergency number immediately. Stroke victims need urgent medical intervention, and any delay can mean irreversible brain damage, disability, or death.

Stroke prevention tips

Control Blood Pressure

High blood pressure is the most common underlying cause of strokes. Regular checks, a diet of lower salt intake, and any medication prescribed (if the conditions demand it) are important means of routine management. 

Have A Healthy Heart Diet

Low in fiber, fats, and antioxidants, these foods aggravate the happenings of strokes. The fiber-rich foods comprising fruits, vegetables, whole grains, lean proteins, and seeds promote our cardiovascular system.

Exercise Regularly

Thirty minutes of moderate exercise, done most days of the week, helps circulation, keeps the heart strong, and also reduces stroke risk. Walking, swimming, or yoga might help.

Quit Smoking and Limit Alcohol Intake

Smoking promotes clot formation and injures blood vessels. Heavy drinking on the other hand raises blood pressure, thereby increasing the risk of having a stroke. Giving up smoking and cutting down on drinking can help to significantly reduce the chance of having a stroke.

Management Of Diabetes And Cholesterol

High blood sugar and cholesterol cause blockage of arteries and poor blood circulation. Monitoring and management of these two phenomena with diet, exercise, and medication can actually go a long way in reducing one's chances of suffering from a stroke.

Also Read: Debunking Medical Myths: Unraveling the Truth About Stroke

Conclusion

Stroke is a medical emergency and a life-threatening condition that must be given immediate medical attention. By identifying the symptoms and warning signs and engaging in preventive steps, a person can reduce the risks and help others in need. Therefore, if you notice signs of a stroke in yourself or someone else, remember to act FAST and call for emergency help. Timeliness can mean the difference between full recovery and disability for life.

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