Medicines for dizziness after ischemic stroke


Causes of dizziness

When a person has a stroke, many functions are disrupted, and the brain is no longer able to function as before. The following reasons can provoke dizziness:

  • stress, depression. After suffering a vascular accident, the patient worries that he may become disabled and lose the ability to care for himself, which further aggravates the situation;
  • the presence of pathologies in the cerebellum, which is responsible for human balance;
  • wrong lifestyle. After a stroke, it is more important than ever to follow a sleep and diet regimen, and avoid cigarettes and alcohol. If the patient does not adhere to such rules, this negatively affects blood vessels and pressure, and the recovery process may take a long time;
  • decrease in pressure. With hypotension, the brain feels a lack of oxygen and dizziness occurs;
  • when a person is weather dependent, a sudden change in weather can also cause dizziness after a stroke;
  • Even an unsuccessful sleeping position can cause the problem. Blood flow in the cervical region is disrupted, which causes oxygen starvation of brain cells. Buying a good orthopedic mattress or pillow will help here;
  • sometimes the head may feel dizzy due to various cervical pathologies;
  • Taking a number of medications can cause dizziness. Contact a specialist and he will help you adjust the course of treatment.

One of the most common causes of this unpleasant symptom is depression and stress. When a patient constantly experiences stress on the brain, which has just begun the rehabilitation process, this may well become the main cause of noise and dizziness in the head.

In addition, the situation is affected by disruptions in a person’s normal routine. Often, after a stroke, a patient experiences apathy and is afraid of becoming unnecessary. Such feelings are common to almost all patients who are recovering from an illness.

Every patient who has experienced a stroke must ensure that the brain is not overloaded under any circumstances. Under no circumstances should you tolerate significant headaches and worries. The support and attention of his family is very important during recovery.

As practice shows, stroke patients who regularly underwent rehabilitation procedures and constantly communicated with their loved ones practically did not feel dizzy. Therefore, the love and support of loved ones cannot replace even the most advanced medicines. A lonely person, alas, is helpless in any situation.

The causes of dizziness can only be identified with the help of a specialist. You should not take pills right away; first, your doctor should prescribe an examination: an electrocardiogram, tomography, and a general blood test. Based on the data obtained, treatment methods are selected. For dizziness after a stroke, several types of treatment may be prescribed.

After a stroke, you feel dizzy: what to do and how to treat?

85% of stroke survivors experience severe consequences: paralysis of the limbs, personality disorders, impaired cognitive perception, and problems with urination.

Many patients complain of unbearable pain in the skull and dizziness. Neurologists believe that headache during a stroke is the most common symptom that occurs after a brain stroke.

Causes of post-stroke attacks

Already a few days after the crisis, the patient may complain of pain in the head area. The main causes of illness are:

  • Cerebral edema is an inevitable phenomenon after a stroke, which is an accumulation of fluid in the tissues and cells of the brain.
  • Premature death of neurons due to oxygen starvation.
  • A depressive state caused by worry about one’s poor health.
  • Reaction to medications used to treat the disease.
  • Sudden changes in weather and changes in atmospheric humidity cause headaches after a stroke in weather-sensitive people.
  • Tension pain caused by the position in which a person is confined to bed.
  • Drug-induced hypotension that occurs after an emergency lowering of blood pressure during a crisis.

Important! Headache after a stroke should not go unnoticed, as such symptoms may indicate a repeat attack. It is urgent to inform your doctor about the problem in order to promptly prevent an impending relapse of the disease.

Who is at risk

Dizziness, pain, and noise in the head after a stroke occur in patients to varying degrees. It all depends on the severity, type of disease, gender, and even the age of the patient:

  • It is known that women suffer from painful symptoms 5-6 times more often than men. This is due to the physiological structure of the vascular system, the body’s protective functions and monthly hormonal imbalances that contribute to the occurrence of attacks of pain.
  • Middle-aged patients are more likely to feel unwell than older people.
  • Migraine status in the patient's history indicates poor health and increased nervousness. After a stroke, migraine symptoms intensify many times over.
  • Hypotonic patients are susceptible to headaches due to a chronic lack of oxygen in the brain tissue.
  • Severe pain in the head is observed in people who have suffered a blow to the cerebellum or branches of the posterior cerebral artery.

Features of pain

Pain in the skull area can be constant or intermittent. It is often accompanied by other symptoms:

  • Head spinning. Dizziness after a stroke is so severe that the victim is not allowed to get out of bed without outside help and backup.
  • Nausea causing vomiting.
  • Weakness, insomnia.
  • Attacks of ear ringing, noise on one or both sides.

