Caspian Healthcare
caspianhealthcare.in

AFTER A STROKE

After a stroke: the first three months

The weeks and months after leaving hospital are when most recovery happens. The brain keeps rewiring itself, and the work you do now in physiotherapy, speech and daily practice pays off for a long time.

This is also the time when the risk of another stroke is highest. Most second strokes can be prevented with the right medicines and control of blood pressure, sugar and cholesterol.

See Dr. Imran, 4 to 5 pm Call +91 89193 41154
A physiotherapist helps an older man walk with a stick between parallel bars
Illustrative image

Call 108 at once if a new stroke may be starting

Remember BE FAST:

  • Balance: sudden loss of balance
  • Eyes: sudden loss of vision
  • Face: one side drooping
  • Arm: one arm weak or numb
  • Speech: slurred or confused
  • Time: call 108 straight away and note the time it started

Every minute counts. Treatments that open a blocked artery work best in the first few hours. Caspian Healthcare has no emergency department: go straight to a stroke-ready hospital.

Preventing another stroke

Medicines

A blood thinner, a statin for cholesterol and blood pressure medicines, taken every day, long term, unless your doctor changes them.

Blood pressure

Check at home and keep a record. Most people should aim below 130/80, as your doctor advises.

Sugar

With diabetes, steady control lowers the risk of another stroke. HbA1c targets are set for each person.

Smoking and tobacco

Stopping all smoking and chewing tobacco is one of the strongest things you can do.

If the stroke was caused by an irregular heartbeat (atrial fibrillation), a different blood thinner is usually needed. If a neck artery is badly narrowed, an operation or stent may be advised.

Recovery at home

  1. Physiotherapy for walking, balance and the weak arm. Daily practice at home between sessions.
  2. Swallowing: if eating or drinking makes you cough or choke, tell the doctor before eating normally. Food or water going into the lungs causes pneumonia.
  3. Speech therapy for trouble speaking or understanding.
  4. Skin and joints: change position often if in bed, and support the weak shoulder so it does not hang.
  5. Mood and memory: tell your doctor about low mood, worry or forgetfulness.
  6. Fall-proof the home: clear floors, good lighting, a rail in the bathroom.

Stroke follow-up at Caspian

Dr. Imran sees patients for stroke follow-up at the OPD, alongside the neurologist or physician who treated you in hospital. Bring the hospital discharge summary, all scan reports (CT, MRI, neck artery scan, echo) and your medicines. Blood tests are done in our building by Caspian Diagnostic Centre, 24 hours.

Stroke under 50? Use our free Stroke under 50 cause finder.

See Dr. Imran at Caspian

Dr. Mohammed Imran, Neurosurgeon & Spine Surgeon. MBBS, MS (General Surgery), MCh (Neurosurgery), Gandhi Medical College. Telangana Medical Council 60634.

Monday to Saturday, 4 to 5 pm. Walk in, no appointment needed. Consultation ₹600, valid for 6 days or 2 visits, whichever comes first.

Bring any MRI, CT or X-ray you have had (the films or CD and the written report), and the list of every medicine you take.

Dr. Imran’s profileCall +91 89193 41154

Common questions

Can I stop my blood thinner once I feel better?

No. Medicines such as aspirin, clopidogrel or other blood thinners are usually taken long term to prevent another stroke. Never stop or change them without asking your doctor, and tell any dentist or surgeon that you take them.

How long does recovery take?

The fastest recovery is usually in the first 3 months, and it continues more slowly for a year or longer. Regular practice of movement, speech and daily tasks makes the biggest difference.

Why do I feel low or cry easily?

Low mood, anxiety and sudden crying are common after a stroke. They are part of the illness, not weakness. Tell your doctor: they can be treated, and treating them helps physical recovery too.

Can I drive after a stroke?

Not straight away. Most people should not drive for at least a month, and longer if there are problems with vision, movement, concentration or fits. Ask your doctor before driving again.

My stroke happened under 50. Why?

Stroke in younger people often has a specific cause that needs to be looked for, such as a heart problem, a tear in a neck artery or a clotting problem. Use our free tool, Stroke under 50, to see which causes have been checked.

Is there anything I can do right now?

Take every medicine every day, check your blood pressure at home, stop smoking and tobacco, do your exercises daily, and know the BE FAST signs so you act at once if another stroke starts.

Medically reviewed by Dr. Mohammed Imran, Neurosurgeon & Spine Surgeon, Telangana Medical Council 60634. Last reviewed 13 November 2026. General information for patients of Caspian Healthcare: your own doctor’s advice comes first.