In the early weeks and months after a stroke your body is healing and the rehabilitation process takes up a lot of energy so it is very common to feel tired.
Excessive sleeping after stroke is common during the early stages of recovery as the brain works hard to heal itself. However, excessive daytime sleepiness could signify other problems that deserve a conversation with your doctor.
Regarding the duration of fatigue after stroke, acute fatigue can last up to 6 months, whereas the chronic type can persist in 40% of patients after 2 years. Another study reported fatigue to be still present in one-third of patients up to 6 years after stroke onset.
The physical impact of the stroke on your brain and body can trigger fatigue. In the early weeks and months after a stroke, your brain and body are healing. The rehabilitation process can involve trying to do things in a completely new way, or learning and doing exercises which can be very tiring.
Sleep is critical, but sleep problems may follow after a stroke. Poor sleep can slow your recovery and lead to depression, memory problems and night-time falls. The good news is there are ways to improve your sleep.
Investigators reported that people who frequently naps may have an increased risk of high blood pressure and ischemic stroke by 12% compared to people who do not nap. For some, there is nothing more refreshing than taking a nap.
After a stroke, you may feel like you lack energy or strength and feel constantly weary or tired. Post-stroke fatigue does not always improve with rest and is not necessarily related to recent activity. So it is not like typical tiredness. You might experience post-stroke fatigue after a mild or more severe stroke.
Because mild strokes do not typically cause major impairments, recovery is usually fast. Sometimes recovery from a mild stroke can occur within 3-6 months. Other times it can take longer. There are many variables that affect the time it takes to recover.
This can cause sudden symptoms similar to a stroke, such as speech and visual disturbance, and numbness or weakness in the face, arms and legs. But a TIA does not last as long as a stroke. The effects last a few minutes to a few hours and fully resolve within 24 hours.
Although a TIA should not have a long-term impact on your daily activities, you must stop driving immediately. If your doctor is happy that you have made a good recovery and there are no lasting effects after 1 month, you can start driving again.
Most people who have a mini-stroke feel fine after the event. In fact, many people don't even realize they've had one! Symptoms might include weakness, numbness, tingling, vision changes or difficulty speaking. Most symptoms are temporary and dissipate within minutes but sometimes can last up to 24 hours.
Characteristics of post-stroke fatigue may include: overwhelming tiredness and lack of energy to perform daily activities; abnormal need for naps, rest, or extended sleep; more easily tired by daily activities than pre-stroke; unpredictable feelings of fatigue without apparent reason.
Even after surviving a stroke, you're not out of the woods, since having one makes it a lot more likely that you'll have another. In fact, of the 795,000 Americans who will have a first stroke this year, 23 percent will suffer a second stroke.
The good news is you absolutely can live a full life after a mini-stroke. Here's how. Like strokes, mini-strokes occur when a blockage occurs in a major artery to your brain, disrupting the flow of blood and oxygen. The difference is in a mini-stroke, the disruption lasts only minutes, so there's no permanent damage.
The initial recovery following stroke is most likely due to decreased swelling of brain tissue, removal of toxins from the brain, and improvement in the circulation of blood in the brain. Cells damaged, but not beyond repair, will begin to heal and function more normally.
The key to stroke treatment and recovery is getting to the hospital quickly. Yet 1 in 3 stroke patients never calls 9-1-1. Calling an ambulance means that medical staff can begin life-saving treatment on the way to the emergency room.
1–3 Months Post-Stroke
“The first three months after a stroke are the most important for recovery and when patients will see the most improvement,” says Raghavan. During this time, most patients will enter and complete an inpatient rehabilitation program, or make progress in their outpatient therapy sessions.
“They should not go to sleep, and they should not call their primary care doctor first. Instead, they should just go immediately to the emergency room.” And no matter how much someone might try to talk you out of taking them to the hospital, don't let them, says Dr. Humbert.
A transient ischemic attack, known as a TIA, is a medical emergency that you should not ignore. Since symptoms of a TIA don't last long, sometimes only a few minutes, people often call them a ministroke, but they should be thought of as an important warning sign.
TIAs look like strokes in terms of signs and symptoms, but they are temporary. In other words, they leave no lasting brain damage or residual symptoms. However, they serve as a warning sign that a person is at higher risk of a major stroke and should seek immediate medical attention.
You must stop driving for at least 1 month after a transient ischaemic attack ( TIA ) or mini-stroke. This includes amaurosis fugax or retinal artery fugax. You can restart only when your doctor tells you it is safe.