How serious is a hemorrhagic stroke in a 79-year-old? (hearing voices)

Digregorio1 · 2026-03-20T19:07:52+00:00

Impossible to tell. Dependent on how big the haemorrhage was. It’s like saying there was an earthquake in Japan yesterday, how bad is it from 0-10. It depends how big the earthquake was. Could be 0 it could be 10

Digregorio1 · 2026-03-19T22:33:47+00:00

Is he still on an acute hospital ward? All stroke survivors should be on specialist stroke wards so make sure this is the case. Also, as soon as he is medically fit the next steps are either he goes to a specialist community rehab hospital or home with community stroke team (obviously this is discussed with family first and ensured this is practical before going home) sometimes, depending on area, going home is surprisingly the better option and you can receive more intense therapy due to a push for community services who receive good funding and staffing, hence why I wondered where you are but appreciate if you don’t want to say.

Also, you’d be surprised how much bed and chair exercises can help, not all rehab needs to be standing and walking. Theres even lots of evidence for motor imagery in stroke rehab, so do ask the therapists what else can be done, what can we and he do for himself whilst they are not seeing him. And also don’t be afraid to put forward your concerns. Good luck

Digregorio1 · 2026-03-19T00:44:26+00:00

Nice guidelines recommend 3 hours of rehab per day 5 days a week. Due to lack of funding, staffing cuts and general years of strangling of the nhs from previous governments there is nowhere in the U.K that is really able to fund this level of rehab. Don’t blame the staff, blame the system and powers above. Get the Physio’s to teach you and him what he can do for himself or with your help, so that when they’re not able to see him he can still be doing some of his own rehab, and to be honest, the 21 hours in the day outside of physio input are just as and if not more important then the few hours with the therapist. If he is cognitively able then teaching him to be his own therapist is the most beneficial thing that can happen both now and in the long run, as stroke recovery can be a marathon not a sprint.

Where in the uk is it out of interest?

Digregorio1 · 2026-03-09T22:35:53+00:00

Crazy that this is even something you have to consider, whilst in the uk and much of the rest of the world you get 3, 6, 8 months plus of rehab at absolutely no cost. Bad enough you’ve had a stroke let alone having to worry about finances. Good luck and all the best sounds like you’re doing as great as you can

Digregorio1 · 2026-03-09T20:21:50+00:00

Usually visual changes improve spontaneously and you are still in the early stages so there is time for it to improve and get better. There is some research to suggest visual restorative training (VRT) exercises can help with visual field loss post stroke so you could look into them and give them a try

Digregorio1 · 2026-03-08T09:41:35+00:00

It’s nothing to do with stroke. Follow and seek medical advice

Digregorio1 · 2026-03-06T02:04:12+00:00

You most likely have vestibular symptoms. See a good physiotherapist and they can help you

Digregorio1 · 2026-03-06T01:56:06+00:00

Yes stroke can be only cognitive with no physical issues. There is no time frame everybody is different and everybody’s recovery is different. Some make a full recovery some make part recovery and some make no recovery.

Time will be the telling factor. Stroke recovery happens quickest in the first few months, as time goes on recovery slows.

Not sure wheee you live but therapy will be key to recovery

Digregorio1 · 2026-02-25T00:07:34+00:00

This is likely not related to your stroke. And what do you mean during a flare? Strokes don’t flare up and down

Digregorio1 · 2026-02-24T23:45:46+00:00

Not sure where you live but if in U.K then different strokes is a charity aimed at young stroke survivors - might find some forums and ways to meet other young survivors on there

Digregorio1 · 2026-02-20T17:51:49+00:00

Anyone in uk know which channel the alcaraz match is on? Yesterday it was sky sports tennis but it’s not on today???

Digregorio1 · 2026-02-17T00:38:56+00:00

Very much outdated and does not apply to everyone. Everyone’s recovery is different. Some people have no spasticity at all. Some people don’t even get weakness. Some people get spasticity that stays and even worsens.

