Weekly First-aid Topic: Be alert to cerebral hemorrhage in the elderly when weather is getting colder
From:Beijing Municipal Health Commission
Date:11/10/2023

Since the Cold Dew has passed, the winter is approaching with the weather getting colder and colder. The incidence of cardiovascular and cerebrovascular diseases is gradually increasing. Among them, "cerebral hemorrhage" requires special attention. It is characterized by sudden onset, rapid change, high disability rate, high mortality rate, and serious consequences.

Cerebral hemorrhage is a common serious brain disease in middle-aged and elderly patients with hypertension. The most common causes of cerebral hemorrhage are hypertension, cerebral arteriosclerosis, cerebral aneurysm or vascular malformation, and bad living habits. The common triggers of it include sudden emotional excitement, excessive exertion, overwork, etc. Therefore, most of the symptoms occur during activities. After the onset, the disease progresses rapidly and the clinical symptoms worsen quickly. The main symptoms are headache, nausea and vomiting, slurred speech, dizziness, limb paralysis, limb twitching, incontinence, disturbance of consciousness and gradual coma and other neurological symptoms.

Since the "cerebral hemorrhage" is so dangerous, what symptoms can help us identify cerebral hemorrhage early?

"Dizziness" is the main symptom of elevated blood pressure. It can be manifested as a feeling of dizziness in the head, or a feeling of spinning vision or things around you. Therefore, if you feel dizzy, it is necessary to measure your blood pressure and promptly control it under the guidance of a doctor to avoid continued high blood pressure that may lead to cerebral blood vessel rupture and bleeding.

"Headache" is another important aura symptom. In the early stage of individual cerebral hemorrhages, there will be a small amount of microbleeds, which will stimulate the meninges and cause headache symptoms. Therefore, if you have recurring headaches, you should take the neurological imaging examinations to evaluate whether there are organic diseases in the brain tissue and cerebral blood vessels. (Not all the causes of headaches could be found).

"Vomiting" is the main manifestation of increased intracranial pressure after hypertensive cerebral hemorrhage. It manifests as sudden and uncontrollable "spurting" vomiting. This symptom is a typical manifestation of increased intracranial pressure.

"Nuchal stiffness" refers to stiffness in the back of the neck and stiffness and pain in the neck and shoulders. It is also an early manifestation of vascular malformation or aneurysm and cerebral hemorrhage. If it is also accompanied by headache symptoms, you should seek medical treatment as soon as possible. The condition usually worsens within a few hours to dozens of hours, and severe symptoms such as headache, nausea and vomiting, paralysis, limb twitching, and coma may occur.

How to prevent cerebral hemorrhage? Experts point out that high blood pressure is the main risk factor for cerebral hemorrhage. To prevent it, you should first control your blood pressure. Maintaining good work and rest and eating habits, exercising appropriately, and avoiding overexertion can help stabilize blood pressure. In addition, you must learn to regulate your emotions, respond calmly when encountering difficulties, and avoid losing control of your emotions. Maintaining a good and optimistic attitude can also help prevent cerebral hemorrhage. Regular physical examination is an important measure to prevent cerebral hemorrhage. It is recommended to have a comprehensive physical examination at least once a year, including examination of blood pressure, blood lipids, blood sugar and other indicators. In addition, for high-risk groups of cerebral hemorrhage, such as patients with hypertension, obesity, diabetes, etc., the frequency of physical examinations should be strengthened to detect and deal with potential problems timely.

Beijing 120 reminds that if you have symptoms such as headache, nausea, vomiting, dizziness, etc. that might be the symptoms of hemorrhage, you should seek medical treatment immediately. It is not recommended to judge the condition on your own or use drugs at will to avoid delaying treatment. During the first aid process, the patient should actively cooperate with the doctor's treatment suggestions and strive for a speedy recovery.