Do not phone a clinic, do not wait for morning, and do not wait to see whether it settles. Note the exact time symptoms began and get to a hospital with a CT scanner. This page is for understanding stroke — not for handling one in progress. क्लिनिक फ़ोन न करें, सुबह का इंतज़ार न करें, और यह देखने के लिए न रुकें कि अपने आप ठीक हो जाए। लक्षण शुरू होने का सही समय नोट करें और CT सुविधा वाले अस्पताल पहुँचें।
In stroke, time is brain tissue. Every hour of delay costs recovery that cannot be bought back later. Dr P K Jha (M.Ch, AIIMS · 30+ years) advises on stroke risk, post-stroke care and rehabilitation at Gaur City 1, Greater Noida. स्ट्रोक में समय ही मस्तिष्क है। हर घंटे की देरी उस रिकवरी की क़ीमत लेती है जो बाद में वापस नहीं मिलती। डॉ पी के झा (M.Ch, AIIMS · 30+ वर्ष) गौर सिटी 1, ग्रेटर नोएडा में स्ट्रोक जोखिम, देखभाल और पुनर्वास पर सलाह देते हैं।
Any one of these, appearing suddenly, is enough. You do not need all of them. इनमें से कोई एक भी अचानक दिखे तो काफ़ी है। सभी लक्षणों का होना ज़रूरी नहीं।
Also treat as emergency: a sudden severe headache unlike any before, sudden confusion, or a first-ever seizure alongside weakness. इन्हें भी इमरजेंसी मानें: अचानक ऐसा तेज़ सिरदर्द जो पहले कभी न हुआ हो, अचानक भ्रम, या कमज़ोरी के साथ पहली बार दौरा।
They look identical at the bedside. Only a scan separates them, and the treatments are opposite — which is why nothing should be given before imaging. बाहर से दोनों एक जैसे दिखते हैं। सिर्फ़ स्कैन से अंतर पता चलता है, और इलाज बिल्कुल उल्टा होता है।
A clot blocks an artery supplying the brain. The large majority of strokes. Treatment aims to restore blood flow — by dissolving the clot with medication, or removing it mechanically — but only within a limited time window from symptom onset.
A vessel bursts and bleeds into or around the brain, most often driven by uncontrolled blood pressure. Management focuses on controlling pressure and swelling, and surgery is considered in selected cases. Clot-dissolving treatment would be dangerous here.
Stroke symptoms that resolve completely, sometimes within minutes. Relief is the wrong reaction. The risk of a full stroke is highest in the days that follow, and this is the one window where prevention genuinely works. Treat a TIA as an urgent appointment, not a lucky escape.
Not rare, and frequently dismissed because of age. Causes include arterial tears in the neck after injury or manipulation, clotting disorders, heart rhythm problems and substance use. Young patients often lose critical hours because nobody considered stroke.
High blood pressure is the single largest contributor, and it usually causes no symptoms until it causes a stroke. Diabetes, high cholesterol, smoking, an irregular heart rhythm, obesity and physical inactivity account for most of the remainder. Every one of these is measurable, and most are treatable. हाई ब्लड प्रेशर सबसे बड़ा कारण है, और यह स्ट्रोक होने तक अक्सर कोई लक्षण नहीं दिखाता। मधुमेह, कोलेस्ट्रॉल, धूम्रपान, अनियमित धड़कन, मोटापा और निष्क्रियता बाक़ी कारणों में हैं। ये सब मापे जा सकते हैं और अधिकांश का इलाज संभव है।
If you have already had a TIA or a stroke, the risk of another is highest in the following weeks — and that is precisely when structured secondary prevention does the most good. Come in with your blood pressure readings, sugar reports and current medicines. अगर पहले TIA या स्ट्रोक हो चुका है तो अगले कुछ हफ़्ते सबसे जोखिम भरे होते हैं — और यही समय है जब सही रोकथाम सबसे ज़्यादा काम करती है। BP रीडिंग, शुगर रिपोर्ट और मौजूदा दवाएँ साथ लाएँ।
Rehabilitation begins in hospital, not months later at home. Early, appropriate movement improves outcomes and prevents complications from lying still — chest infections, pressure sores and joint stiffness among them.
Retraining movement, balance and walking. Progress comes from daily repetition, not from occasional intensive sessions. Family involvement in the home programme changes results more than almost anything else.