Post-stroke headaches are not comparable to regular migraines or other headaches. Here it is not small vessels that are affected, but entire nerve endings. Normal seizures become neuropathic. They prevent a person from not only living a normal life, but also from performing basic actions.

In addition, there is a significant deterioration in mental abilities, memory, vision, and hearing suffer. The victim needs serious long-term rehabilitation and medication that improves cerebral circulation.

Diagnostics

If after a stroke you feel very dizzy and have a headache, the doctor decides what to do after an examination. For this, a number of diagnostic studies are prescribed:

  • Systematic measurement of blood pressure.
  • Blood and urine tests to assess the patient's general condition.
  • Determination of blood sugar levels.
  • Echocardiography.
  • Magnetic resonance imaging.

Based on the results of the examination, the doctor can tell you how to treat post-stroke pain and how to stop attacks. It is prohibited to take any medications on your own.

Treatment

The fight against pathology involves complex treatment. Therapy is aimed at:

  • Stabilization of cerebral blood supply.
  • Strengthening the vascular system.
  • Normalization of blood pressure.
  • Eliminate signs of depression.

All of these points are significant, since each of them affects the appearance of a painful symptom and increases the risk of relapse. Therefore, the patient should listen carefully to the recommendations of doctors and take care of his health.

Drug treatment

Drug therapy includes several courses:

  • To relieve pain attacks, analgesics (Aspirin, Movalis, Analgin, Paracetamol) are prescribed. Under the strict supervision of a doctor, the selection method determines the medicine that alleviates the patient’s condition. Often one drug, for example, Analgin, eliminates pain in one patient and has no effect on another who has suffered the same brain stroke. The course of treatment is 30 days, after which the body is given a 4-month break.
  • Anticonvulsants (Carbamazepine, Gabapentin, Depakine) relieve constant pain and dizziness during stroke, resulting from damage to the central nervous system.
  • For depression, antidepressants are prescribed (Fluxen, Cloxet, Rexetine). They relieve anxiety and stress, reduce pain, and normalize the emotional background.
  • Vitamins K and E prevent neuronal death and control bleeding.

Non-drug treatment

Along with drug therapy, patients are recommended to:

  • Massage to help patients recover after a stroke. Therapeutic techniques can improve muscle function, active movement of the victim, relieve muscle tension and remove toxins accumulated in sedentary muscles.
  • Aromatherapy , relieving stress and tension, improving sleep.
  • Electrotherapy. Activates blood flow, improves blood circulation, relieves swelling, and ensures relaxation of the neck and back muscles.
  • Water procedures (circular shower, water gymnastics, swimming). They improve metabolic processes, increase the body's defenses, and restore the motor system.

If motor function is impaired, the therapist prescribes special exercises that need to be performed every day.

If you experience tinnitus, dizziness, or headaches after a stroke, then the best treatment for such patients is physical activity.

Thanks to moderate loads, the activity of the circulatory, cardiac and respiratory systems is stimulated, blood vessels are strengthened, which reduces the risk of their spasms in the future.

Nutrition is of no small importance in treatment. It should be not only dietary, but also balanced. Patients need to reconsider their usual diet. The menu must include:

  • Vegetables.
  • Berries.
  • Legumes.
  • Cereals.
  • Vegetable oil.
  • Lean meats and fish.

It is advisable to limit the consumption of baked goods, muffins, white bread, margarine, butter, and lard. These foods increase bad cholesterol levels. The amount of salt should also be limited as much as possible. Alcohol and coffee are prohibited even in minimal quantities. The diet does not help to completely cure the disease, but it significantly improves the patient’s well-being.

Folk recipes

You can alleviate the patient’s suffering and prevent the onset of new attacks of pain using home methods:

  • For high blood pressure, a decoction of motherwort is useful. Pour a large spoonful of raw material into a glass of boiling water and cook over low heat for about 5 minutes. Then filter and take twice a day before the main meal. The course of treatment is two weeks.
  • To prevent dizziness and headaches, it is recommended to drink berry decoctions. You can use tart rose hips. They contain a lot of useful substances that tonic and strengthen blood vessels. The decoction is easy to prepare in a thermos. The berries are washed, dried, crushed and poured with boiling water. Leave for 3-4 hours and drink throughout the day.
  • The fruits, branches, and leaves of hawthorn are widely used in the treatment of the disease and its consequences. If you brew the fruits with onion peels, you will get a healing decoction that dilates blood vessels and improves cerebral circulation. For a glass of fruit, take a glass of onion peel. Pour boiling water over and boil for half an hour. After straining, drink half a glass three times a day for 2 weeks.
  • After a stroke, blueberries, lemon zest, and viburnum are very useful. They can be consumed as a separate healing treat with honey or simply stirred into tea.

