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A month before a stroke, your body warns you: 10 signs not to ignore

The idea that “your body warns you a month before a stroke” is misleading. Some people do experience warning signs before a stroke, especially with a transient ischemic attack (TIA)—sometimes called a “mini-stroke”—but many strokes happen suddenly without a long warning period.

A TIA can cause temporary stroke-like symptoms that may last minutes to hours and should be treated as a medical emergency, because it can be a warning that a major stroke may follow.

Possible warning signs that should not be ignored

  1. Sudden weakness or numbness
    • Especially on one side of the face, arm, or leg.
  2. Face drooping
    • One side of the face may feel weak or look uneven.
  3. Speech problems
    • Slurred speech, difficulty finding words, or trouble understanding others.
  4. Sudden vision changes
    • Blurred vision, loss of vision, or double vision.
  5. Sudden dizziness or loss of balance
    • Trouble walking, coordination problems, or unexplained falls.
  6. A sudden severe headache
    • Especially a “worst headache ever” or one that is unusual for you.
  7. Confusion or difficulty thinking clearly
    • Sudden changes in awareness or understanding.
  8. Temporary episodes of these symptoms
    • Symptoms that come and go can still be serious and may indicate a TIA.
  9. New trouble swallowing
    • Difficulty moving food or liquids normally.
  10. Sudden weakness or unusual fatigue
  • Especially when combined with other neurological symptoms.

Remember FAST

  • F — Face: Is one side of the face drooping?
  • A — Arms: Can the person raise both arms?
  • S — Speech: Is speech strange or unclear?
  • T — Time: Call emergency services immediately if these signs appear.

Other factors that increase stroke risk include high blood pressure, diabetes, smoking, high cholesterol, atrial fibrillation (an irregular heartbeat), and a history of stroke or TIA.

If someone is having stroke symptoms right now, do not wait to see if they improve—seek emergency medical help immediately.

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