Stroke Symptoms, Treatment and Prevention

Dr. Zhao Yi Jing is a distinguished Clinical Neurologist in Singapore, known for her remarkable expertise and extensive experience in treating stroke patients. With an impressive background in neurology, Dr. Zhao has devoted her career to unraveling the complexities of stroke symptoms, improving treatment methods, and highlighting the importance of prevention. Her proficiency in managing both ischemic and hemorrhagic stroke treatment has earned her a trusted figure among peers and patients alike.

Extensive Understanding of Stroke Symptoms

Dr. Zhao’s dedication goes beyond just treating strokes — she focuses on understanding every nuance of stroke symptoms to ensure early and accurate diagnoses. This means her patients get timely interventions that are crucial for better recovery. She is known for her detailed assessments, which include comprehensive neurological evaluations, imaging studies, and thorough reviews of patient histories.

Advanced Expertise in Stroke Treatment

When it comes to treatment, Dr. Zhao incorporates the latest advancements in medical science with her vast clinical experience. She is particularly adept at handling acute stroke cases where quick, decisive action is necessary. Dr. Zhao’s commitment to employing evidence-based practices ensures that her patients receive the highest standard of care, tailored to patients’ specific needs.

One of her notable achievements in stroke treatment is developing personalized rehabilitation programs. These programs are designed to address the unique challenges faced by each stroke patient, promoting optimal recovery through targeted physical therapy, speech therapy, and cognitive rehabilitation. Her holistic approach addresses immediate medical needs and supports long-term recovery and quality of life.

Emphasis on Stroke Prevention

Beyond acute care, Dr. Zhao is a strong advocate for stroke prevention. She educates her patients on lifestyle changes and risk factor management to prevent future strokes. Her preventive strategies often involve a combination of dietary adjustments, regular physical exercise, and personalized medication plans helping her patients lead healthier lives and significantly reduce their risk of first-time and recurrent strokes strokes.

Dr. Zhao Yi Jing’s commitment to understanding stroke symptoms, advancing stroke treatment, and advocating for stroke prevention makes her commitment to improving the lives of stroke patients. Her compassionate approach, combining expert medical care with compassionate patient support, makes her a cornerstone of stroke management in Singapore.

A stroke is a serious neurological condition that occurs when blood flow to a part of the brain is disrupted. This can be caused by either (1) Blockage to an existing blood vessel in the brain, i.e. Ischemic Stroke (2) Rupture of blood vessel causing bleeding into the brain, I.e Hemorrhagic stroke

Symptoms of stroke is dependent on the region of the brain that is affected. Symptoms of a stroke can include sudden numbness or weakness on one side of the body, difficulty speaking or understanding speech, sudden severe headache, trouble walking, dizziness, and loss of coordination or balance. It is important to seek medical attention immediately if you suspect you or someone else is experiencing a stroke.

Face drooping, Arm weakness, Speech difficulty, Time to call emergency services – the F.A.S.T. test covers the most common warning signs. Sudden numbness, especially on one side of the body, is also a warning sign and should be treated with the same urgency as the other F.A.S.T. symptoms, along with sudden severe headache, vision problems, dizziness, and confusion.

Risk factors for stroke include high blood pressure, smoking, diabetes, high cholesterol, and a family history of stroke. These risk factors are often modifiable with adequate lifestyle modification and medications.

There are also rarer conditions that can cause stroke. These include conditions that affects the blood vessels in the brain, conditions that causes inflammation of the brain, congenital heart defects, blood disorders that causes hyper coagulopathy, as well as genetical conditions. Such conditions are rarer and more difficult to diagnose, and have to be properly evaluated by a doctor.

Treatment for stroke depends on the type and severity of the stroke. In some cases, medication such as clot-busting drugs can be used to dissolve blood clots and restore blood flow to the brain.

Lifestyle modification plays a key role in secondary prevention of stroke that are associated with metabolic syndromes such as obesity, diabetes, hypertension and dyslipidemia. Treatments may include rehabilitation, lifestyle changes, quitting smoking, exercise and losing weight. It is important to seek medical attention immediately if you suspect yourself or someone is experiencing a stroke-like symptoms.

Taken from : https://www.healthhub.sg/

Treatment depends on the type of stroke and how much time has passed since symptoms began – for ischemic stroke, clot-dissolving treatment is most effective within a narrow time window from symptom onset, which is why calling emergency services immediately, rather than waiting to see if symptoms pass, directly affects outcome.

A stroke is a medical emergency that occurs when blood flow to the brain is disrupted, either due to a blood clot (ischemic stroke) or bleeding in the brain (hemorrhagic stroke). Recognizing the warning signs of a stroke and seeking immediate medical attention can greatly ensure timely treatment, and to improve the chances of recovery and reduce the risk of long-term disability.

The American Stroke Association developed the acronym “F.A.S.T.” to help remember and identify the most common warning signs of stroke:

Face: Facial drooping or weakness, often on one side of the face. Ask the person to smile to check for asymmetry.

