Aneurysm: Signs You Shouldn’t Ignore
An aneurysm is a weakened area in the wall of a blood vessel that bulges or expands. Some aneurysms grow slowly and cause no symptoms, while others can become dangerous if they rupture and cause internal bleeding.
Symptoms depend on where the aneurysm is located. Many aneurysms are discovered during tests done for other reasons, but certain warning signs require urgent attention.
1. Sudden, Severe “Worst Headache of Your Life”
A brain aneurysm that leaks or ruptures may cause:
- A sudden, explosive headache
- A headache unlike any you have had before
- Nausea or vomiting
- Neck stiffness
- Sensitivity to light
This is a medical emergency.
2. Vision Changes or Eye Symptoms
A brain aneurysm can sometimes press on nearby nerves, causing:
- Blurred or double vision
- Drooping eyelid
- Pain around the eye
- A change in pupil size
3. Sudden Weakness, Numbness, or Trouble Speaking
These may occur if an aneurysm affects blood flow to the brain.
Warning signs include:
- Weakness on one side of the body
- Facial drooping
- Difficulty speaking or understanding speech
- Loss of coordination
Seek emergency help immediately if these occur.
4. Chest or Back Pain
An aneurysm in the aorta (the body’s main artery) may cause:
- Sudden severe chest pain
- Upper back pain
- A tearing or ripping sensation
This can be a sign of a life-threatening emergency.
5. Abdominal Pain or a Pulsating Feeling
An abdominal aortic aneurysm may sometimes cause:
- Deep abdominal or back pain
- A feeling of a pulse in the abdomen
- A tender or noticeable lump in the belly
A sudden increase in pain may indicate rupture and requires urgent care.
6. Shortness of Breath or Difficulty Swallowing
A large aneurysm in the chest area can press on nearby structures, causing:
- Breathlessness
- Cough
- Hoarse voice
- Difficulty swallowing
Risk Factors for Aneurysms
Risk can be increased by:
- High blood pressure
- Smoking
- Older age
- Family history of aneurysms
- High cholesterol
- Certain inherited conditions affecting connective tissue
When to Seek Emergency Help
Call emergency services immediately for:
- Sudden severe headache
- Sudden chest, back, or abdominal pain
- Fainting or collapse
- New weakness, numbness, or speech problems
- Signs of shock (such as pale, clammy skin and rapid heartbeat)
Can Aneurysms Be Prevented?
You can reduce risk by:
✅ Managing blood pressure
✅ Avoiding smoking
✅ Maintaining healthy cholesterol levels
✅ Exercising regularly
✅ Eating a balanced diet
✅ Having screening if you have significant risk factors or a family history
