
Travelling after a stroke is a common concern for survivors, who may wonder if they will ever be able to fly again. While it is generally considered safe to fly after a stroke, there are several factors to consider, such as the type of stroke, the time since the stroke, and any ongoing health issues. Seeking medical advice and getting clearance from a doctor is crucial before planning air travel after a stroke.
The Stroke Association and the NHS recommend waiting for at least two weeks before flying, as the risk of a second stroke is highest in the weeks following the initial stroke. In some cases, it may be advisable to wait up to three months. Travelling with a companion is suggested for extra support, and it is important to keep medication easily accessible during the trip.
Characteristics | Values |
---|---|
Time to wait after a stroke before flying | 2 weeks, 10 days, 3 days, 1-3 months |
Who decides when it's safe to fly | Doctors, medical professionals |
Risks of flying after a stroke | Blood clots, decreased oxygen, lack of prompt medical attention, increased blood clotting, recurrence of stroke symptoms, mobility and physical limitations, communication challenges, fatigue |
Precautions to take before flying | Get medical clearance, buy travel insurance, carry medication in hand luggage, travel with a companion, allow extra time, limit salty snacks, stay hydrated, move around regularly, wear compression stockings |
What You'll Learn
- The Stroke Association recommends waiting at least two weeks before flying
- You should consult a doctor before flying to ensure your health is stable
- The risk of a second stroke is higher in the weeks after the first
- The risk of blood clots is increased during and after air travel
- You may need to take out specialist travel insurance
The Stroke Association recommends waiting at least two weeks before flying
The Stroke Association recommends waiting for at least two weeks before flying after experiencing a stroke. This is because the risk of having another stroke is highest in the first month following the initial stroke, and the chances increase dramatically in the initial two weeks. In the most severe cases, patients may want to wait up to three months before flying.
The Stroke Association's recommendation is supported by medical research, which shows that the first two weeks after a stroke are when complications are likely to be most severe, and other conditions related to the stroke may arise. Flying within the first two weeks increases the risk of a second stroke, and in the event of a recurrence, it is advisable to be close to emergency medical interventions.
Additionally, new post-stroke medical conditions may arise within a few months of the initial stroke. It is best to be near your medical providers to receive immediate attention if needed. Getting medical clearance from your doctor before flying is crucial, as they can determine if your health is stable enough for air travel.
The risk of a recurrent stroke is a significant concern for all survivors, and flying increases this risk. Therefore, it is essential to carefully consider the decision to fly, especially in the first six months to a year after a stroke. While flying is generally safe for stroke survivors, the timing depends on individual risk factors and medical complications.
It is also important to note that each airline will have its own rules regarding flying with medical conditions, so checking with the airline before booking your flight is essential. Some airlines may not accept passengers who have had a stroke within the last few days or weeks.
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You should consult a doctor before flying to ensure your health is stable
It is understandable that you may want to travel after experiencing a stroke. However, it is crucial to prioritise your health and ensure it is safe for you to do so. The decision to travel after a stroke should be made in consultation with a doctor, who can assess your individual circumstances and provide personalised advice. Here are some reasons why consulting a doctor before flying is essential to ensure your health is stable:
- Risk of Recurrence: The risk of having another stroke is significantly higher in the initial weeks and months following the first stroke. According to the American Heart Association (AHA), one in four stroke survivors experience a second stroke, and this risk is heightened in the first 30 days. The Stroke Association recommends waiting for at least two weeks before flying, and if possible, waiting one to three months to ensure your health is stable.
- Health Complications: A stroke can lead to various health complications, such as muscle weakness, impaired coordination, balance issues, and walking difficulties. These physical limitations can make navigating airports and airplanes challenging. Consulting a doctor will help you understand your specific limitations and needs, allowing you to make informed travel plans.
- Medical Clearance: Airlines often have policies regarding flying with medical conditions. Some airlines may not accept passengers who have had a stroke within a certain timeframe, typically a few days to a few months. Consulting a doctor will help you obtain the necessary medical clearance and any required documentation, such as a doctor's note or certificate, to ensure you meet the airline's requirements.
- Blood Clot Risk: Flying increases the risk of developing blood clots due to reduced mobility and changes in cabin pressure and oxygen levels. This risk is especially pertinent for stroke survivors, as blood clots can lead to a recurrent stroke or other serious complications. A doctor can advise you on ways to mitigate this risk, such as wearing compression socks, staying hydrated, and performing in-seat exercises.
- Medical Treatment Access: If you experience a stroke while flying or at your destination, you may need immediate medical attention. Consulting a doctor beforehand will help you understand the potential risks and ensure you have adequate access to medical care during your travels. Additionally, your doctor can advise you on managing your medications while travelling to ensure you take them correctly and have an adequate supply.
