Air Travel After Brain Stroke: Is It Safe?

can a brain stroke patient travel by air

Many stroke survivors worry about the safety of flying after their stroke. While there is no formal medical guidance on how long to wait after a stroke before flying, it is important to consider the type of stroke, the time since the stroke, and whether medical travel assistance is desired. Most airlines advise against flying until 10 days after a transient ischemic attack (TIA) or 21 days after a stroke. For haemorrhagic strokes, it is usually advised to wait 6 weeks. The Stroke Association recommends avoiding flying for the first two weeks after a stroke, as this is when the patient's problems are likely to be most severe and other related conditions may arise.

Characteristics Values
Can a brain stroke patient travel by air? Yes, but only after getting medically cleared to fly.
How soon after a stroke can a patient fly? The Stroke Association recommends waiting for at least two weeks after a stroke before flying. Most carriers advise not flying until 10 days after a TIA or 21 days after a stroke. Airlines may also require a formal medical assessment and certificate.
What are the risks of flying after a stroke? Flying increases the risk of blood clotting, which can lead to an ischemic stroke. Lower oxygen levels in the plane can also be risky for stroke survivors.
What precautions can be taken to fly safely after a stroke? Get medically cleared to fly, book extra legroom, stay hydrated, avoid alcohol, wear compression socks, and move around during the flight.

medshun

How long after a stroke can you fly?

There is no definitive answer to this question, as the time frame depends on various factors, including the type of stroke, the severity of symptoms, and individual medical advice. However, there are some general guidelines and recommendations to consider.

Firstly, it is important to note that the Stroke Association advises waiting for at least two weeks before flying after a stroke. This is because individuals are at an increased risk of a second stroke after suffering a transient ischemic attack (TIA) or stroke. During this time, it is crucial to be close to emergency medical services that can provide interventions to reverse stroke effects. Additionally, new post-stroke medical conditions may arise within a few months, making it essential to stay near medical providers.

Most airlines will not carry passengers within days of a stroke, but the specific rules vary between airlines and countries. For example, in the UK, the Civil Aviation Authority suggests waiting for at least 10 days after a stroke before flying. However, if your condition is stable, you may be able to fly as early as three days post-stroke. It is crucial to consult your doctor and get medical clearance before considering air travel. They will assess your individual situation and determine if you are medically stable enough for air travel.

If you have suffered a haemorrhagic stroke, which is caused by bleeding into the brain, the typical advice is to wait for at least six weeks before flying. This extended wait time is to ensure your safety and reduce potential risks.

When planning to fly after a stroke, it is important to consider the potential risks associated with air travel. Flying can increase the tendency for blood clot formation, especially in individuals with hypercoagulability. The risk of developing blood clots is heightened during and after air travel, with long flights increasing clot risk by 26%. This is due to the inactivity and cramped spaces on flights, which can lead to deep vein thrombosis (DVT) in the legs. Additionally, the lower air pressure in the plane results in reduced oxygen levels, which can be critical during stroke recovery.

To ensure a safe flight after a stroke, it is recommended to:

  • Consult your doctor and get medical clearance.
  • Wait for at least two weeks, and ideally one to three months, to reduce the risk of a second stroke.
  • Ensure you have adequate travel insurance and that your insurer is aware of your stroke.
  • Carry your medication and relevant medical documentation with you.
  • Keep yourself hydrated and avoid excessive salty snacks to maintain healthy blood pressure.
  • Wear compression socks to improve circulation and prevent blood clots.
  • Move around or perform leg exercises during the flight to prevent blood clotting.
  • Give yourself ample time to navigate the airport and rest during your travel itinerary.

Remember, each individual's situation is unique, and the decision to fly after a stroke should be made in consultation with your doctor, taking into account your specific risks and medical history.

medshun

What are the risks of flying after a stroke?

Hypercoagulability (Excessive Blood Clotting)

Flying increases your body's tendency to form blood clots, which are the cause of ischemic strokes. Research shows that the risk of developing a blood clot is increased during and after air travel, with long flights elevating clot risk by 26%. Inactivity in cramped spaces on flights can lead to blood clots developing in the legs, a condition known as deep vein thrombosis (DVT). Small pieces of this clot can break loose and travel to clog an artery in the lungs, causing a life-threatening condition called pulmonary embolism, or it can travel to the brain, resulting in another stroke.

