Page 26 - Healthy food
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WHY                                                  between a stroke and a TIA is the

                                                                                        time frame. By definition, the
                                                                                        symptoms of a TIA completely
             RECOGNISING                                                                resolve within 24 hours.
                                                                                          ‘A TIA spontaneously clears
                                                                                        itself within a short time – the
                                  THAT                                                  clot will break up without any
                                                                                        treatment,’ explains Dr Anupam
                                                                                        Bhattacharjee, consultant
                                                                                        neurologist at the Lister Hospital
                MINI STROKE                                                             and One Stop Doctors. ‘We now
                                                                                        know TIAs usually resolve within
                                                                                        20 to 30 minutes.’
                                                                                          However, a TIA is still a
            can save your life                                                          harbinger that something isn’t
                                                                                        right and a full-blown stroke may
                                                                                        follow (see case study on p29).
                                                                                          ‘Symptoms will depend on the
                                                                                        area of the brain affected, but
                                         Each year 46,000 people in the UK suffer
                                                                                        doctors can seldom distinguish
                                         a transient ischaemic attack (TIA). Never      between a TIA and full-blown
                                         heard of it? In short, a TIA is a warning that  stroke until after the event, when
                                         you risk a full-blown stroke. Dr Anupam        any damage becomes apparent.
                                         Bhattacharjee and Professor Caroline           That’s why, if a TIA is suspected,
                                                                                        it should be treated in the same
                                         Watkins say it’s time we took it seriously     way as a stroke. You can’t afford
                                                                                        to waste any time,’ warns
                   AVE YOU FELT DIZZY    disabilities. The TV personality               Dr Bhattacharjee.
                   RECENTLY? Or had      Chris Tarrant is another celebrity
                   what you might call   who failed to recognise he was                 What are the signs?
          Ha 'funny turn'? If your       having a TIA on a long-haul flight.             A significant problem is that
          episode was in fact a mini stroke  His symptoms were initially                spotting signs of a TIA can be
          – or transient ischaemic attack  dismissed as an asthma attack.               difficult for both patients and
          (TIA) – and you dismissed it at the  That ‘funny turn’ so often               medical staff. One survey by the
          time, you may be putting yourself  experienced (which is actually             Stroke Association found that
          at risk of a full-blown stroke in the  a TIA) is a contributory factor          one-third of patients who had
          future. Health charities the Stroke  for 21% of all strokes.                        suffered a TIA had thought
          Association and the British Heart                                                      they were just having a
          Foundation, along with other   Know the FAST drill                 IT’S ESTIMATED       funny turn. One in
          medical bodies, are keen to raise  The symptoms of a TIA are the   10,000 strokes a      four patients
          awareness that it’s dangerous to   same as a stroke (see p28 for the                      thought that
                                                                              year in the UK
          ignore a mini-stroke. The      FAST test, which will help you     could be prevented      medical
          experience of TV political     remember them). The main                                   professionals were
                                                                            if TIAs were treated
          journalist Andrew Marr, who had  things to watch for are the face  urgently – which       too quick to
          two suspected mini strokes in   drooping on one side, limb                               dismiss their
                                                                            means 3,000 lives
          2012, is a cautionary tale.    weakness, slurred speech or         would be saved.      symptoms.
            In one episode, he said, his  inability to talk. If you notice any of                  Along with
          mouth ‘just stopped working’ and  these, the sooner you get medical                  the three main symptoms
          he felt overwhelming tiredness.  help, the better the outlook.                    set out in the FAST test, there
          The second time he blacked out.                                               may be other symptoms to look
          As he was only 53 and kept fit by  Heed the warning                            out for. These include sudden
          working out and running, he didn’t  A TIA, or mini stroke, presents           numbness or weakness down one
          associate his symptoms with stroke  itself in the same way as a               side of the body, sudden memory
          and didn’t follow them up. But  full-blown ischaemic stroke (this is          loss or confusion, dizziness and a
          several months later, he suffered   a stroke caused by a clot blocking        sudden fall, a severe headache,
          a life-changing stroke that    an artery rather than a bleed on               difficulty speaking in clear
          has  left him with permanent   the brain). The only difference                sentences or finding words, and

       26 HEALTHY FOOD GUIDE FEBRUARY 2018
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