In the post-stroke period, a person’s life is overshadowed by the severe consequences of the disease. If you have a headache after a stroke, you should tell your doctor immediately. Only the help of loved ones and timely qualified treatment help the victim survive this difficult time and significantly bring recovery closer.

19.10.2017

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Source: https://BolitGolova.info/golovokruzhenie/posle-insulta-kruzhitsya-golova.html

Drug therapy

Most often, this symptom is eliminated with the help of analgesics such as Paracetamol or Pentalgin. True, over time they become much less effective, and there is a need to choose new drugs.

However, such medications should not be taken too often, otherwise, in addition to dizziness, you can develop liver problems.

If taking analgesics does not bring the desired result, antidepressants or anticonvulsants, for example, Finlepsin, may be prescribed. Taking vitamins E and K, as well as Ascorutin, is very useful for improving the patient’s condition. It is also necessary to pay attention to the diet: it should include sea fish and other foods rich in omega-3 fatty acids.

After a stroke, a doctor may prescribe medications such as neuroprotectors. Their action is aimed at preventing the occurrence of secondary wounds. These are various vitamin preparations, antioxidants and other medicines. As a result of using this type of remedy, a person’s dizziness decreases or stops altogether.

Why do you feel dizzy during and after a stroke? Treatment methods

Dizziness is a common accompaniment of stroke and significantly reduces the patient’s quality of life. To alleviate the condition, it is necessary to eliminate the causes of the symptom.

Competent and timely treatment can minimize discomfort and reduce the risk of complications.

This article describes in detail why dizziness occurs during and after a stroke, and also discusses treatment methods.

How exactly does a stroke patient feel dizzy?

The nature of dizziness during a stroke may vary depending on which area of ​​the brain was damaged.

In most cases, patients complain of:

  • Disorientation.
  • Distortion of visual perception of the world (“picture jumps”).
  • It seems to a person that his body or surrounding objects are rotating, falling, swaying, tilting or otherwise moving (“everything is floating”). When you turn your head, the sensation intensifies.

Outwardly, this can manifest itself when trying to move in space:

  1. unsteady gait;
  2. loss of balance;
  3. inability to walk in a straight line.

Dizziness may be accompanied by the following symptoms:

  • loss of coordination of movements, loss of balance;
  • sharp and severe headaches;
  • increase or decrease in blood pressure;
  • speech disorders;
  • weakness or numbness of a limb, right or left half of the body, asymmetrical distortion of the facial muscles: sagging cheeks, drooping corner of the mouth.

Why do you feel dizzy during or after an attack?

The main cause of dizziness is a disruption in the normal nutrition of the affected area of ​​the brain.

After an ischemic stroke, a vessel is blocked by a thrombus or atherosclerotic plaque; in a hemorrhagic stroke, the capillaries are compressed by the volume of blood pouring into the brain.

In both cases, the blood supply to the area supplied by the vessel is disrupted. And depending on what function the affected area is responsible for, the corresponding symptoms appear.

There are two categories of causes of dizziness after a stroke. Pathological reasons relating to the general condition of the body :

  • hypotension resulting from a stroke;
  • injury to the cerebellum, which is responsible for coordination and maintaining body balance;
  • problems with blood vessels in combination with cervical osteochondrosis, worsening blood circulation in parts of the central nervous system;
  • weather dependence, aggravating the consequences of a stroke.

Reasons depending on human behavior:

  • violations of the rehabilitation regime - drinking alcohol, cigarettes, lack of rest - everything that prevents the body from recovering (for more details about why those who smoke or have recently quit a bad habit feel dizzy, read this material);
  • poor nutrition – excessive indulgence in high-carbohydrate, fatty, salty foods, which also inhibits regeneration processes (read more about why you feel dizzy during and after eating, here);
  • high physical activity, stimulating increased blood pressure and the manifestation of symptoms of the disease;
  • psychological tension, stress and depression are factors that interfere with a full recovery (read more about the symptoms and treatment of psychogenic dizziness here);
  • side effects from taking medications - they should be replaced with analogues after consultation with a doctor;
  • incorrect sleeping position, which contributes to the development of tension in the cervical spine and poor blood supply to the brain.