Reduced Oxygen Levels

The air pressure inside an aeroplane is lower than on the ground, resulting in reduced oxygen levels in the blood. While this may not pose a significant risk to stroke survivors, it can be a concern for those with comorbidities such as breathing difficulties or heart conditions.

Delayed Medical Treatment

In the event of a stroke on a plane, emergency medical attention may be delayed, even if the pilot attempts an emergency landing. Some stroke interventions, such as tissue plasminogen activator (TPA), must be administered promptly, which is why doctors recommend waiting for a certain period before flying after a stroke.

Communication and Mobility Challenges

Stroke survivors may experience communication and mobility challenges that can make air travel difficult. Impaired speech, vision changes, and coordination problems can impact their ability to navigate the airport, understand flight information, and communicate with others.

Co-existing Medical Problems

Other medical conditions, such as diabetes, atrial fibrillation, high blood pressure, or anaemia, that are diagnosed alongside a stroke can impact your health during air travel. It is important to discuss these conditions with your doctor and ensure your medications are stabilised before planning a flight.

Hot Tub Heat Stroke: Is It Possible?

You may want to see also

medshun

What precautions can you take when flying after a stroke?

Flying after a stroke can be a daunting prospect, but there are several precautions you can take to ensure a safe journey. Here are some essential guidelines to follow:

  • Consult your doctor: Before making any travel plans, it is imperative to seek medical advice from your doctor. They will assess your individual situation, including any residual symptoms, and determine if it is safe for you to fly.
  • Allow sufficient time for recovery: Most airlines recommend waiting for a certain period after a stroke before flying. The suggested waiting time varies, with some sources suggesting a minimum of two weeks, while others advise waiting for up to three months, especially if you have residual symptoms. If you've had a haemorrhagic stroke, the usual advice is to wait for at least six weeks.
  • Understand the risks: Flying can increase the risk of certain complications after a stroke. Reduced oxygen levels at high altitudes can be concerning, especially since strokes are associated with reduced oxygen to the brain. Additionally, prolonged sitting during flights can increase the risk of developing blood clots in the legs (deep vein thrombosis or DVT), which may lead to more serious conditions.
  • Take necessary precautions:
  • Contact your airline in advance to arrange special assistance if needed. Many airlines offer services such as vision or hearing assistance, wheelchair services, and mobility and medical device transport.
  • Consider travelling with a companion who can provide assistance and give you peace of mind.
  • Obtain adequate travel insurance to protect your trip and ensure coverage for any medical expenses abroad.
  • Allow extra time at the airport to navigate security and reach your gate without added stress.
  • Keep your medication easily accessible in your carry-on bag, ensuring you have enough for the entire trip.
  • Carry medical documentation and declare any medications upon arrival at your destination.
  • Wear compression socks to improve circulation and prevent blood clots.
  • Stay hydrated, avoid excessive salty snacks, and refrain from alcohol consumption to maintain healthy blood pressure and reduce the risk of blood clots.
  • Move around the cabin when possible, and perform leg exercises while seated to promote blood flow and prevent clots.

By following these precautions and working closely with your medical team, you can help ensure a safe and comfortable flying experience after a stroke.

medshun

What are the signs that you are ready to fly after a stroke?

While there is no formal medical guidance on how long to wait after a stroke before flying, it is important to check with your airline and ensure you have clearance from your doctor. The Stroke Association recommends waiting at least two weeks, and most carriers advise not flying until 10 days after a TIA (Transient Ischaemic Attack) or 21 days after a stroke. If you have had a haemorrhagic stroke, it is usually advised to wait six weeks. If you need to fly within 10-21 days, you will likely need a formal medical assessment and certificate.

There are several potential risks associated with flying that may be more serious if you have had a stroke. The lower air pressure in the plane means there is less oxygen in your bloodstream, which can be dangerous as strokes are caused by reduced oxygen to the brain. If you can walk 50 metres without getting breathless or climb a flight of stairs without getting breathless, you should be able to tolerate the lower oxygen level on a flight.

Sitting for long periods of time can lead to clots forming in the leg veins, which can cause deep vein thrombosis (DVT). If your stroke has left you with mobility issues, you may be at an even higher risk of developing a DVT. To prevent this, book extra legroom, walk around or move your legs as often as possible, and stay hydrated. Avoid alcohol, which causes dehydration and increases the risk of clot formation.

