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Posted

The thing most male farangs have to fear is a cardiovascular event - a heart attack or a stroke. If you carry a couple of aspirin in your wallet and crush one and swallow it when you feel well dodgy, while putting another under your tongue,  you'll often manage to avoid most of the damage you'd otherwise suffer, and knock a fortune off a hospital bill. Won't help for a bleed stroke, but makes a massive difference for everything else. Don't wait for the ambulance, bust the clot instantly. 

 

 

http://www.dailymail.co.uk/health/article-1253024/Why-man-carry-giant-chewy-aspirin.html

 

 

 

Posted

It will not only "not help a bleed", it will make a stroke due to hemorrhage much, much worse - dangerously so. It can also precipitate a bleed in people with high risk conditions such as severe hypertension, cerebral aneurysm etc.

 

It will also worsen GI bleeding or even cause it in people with peptic ulcer disease, and is contraindicated in a number of other conditions.

 

And - very important - in case of a stroke due to a blood clot, having taken aspirin may preclude being treated with drugs that dissolve the clot.

 

Aspirin should not be taken if a stroke is suspected nor should it be taken  just because you feel "dodgy".

 

If there are clear signs of a possible heart attack (severe chest pain) and if there are no contraindications (bleeding disorder, being already on any type of anticoagulant, gastric ulcers) then yes, take an aspirin right away but be sure the hospital knows you have done so.

 

 

 

 

Posted
11 hours ago, Sheryl said:

It will not only "not help a bleed", it will make a stroke due to hemorrhage much, much worse - dangerously so. It can also precipitate a bleed in people with high risk conditions such as severe hypertension, cerebral aneurysm etc.

 

It will also worsen GI bleeding or even cause it in people with peptic ulcer disease, and is contraindicated in a number of other conditions.

 

And - very important - in case of a stroke due to a blood clot, having taken aspirin may preclude being treated with drugs that dissolve the clot.

 

Aspirin should not be taken if a stroke is suspected nor should it be taken  just because you feel "dodgy".

 

If there are clear signs of a possible heart attack (severe chest pain) and if there are no contraindications (bleeding disorder, being already on any type of anticoagulant, gastric ulcers) then yes, take an aspirin right away but be sure the hospital knows you have done so.

 

 

 

 

 

Well, none of that's the advice. The advice is to take the aspirin because given the weighted probabilities that makes sense. As to feeling "dodgy", most people have a heart attack for hours before they seek medical attention. People need to be much more aware of the importance of nausea, a sick heavy feeling, radiating pain....Again, the best is the enemy of the good. Give the "best" advice and you'll kill a lot of people.

Posted

Actually, what I said is exactly "the advice", even as presented in the mass media article you linked to (but not as expressed by you) and certainly as found in the medical literature.  Take aspirin for signs of a heart attack (provided no major contraindications). Do not take it for signs of a stroke. Any health professional will tell you the same.  And to most people :dodgy" would encompass having a cold, flu, and any number of other conditions (including, for example, dengue where aspirin is definitely contraindicated). The aspirin advice is specific to signs of a heart attack.

Posted
1 hour ago, Sheryl said:

Actually, what I said is exactly "the advice", even as presented in the mass media article you linked to (but not as expressed by you) and certainly as found in the medical literature.  Take aspirin for signs of a heart attack (provided no major contraindications). Do not take it for signs of a stroke. Any health professional will tell you the same.  And to most people :dodgy" would encompass having a cold, flu, and any number of other conditions (including, for example, dengue where aspirin is definitely contraindicated). The aspirin advice is specific to signs of a heart attack.

 

http://www.bbc.co.uk/news/health-36320833

 

 

Posted

Mass media is not the best source for understanding what scientific studies actually say nor what  current medical recommendations are. Public health recommendations do not instantly change because one study comes out with a recommendation.

 

The study these articles reference actually (1) clearly limited the recommendation to people having transient ischemic attacks (2) stressed the importance of physicians instituting aspirin  in such cases, where it is clear there is not a hemorrhagic stroke and (3) suggests that the public be advised to self-administer aspirin if they have clear symptoms of a TIA as opposed to an actual stroke and are unable to get prompt medical attention.  This suggestion has not yet been adopted by public health authorities anywhere and will surely generate some controversy because of the risk of aspirin inadvertently being taken early in a hemorraghic stroke or by people at risk of a hemorraghic event. If it ever is adopted, you can be quite sure it will be in the context of carefully worded cautions and indications with extensive public education to be sure people understand the indications (which are not simply feeling "dodgy").

 

This thread is a good illustration of why there are Health Forum rules against the posting of news articles.

http://www.thaivisa.com/forum/topic/224498-health-forum-rules/

 

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