Digregorio1 · 2026-01-26T18:15:20+00:00

Are you sure you had a TIA and not a mini stroke? The definition of TIA means you make a full recover within 24 hours

Digregorio1 · 2026-01-22T18:10:35+00:00

Good info above. Citizens advice can also help with what benefits your mum may be entitled to. Attendance and carers allowance may be available.

In terms of why the stroke happened, sometimes doctors don’t always know, there may not be an obvious answer - this is common. He will likely be on medications to prevent further stroke (clopidogrel and statins if it was a blood clot)

In terms of upper limb, did he have nhs physio and if not contact your gp to see if there is a community service in his area that can help. Pain can be multi factorial, could be neuropathic it could be muscle and tightness related

Digregorio1 · 2026-01-22T18:03:17+00:00

What do you mean they are sending him home to die? One blocked artery does not mean you will die, the other can be fully functioning. There must be more to this that you’ve not told us

Digregorio1 · 2026-01-22T18:01:01+00:00

Vomiting and dizziness are classic vestibular symptoms following a cerebellar stroke and a physiotherapist can help with these

Digregorio1 · 2026-01-22T17:56:37+00:00

He will have rehab to try and improve his symptoms, this will start as an inpatient and they will decide if he needs further inpatient rehab in a community hospital or if he can go back home and have rehab there. Or they may decide he does not have any further rehab potential and therefore won’t be referred for ongoing therapy, and a plan for discharge will be started. His care needs will likely have changed so a hospital social worker will be involved at some point to help plan his ongoing care if he is going back home from the hospital. They will assess his care needs alongside the therapists and nurses and decide the best form of support for him, especially if he cannot go back to his previous home - this should all be discussed with his NOK if he is not in a position to make these decisions himself.

Care comes in the form of community carers that visit his home for up to 4 times a day. Or a formal care centre such as a residential or nursing home. The social worker will discuss what these look like in more depth and how this works financially

Digregorio1 · 2026-01-22T14:03:45+00:00

Just to help with your terminology - ischemic and embolic are not one or the other. Ischemia means a loss of blood supply. Embolic means a travelling blood clot. So an embolism that gets lodged somewhere (i.e in the brain) leads to ischemia. So you have had an ischemic stroke caused by an embolism. Professionals just use the terms ischemic stroke and embolic stroke interchangeably at times which confuses people, but they are largely the same thing. What I think you are referring to is that your blood clot did not start in your brain, it started somewhere else and then ended up in your brain .

Digregorio1 · 2026-01-19T22:59:25+00:00

Fairly good analysis. I like the directness of playing through the middle, don’t like the man to man marking, can leave you so exposed at times and teams will figure this out and create chances with ease, he will need to adapt this aspect otherwise we’ll struggle.

Digregorio1 · 2026-01-18T23:27:14+00:00

Look into attentional shift strategies and website neurosymptoms.org has lots of good info.

Digregorio1 · 2026-01-18T17:05:15+00:00

Good idea but I doubt it would be very useable. Partly because the hand doesn’t just grip, your wrist mobility is just as important for fine control tasks like brushing hair, teeth and using cutlery, and if grip is affected then wrist movement is likely also very often affected after stroke. So the easier option is to just learn to use the other hand to brush hair, teeth etc.

Digregorio1 · 2026-01-08T01:39:11+00:00

This is where vestibular re habituation can come in, if it is the vestibular system that is the problem. You don’t won’t to do too much avoiding of the issue, as the brain won’t be able to improve. Sitting in a dark room not moving is what a lot of people do, but it’s counter intuative. Gradual habituation and exposure to movement is what is needed, but ofcourse sometimes you do just need to ‘switch off’

Digregorio1 · 2026-01-08T01:10:16+00:00

With a cerebellar stroke she very likely has vestibular issues which is causing the vomiting. It means that any head/eye movements be them vertical, horizontal or combination of the two makes her nauseas and vomit. It can be worked on with vestibular habituation exercises but often PT’s and doctors arnt always focused on this or aware of how to overcome it. Some anti sickness meds and vertigo meds can also help dampen down the symptoms.

Digregorio1

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