There is a 20% risk of having another stroke in the first month after your initial stroke, and you will likely have multiple appointments and rehabilitation sessions to attend during this time. It is important to consider this when planning your travel, and you may prefer to wait until after this initial period.

Signs that you are ready to fly after a stroke include:

  • You have been cleared by your doctor to fly.
  • You have given yourself plenty of time to rest and recover.
  • You have been able to walk 50 metres without getting breathless or climb a flight of stairs without getting breathless.
  • You have booked extra legroom and plan to move your legs regularly during the flight.
  • You have a travel companion who can assist you if needed.
  • You have allowed yourself extra time to get through security and reach your gate.
  • You have adequate travel insurance.

medshun

What are the alternatives to flying after a stroke?

If you're unable to fly after a stroke, there are several alternative means of transport to consider.

Waiting Period After a Stroke

Firstly, it's important to note that the waiting period after a stroke before flying is generally advised to be at least two weeks, according to the Stroke Association. This is because there is an increased risk of a second stroke after the first one, and during this time, new post-stroke medical conditions may arise. In some cases, it may be recommended to wait up to three months, especially if the stroke has left residual symptoms.

Alternative Transport Options

Given the potential risks associated with flying after a stroke, it may be advisable to opt for alternative means of transportation, especially for shorter distances. Here are some options to consider:

  • Road trips: Opting for a road trip by car, RV, or bus can be a great alternative to flying. This allows for more flexibility in terms of travel times and stops, which can be beneficial for stroke patients who may need frequent breaks and a more comfortable travel environment.
  • Train travel: Travelling by train can be another comfortable alternative to flying. Trains often provide more legroom and space to move around compared to airplanes, which can be beneficial for those with mobility issues. Additionally, the risk of developing blood clots is lower compared to air travel.
  • Cruises: If your travel plans involve a longer journey, considering a cruise can be a good option. Cruises offer a relaxed travel experience with a variety of on-board amenities and activities. This can be especially beneficial for stroke patients who may require a slower-paced travel option.
  • Local destinations: Instead of travelling long distances, consider exploring local destinations that can be reached by car or train. This way, you can still enjoy a change of scenery and a vacation without the potential risks and stresses of air travel.

Planning Your Trip

When considering alternative means of transport, it is essential to plan your trip carefully. Discuss your travel plans with your doctor, as they can provide valuable advice and guidance based on your specific condition and needs. Additionally, ensure that you have adequate travel insurance in place and that your insurers are aware of your medical history, including your stroke.

Furthermore, when travelling by alternative means, consider the following:

  • Comfort and accessibility: Opt for comfortable travel options that cater to your accessibility needs. Look for options with ample legroom and facilities that accommodate any mobility issues you may have.
  • Frequent breaks: If you're travelling by road or rail, plan frequent breaks along the way to stretch your legs, get some fresh air, and avoid prolonged immobility, which can increase the risk of blood clots.
  • Medical care: Ensure that you will have access to medical care throughout your journey and at your destination. This is especially important if you're travelling to remote areas or locations far from medical facilities.
  • Travel companions: Consider travelling with a companion or caregiver who can assist you during the trip. This can provide peace of mind and help ensure your safety and well-being.

Frequently asked questions

It is recommended that you wait at least two weeks after a stroke before flying. Some sources suggest waiting up to three months, especially if you have residual symptoms. Consult your doctor to get medical clearance before booking your trip.

Before your trip, ensure you have the necessary medical clearances and certificates. Book extra legroom, travel with a companion, and consider hiring a medical professional to fly with you.

Arrive at the airport early, preferably three hours ahead of time. Request wheelchair assistance, and keep your medication in your carry-on bag. Stay hydrated, and move your legs and feet as often as possible to prevent blood clots.

Flying increases the risk of blood clot formation, which can lead to a stroke. The lower oxygen levels on a plane can also be a concern, especially for those with breathing difficulties or heart conditions. Delayed medical treatment during a flight is another factor to consider.

Prepare in advance by arranging transportation, booking accommodation with accessible rooms, and purchasing travel insurance. Stay hydrated, avoid salty snacks, and take frequent breaks when travelling by car.

Written by
Reviewed by
Share this post
Print
Did this article help you?

Leave a comment