Hi Julie,
We are sorry to hear about your strokes and hope that your recovery is going ok. Here are some responses to your questions.
Is it true that you will have a large stroke within two years?
After having a stroke, your risk of having another stroke is higher than someone who hasn’t had a stroke. However it doesn’t necessarily mean you will have a large stroke within two years. There are some statistics about recurrent stroke but these stats provide raw and general figures eg 4 in 10 survivors of stroke will go on to experience recurrent stroke within a decade. They don't necessarily take into account your age, cause of stroke, the number of risk factors unique to you, your other medical or family history and compliance with stroke preventative medication etc. You might like to discuss your risk of recurrent stroke with a neurologist who knows your full medical history.
Should I be on warfarin?
Warfarin may be prescribed however often other anticoagulants may be used. All medication, including ceasing or starting medication should be discussed with your doctor.
Can a small stroke affect your memory?
Stroke can affect thinking and memory. Talking to your GP or neurologist about these changes may be useful. An occupational therapist or neuropsychologist can assess you to determine your specific problems and suggest things that can help. Simple strategies such as keeping a diary, using a medication manager or phone alarms can help. Limiting noise and other distractions when you are trying to concentrate can help too. Enlist the help or family and friends. Note that being tired, emotional or stressed can make it harder to think clearly too.
How can I prevent further strokes?
Do you know the cause of your stroke or if you have any known stroke risk factors? Around 80% of strokes are thought to be preventable so knowing your specific risk factors can help prevent a further stroke. There are risk factors that can be modified or changed, to reduce the likelihood of having another stroke. These include high blood pressure, smoking, high cholesterol, diabetes, being overweight or obese, poor diet, being inactive, drinking excessive alcohol and having atrial fibrillation. There are lifestyle and medication modifications that can also help manage these risk factors. Learning to manage these risk factors are important in the prevention of stroke. It would be helpful to discuss your stroke cause and risk factors with your GP or neurologist if you haven’t already done so.
Here are a few resources that may be helpful:
EnableMe page on thinking and perception
I hope this helps. Please don’t hesitate to call StrokeLine 1800 787 653 (Mon-Fri 9am-5pm AEST) to speak with one of our health professionals. We can provide further guidance and advice regarding your specific situation, discuss risk factors and talk through any concerns about ongoing health issues.
Warm regards,
Kath (StrokeLine)