Kuala Lumpur: It is not uncommon to hear about individuals suffering a stroke while in the bathroom. Some of these cases can result in death, especially if the victims concerned are living alone. Experts say while stroke patients can be saved if they receive emergency treatment immediately, there is a risk of death when it occurs in the bathroom due to the risk of falling, which can lead to injuries such as head trauma. A stroke may also leave a person unable to move or call for help, preventing them from leaving the bathroom and worsening their condition. Despite these risks, experts note that strokes occurring in the bathroom account for only about four percent of total reported stroke cases.
According to BERNAMA News Agency, there are three main types of stroke: ischemic stroke, which accounts for approximately 78 percent of cases; haemorrhagic stroke (18 percent); and transient ischemic attack, which occurs in about two percent of cases. Hospital Kuala Lumpur neurologist Dr. Ahmad Shahir Mawardi explained that stroke, from a medical perspective, is a health condition caused by a blockage in the blood vessels that supply blood to the brain. This blockage prevents the affected part of the brain from receiving sufficient oxygen, leading to the death of brain cells.
Elaborating on why strokes often occur in the bathroom, Dr. Ahmad Shahir said most people visit the bathroom after waking up in the morning when the blood pressure is usually higher. Bathing with hot water can cause blood vessels to expand, leading to a sudden drop in blood pressure, which may reduce blood flow to the brain. Conversely, bathing in cold water can cause blood vessels to constrict suddenly, increasing blood pressure and the risk of a blood vessel rupture in the brain - a condition known as haemorrhagic stroke.
The neurologist also pointed out that sudden changes in posture, such as standing up too quickly after sitting or squatting, can cause a sudden drop in blood pressure, reducing oxygen supply to the brain and triggering a stroke. Straining too hard while passing stool, especially if constipated, can increase pressure in the chest cavity, disrupting blood flow to the brain and potentially triggering a stroke.
Dr. Ahmad Shahir emphasized the importance of being aware of stroke symptoms, which can be easily remembered using the acronym B.E.F.A.S.T. It stands for Balance loss, Eyesight issues, Face drooping, Arm weakness, Speech difficulties, and Time to seek immediate medical help. He stressed the urgency of seeking medical attention if any of these symptoms are observed.
He added that although strokes cannot be entirely predicted or prevented, certain steps can be taken to reduce the risks, including avoiding smoking and alcohol, maintaining healthy blood pressure, and keeping cholesterol levels in check.