Arms: Arm weakness or numbness, typically on one side of the body. Ask the person to raise both arms and see if one drifts downward or is difficult to lift.

Speech: Slurred speech, difficulty speaking, or understanding speech. Ask the person to repeat a simple sentence to check for speech abnormalities.

Time: Time is critical when it comes to treating a stroke. If you notice any of these symptoms, call emergency services immediately. Time is of the essence when it comes to stroke treatment, as brain cells begin to die when they are deprived of oxygen.

In addition to the above F.A.S.T. signs, there are other possible symptoms of a stroke:

  1. Sudden severe headache with no known cause, often described as the “worst headache of my life.”
  2. Sudden trouble seeing in one or both eyes, including blurred or blackened vision, or double vision.
  3. Sudden dizziness, loss of balance, or difficulty walking.
  4. Sudden confusion or trouble understanding speech.

Its key to understand the above symptoms, and to seek medical attention in a timely manner.

Numbness can be a symptom of a stroke, but it’s not necessarily an indicator of a stroke. Other symptoms of a stroke include sudden weakness or numbness on one side of the body, difficulty speaking or understanding speech, sudden vision changes, sudden severe headache, and trouble with walking or coordination.

If you are experiencing numbness, particularly if it’s sudden, severe, or accompanied by other symptoms, it’s important to seek medical attention immediately. A healthcare provider can evaluate your symptoms and determine whether they are related to a stroke or another underlying medical condition.

Stroke prevention involves managing risk factors and adopting a healthy lifestyle. While there are risk factors such as age, family history, and ethnicity, that cannot be changed, there are several steps you can take to reduce your risk of stroke:

Maintain a healthy blood pressure: High blood pressure is a leading cause of stroke worldwide. Regular check-ups, a healthy diet that is low in sodium, regular exercise, and managing stress can help to keep blood pressure in a healthy range. If needed, your doctor may prescribe medications to manage high blood pressure.

Control diabetes: Controlling diabetes is very important in the prevention of stroke. High blood sugar levels can damage blood vessels and increase the risk of stroke. If you have diabetes, work together with your doctor, to manage blood sugar levels through diet, exercise, and medication, if needed.

Quit smoking: Smoking significantly increases your risk of stroke by raising blood pressure and reducing oxygen levels in the blood. Quitting smoking can significantly lower your risk of stroke and improve a person’s overall health.

Manage cholesterol levels: High cholesterol can contribute to the buildup of plaque in arteries, leading to a stroke. Maintain healthy cholesterol levels through a diet low in saturated and trans fats, regular exercise, and medication, if needed.

Maintaining a healthy weight: Being overweight or obese also increases the risk of stroke. Achieving and maintaining a healthy weight through a balanced diet and regular exercise can help reduce your risk of stroke.

Exercise regularly: Engaging in regular physical activity, such as walking, swimming, or cycling, can help lower blood pressure, improve circulation, and reduce the risk of stroke. Aim for at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity per week.

Eat a balanced diet: Consume a diet rich in fruits, vegetables, whole grains, lean protein, and low-fat dairy products. Limit one’s intake of saturated fats, trans fats, and sodium to help control blood pressure and cholesterol levels.

Treat sleep apnea: Sleep apnea, a condition in which breathing repeatedly stops and starts during sleep, can increase the risk of stroke. If you have sleep apnea, work with your healthcare provider to develop an appropriate treatment plan.

Regular check-ups and communication with your healthcare provider are crucial for managing your stroke risk factors. By adopting a healthy lifestyle and addressing risk factors, you can significantly reduce your risk of stroke.

Immediate medical attention is critical for stroke treatment. Treatments for stroke may include medications to dissolve blood clots or reduce bleeding, surgical procedures to repair blood vessels or relieve pressure on the brain, and rehabilitation therapies to help patients recover lost function and prevent future strokes. Do contact emergency services in a timely manner, if stroke is suspected.

Ischemic stroke v/s Hemorrhagic stroke

FAQs

A: An ischemic stroke is caused by a blockage in a blood vessel supplying the brain, while a hemorrhagic stroke is caused by a ruptured blood vessel bleeding into the brain. Ischemic strokes are more common; treatment approaches differ between the two. 

  • Hours: Monday–Friday 9am–5pm, Saturday 9am–1pm. Closed Sundays and public holidays. 
  • Address: 3 Mount Elizabeth Hospital, #11-14/15 Mount Elizabeth Medical Centre, Singapore 228510. 
  • Getting here: nearest MRT stations are Orchard and Newton; several bus routes and paid parking at Mount Elizabeth Medical Centre. 

Dr Zhao provides ongoing neurological follow-up through the recovery pathway after an acute stroke admission. Diagnostic imaging for stroke work-up is covered on Services & Procedures — read more on the About page.

Dr Zhao in the Media

CNA

Dr Zhao Yi Jing was featured in CNA on the rising incidence of stroke among younger adults in Singapore.