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    Stroke Symptoms: How to Spot One and What to Do Right Away

    Dr. Anand Karnam Feb 10, 2026 5 min read
    Stroke Symptoms: How to Spot One and What to Do Right Away

    Every minute matters during a stroke. Learn the simple FAST method to identify a stroke immediately — in yourself or someone you love — and what to do before reaching hospital.

    Key Points

    • Stroke is a medical emergency — every minute of delay causes 1.9 million brain cells to die.
    • The FAST test (Face drooping, Arm weakness, Speech slurred, Time to call) is the quickest way to recognise a stroke.
    • Aspirin must NOT be given before reaching hospital as the stroke may be haemorrhagic.
    • Clot-dissolving treatment (tPA) is only effective within 4.5 hours of symptom onset.
    • Calling 108 (ambulance) is faster than driving — hospitals can prepare in advance.

    1.9M

    brain cells die every minute during a stroke

    Source: AHA/ASA

    4.5 hrs

    maximum window for clot-dissolving treatment

    Source: AHA/ASA

    80%

    of strokes are preventable with lifestyle changes

    Source: WHO

    "When someone has a stroke, the brain loses 1.9 million neurons every minute. The single most important thing a bystander can do is call 108 immediately — do not wait to see if symptoms improve."

    Dr. Anand Karnam · Consultant Neurologist & Headache Specialist, Sri Anand Child and Neuro Center

    Has someone around you suddenly started slurring their words, or their face drooped to one side? That could be a stroke. A stroke is a medical emergency — the faster you act, the more of the brain you can save.

    Stroke Awareness Videos in Telugu

    These short educational videos reinforce the FAST warning signs. They are not a substitute for emergency assessment.

    What is a Stroke?

    A stroke happens when blood flow to the brain is suddenly blocked (or a blood vessel bursts). Without blood, brain cells start dying — very quickly. That is why acting fast is so important.

    In India, strokes are one of the leading causes of death and disability. Many of these deaths can be prevented with quick action.

    How to Spot a Stroke: Remember FAST

    The easiest way to spot a stroke is by remembering one word: FAST

    • F – Face: Ask the person to smile. Does one side of the face droop or look uneven? That is a warning sign.
    • A – Arms: Ask them to raise both arms. Does one arm slide down or feel weak? That is another warning sign.
    • S – Speech: Ask them to say a simple sentence like "Today is a sunny day." Is the speech unclear, garbled, or confused?
    • T – Time: If you notice ANY of these signs, call for emergency help immediately. Note the time the symptoms started.

    Other Signs to Watch For

    • A very sudden, severe headache — unlike any headache before (sometimes called "thunderclap headache")
    • Sudden blurred or double vision
    • Sudden numbness or weakness on one side of the body
    • Sudden confusion or difficulty understanding what others are saying
    • Sudden loss of balance, dizziness, or falling without any reason

    These symptoms can come on very suddenly — within seconds or minutes. Even if the symptoms pass quickly, do not ignore them. A brief episode (called a TIA or "mini-stroke") is a serious warning sign that a bigger stroke may be coming.

    What to Do If You Suspect a Stroke

    • Call for emergency help or get to the nearest hospital immediately
    • Do not give the person food, water, or any medicine by mouth
    • Keep them calm, lying down, and do not leave them alone
    • Note the exact time symptoms started — doctors will ask this to decide treatment

    The main treatment for a blocked-vessel stroke is a medicine called a clot-buster (thrombolysis). This medicine must be given within 4.5 hours of the stroke starting. This is why getting to hospital fast matters so much.

    "Every minute a stroke goes untreated, nearly 2 million brain cells die. Fast action can mean the difference between full recovery and permanent disability."

    Who is at Risk of Stroke?

    Anyone can have a stroke, but the risk is higher if you have:

    • High blood pressure (the number one cause of stroke)
    • Diabetes
    • High cholesterol
    • A history of heart problems (especially irregular heartbeat)
    • Smoking habit
    • A family history of stroke
    • Age above 55 years

    Can Stroke Be Prevented?

    Yes — up to 80% of strokes can be prevented. Simple steps like controlling your blood pressure, managing your sugar levels, eating less oily and salty food, walking daily, and stopping smoking reduce your stroke risk dramatically.

    If you live in Chanda Nagar, Ameenpur, Miyapur, Lingampally, or anywhere in Hyderabad's west zone, and you or a family member has any of these risk factors, it is a good idea to consult a neurologist for a check-up before a stroke happens.

    Have questions about this topic?

    Our specialist doctors at Sri Anand Child and Neuro Center can help — in person or via WhatsApp.

    K

    Dr. Anand Karnam

    Consultant Neurologist & Headache Specialist · Sri Anand Child and Neuro Center

    DrNB-qualified Neurologist, Fellow of the World Headache Society (FWHS), and Headache Specialist with 12+ years of experience treating epilepsy, stroke, migraine, and movement disorders. Practices at Sri Anand Child and Neuro Center, Chanda Nagar, Hyderabad.

    References & Sources

    1. 1.Stroke — WHO Global Health Estimates World Health Organization
    2. 2.2019 AHA/ASA Focused Update: Early Management of Patients with Acute Ischemic Stroke American Heart Association
    3. 3.Time Is Brain — Quantified PubMed Central / AHA

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