Difficulty speaking, understanding, or swallowing safely is common and treatable. Swallowing must be formally assessed before normal feeding resumes — silent aspiration causes preventable pneumonia. See our speech therapy page.
Low mood, emotional swings, fatigue and memory difficulty after stroke are physiological consequences, not weakness. They are common, they are treatable, and they hold back physical recovery when left unaddressed. Families should raise them.
Blood pressure control, blood thinning where indicated, cholesterol management, sugar control and stopping tobacco. Medicines must not be stopped once the patient feels better — that is when the second stroke happens.
Improvement is fastest in the first three to six months and continues more slowly after. We will give you an honest picture rather than either false hope or premature discouragement, and set goals you can actually work towards.
Yes, urgently. Symptoms that resolve completely may have been a transient ischaemic attack — a warning stroke. The risk of a full stroke is highest in the days immediately afterwards, and that is exactly the window in which treatment prevents one. A TIA that is investigated promptly is an opportunity; one that is ignored is often followed by a disabling stroke.
Because brain tissue dies continuously while blood flow is blocked. Treatments that dissolve or remove the clot only work within a limited window from the moment symptoms began, and the benefit shrinks with every passing hour inside it. A patient who arrives in the first hour has options that a patient arriving in the sixth may not.
Note the exact time symptoms started — this single piece of information determines which treatments are possible. Lay the person down with the head slightly raised, turn them onto their side if unconscious or vomiting, and loosen tight clothing. Give nothing by mouth, not water, food or tablets, because swallowing is often unsafe after a stroke. Do not give aspirin without medical advice, since some strokes are caused by bleeding.
Both are strokes, but of opposite types. Most are ischaemic — a blocked vessel. A minority are haemorrhagic — a burst vessel bleeding into the brain. They look similar at the bedside and cannot be told apart without a scan, which is why urgent imaging comes before any treatment. The treatments are opposite, so guessing is dangerous.
More than most families expect, and it depends heavily on how quickly treatment started and how soon rehabilitation begins. Improvement is fastest in the first three to six months but continues well beyond that with consistent therapy. Setting realistic goals early, and starting physiotherapy and speech therapy without delay, makes a measurable difference.
Related conditions we treat at Neuro Care India. न्यूरो केयर इंडिया में इलाज की जाने वाली संबंधित समस्याएँ।
Types of headache, when a scan is actually needed, and why daily painkillers can make it worse.सिरदर्द के प्रकार, स्कैन कब ज़रूरी है, और रोज़ पेनकिलर लेना क्यों नुक़सानदेह है।
Read more →पढ़ें →BPPV, vestibular migraine and balance problems — and the vertigo that needs emergency care.BPPV, वेस्टिबुलर माइग्रेन और संतुलन की समस्या — और वह चक्कर जिसमें तुरंत जाँच ज़रूरी है।
Read more →पढ़ें →What to do during a seizure, first-seizure evaluation, and guidance on driving and pregnancy.दौरे के दौरान क्या करें, पहली बार दौरे की जाँच, और ड्राइविंग व गर्भावस्था संबंधी सलाह।
Read more →पढ़ें →Carpal tunnel, pinched nerves and neuropathy — plus the correctable causes found on blood tests.कार्पल टनल, दबी नसें और न्यूरोपैथी — और ख़ून की जाँच में मिलने वाले ठीक होने योग्य कारण।
Read more →पढ़ें →For rehabilitation planning, secondary prevention, or a review after discharge. Bring discharge summary, scans and current medicines. OPD at Shop No 101, Aarza Square 2, Gaur City 1, Greater Noida. पुनर्वास योजना, दोबारा स्ट्रोक की रोकथाम, या डिस्चार्ज के बाद समीक्षा के लिए। डिस्चार्ज समरी, स्कैन और दवाएँ साथ लाएँ। OPD: शॉप नं 101, आरज़ा स्क्वायर 2, गौर सिटी 1, ग्रेटर नोएडा।
This page is educational and is not a substitute for emergency care. If stroke symptoms are present now, go to a hospital emergency department immediately — do not book an appointment. यह पृष्ठ केवल शैक्षिक जानकारी है, इमरजेंसी देखभाल का विकल्प नहीं। अभी स्ट्रोक के लक्षण हों तो तुरंत अस्पताल की इमरजेंसी जाएँ — अपॉइंटमेंट न बुक करें।
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