What to do to get rid of this phenomenon?

To eliminate dizziness, medications from different groups are used . The symptom can be affected by various active substances depending on the characteristics of each patient, and the optimal option for drug treatment should be selected by the doctor. The following categories of drugs are mainly used.

Antioxidants and neuroprotectors

Neuroprotectors are medications that protect nerve cells from pathogenic factors. One of these factors that requires neutralization is the effects of free radicals, which antioxidants help fight.

Below are the most popular drugs with antioxidant action among neuroprotectors and the average prices per package:

  • Mexidol is available in tablets and ampoules, the forms differ in the concentration of the active substance and the presence of auxiliary components. 448 rub.
  • Emoxipine – solution for injection, 195 rub.
  • Glycine – available in tablets. The price, depending on the manufacturer, ranges from 37 to 498 rubles.

Supportive treatments

To prevent dizziness after a stroke or eliminate this symptom, you need to properly plan your daily routine. Tablets play only a small role in the treatment process, but special attention should be paid to physical exercise, massage and other methods of therapy.

Therapeutic exercises, the purpose of which is to restore the vestibular apparatus, is very important for every patient. Depending on the patient’s condition, the specialist develops a whole complex consisting of exercises such as pendulum-type movements, rotation of the head and eyes.

Facial massage also plays a big role in treatment after a stroke. Perform it on both sides of the face for about ten minutes. You can do the massage yourself, however, prior consultation with a doctor is necessary.

One of the most common causes of dizziness after a stroke is disorders in the cervical spine, and sometimes you feel dizzy almost every day. In this case, the person may have tight muscles. A course of therapeutic massage and special gymnastics will help eliminate the problem.

Aromatherapy is another good method of recovery and prevention. It is very useful to rub balms made from various essential oils into the temple area. Taking an infusion of rose hips, hawthorn, meadowsweet and motherwort will help. The composition must be prepared in equal proportions. It is taken three times a day, the course of treatment should be quite long, from a month to three or four, depending on the doctor’s opinion.

Main manifestations

Dizziness that occurs after an attack can occur during physical or psycho-emotional stress, stressful situations, or smoking. The symptom may also develop spontaneously. Dizziness goes away after some time on its own or after the stimulus is removed.

Their appearance without obvious reasons is most often associated with a brain defect that appears against the background of damage to the central nervous system or blood vessels.

Systemic dizziness is characterized by the following manifestations:

  1. Rotating things.
  2. The appearance of flies before the eyes.
  3. Loss of visual fields.
  4. Increased heart rate.

This condition is usually preceded by nausea, fatigue, decreased mood and increased sweating. Dizziness is a serious symptom and requires urgent medical attention.

If you feel dizzy after a stroke, the first thing you need to do is get tested. After determining the cause, the specialist will prescribe treatment. In addition to medications, the patient is recommended to follow a number of rules:

  1. Carry out therapeutic exercises. It helps improve muscle tone and train the vestibular system.
  2. Normalize your daily routine. The patient should get enough sleep and perform light physical exercises throughout the day.
  3. Attend a therapeutic massage procedure. It allows you to restore blood circulation to the brain and has a positive effect on the nervous system. During the massage, the muscle tissue relaxes and the patient calms down.

To get rid of dizziness, non-drug methods alone are not enough. Their effectiveness can only be increased in combination with medications.

Treatment with folk remedies

If, as a result of a stroke, a person becomes dizzy, then the most commonly used treatment methods are a variety of herbs and other traditional medicine. Here are the most effective recipes:

  • collection of herbs. You need to take one tablespoon each of motherwort, hawthorn flowers, meadowsweet and rosehip. All this must be mixed with one liter of hot water. This decoction should be infused for about a day, after which it should be consumed three times a day, one glass half an hour before meals. The average course of such treatment is three months;
  • tincture of red clover flowers. It is necessary to collect the heads of these flowers at the time when they have just begun to bloom. They need to be poured into a bottle, but not compacted, then pour vodka over the flowers. Let the mixture infuse for three weeks, then strain the infusion well and consume a teaspoon diluted with water three times before meals.

It is very good during the rehabilitation period to eat more citrus fruits, which contain a lot of vitamin C. Acupuncture, the use of certain dietary supplements and homeopathic remedies are also often beneficial.

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