- Stress and Fatigue: Travelling can be physically and mentally exhausting, and the stress of navigating airports and adhering to schedules can impact your overall well-being and recovery. Consulting a doctor will help you assess your ability to handle the demands of travel and make any necessary adjustments to promote a safe and comfortable journey.
Remember, each person's recovery from a stroke is unique, and there is no one-size-fits-all approach to flying after a stroke. Consulting a doctor will help you make an informed decision about travelling, ensuring that your health is stable and that you have the necessary support and precautions in place for a safe and enjoyable trip.
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The risk of a second stroke is higher in the weeks after the first
The risk of a second stroke is higher in the first year after the first, with the chances of recurrence being 15 times greater than for the general population. This risk is especially prominent in the first month following the initial stroke. The Stroke Association recommends waiting for at least two weeks before flying, as the chances of having another stroke increase dramatically in this time.
The risk of recurrence is influenced by the persistence of stroke risk factors, such as high blood pressure, high cholesterol, diabetes, smoking, and obesity. These factors can lead to ischemic strokes, which are caused by blocked blood vessels, or haemorrhagic strokes, resulting from bleeding in blood vessels.
To reduce the risk of a second stroke, it is crucial to manage controllable risk factors. This includes quitting smoking, maintaining a healthy weight, and increasing physical activity. Additionally, it is important to closely monitor and manage chronic health conditions such as diabetes and heart arrhythmias.
The likelihood of a second stroke can be further reduced by implementing long-term risk-reduction strategies. These strategies include managing blood pressure, cholesterol, and blood sugar levels, as well as addressing irregular heart rhythms. It is also important to maintain a healthy body weight, engage in regular exercise, and follow a healthy diet.
By taking these precautions and following medical advice, individuals can effectively reduce the risk of experiencing a second stroke in the weeks following the first.
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The risk of blood clots is increased during and after air travel
Reduced oxygen levels in the cabin can trigger the body's natural clotting response. The lower air pressure causes a decrease in oxygen available to the body and brain, known as hypoxia. While this oxygen loss is usually mild, it can slow blood flow and increase the risk of clot formation.
Additionally, inactivity and immobility during long flights can lead to blood clots, particularly in the legs. Deep Vein Thrombosis (DVT) occurs when a blood clot forms in a deep vein, typically the legs, and can be life-threatening if the clot breaks off and travels to the lungs or brain. The longer the flight, the higher the risk, with flights over four to six hours posing a significant concern for DVT.
To prevent blood clots during air travel, it is recommended to wear compression socks, which improve circulation and reduce the likelihood of clots in the legs. Staying hydrated, avoiding excessive salt, alcohol, and caffeine, and performing in-seat exercises or walking around the cabin can also help reduce the risk of blood clots.
It is important to consult a doctor before flying, especially for those with a history of blood clots or other health conditions, to assess the risks and take any necessary precautions.
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You may need to take out specialist travel insurance
It is important to have travel insurance, especially if you are going abroad. You may need to take out specialist travel insurance. Many policies will exclude pre-existing medical conditions, which could mean that you would have to pay for any costs relating to these conditions. There are specialist travel insurers that provide cover for pre-existing conditions.
The Stroke Association, for example, has a partnership with specialist medical travel insurer AllClear Travel, which provides comprehensive cover to stroke survivors. Both single trip and annual multi-trip policies are available. AllClear Travel has specialised in covering older travellers and those with pre-existing medical conditions for over 20 years. Their stroke travel insurance covers medical emergencies, including medical conditions that may arise as a result of your stroke, and replacement medication. They also offer a 24/7 medical emergency helpline. When you purchase a policy from AllClear, they will make a contribution of up to 20% of your premium to the Stroke Association at no additional cost to you.
Another option is to look into Global Health Insurance Cards (GHIC). The GHIC replaces the European Health Insurance Card (EHIC) and allows you to receive state-provided healthcare in European countries. Treatment is either free or at a reduced cost. It will cover your treatment until you return to the UK and also covers the treatment of pre-existing medical conditions. However, it won't cover certain costs, including the cost of returning you to the UK, so you still need to get private travel insurance as well.
When taking out travel insurance, make sure you declare that you've had a stroke when arranging your insurance and check that you are fully covered.
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Frequently asked questions
The Stroke Association recommends waiting at least two weeks after a stroke before flying. However, recovery timelines vary for everyone, and there is no set rule for when individuals can fly after having a stroke. It is important to consult with a doctor to determine if your health is stable enough for air travel.
Before flying, it is important to notify your airline if you have any special requirements due to the stroke. Additionally, ensure that you have medical travel insurance and enough prescribed medication for your trip, packed in your hand luggage.
Flying can increase the risk of developing blood clots, particularly deep vein thrombosis (DVT), which can lead to a pulmonary embolism (PE) or another stroke. There is also a risk of delayed medical treatment if a stroke occurs during the flight.
To minimise the risk of blood clots, consider wearing compression stockings or flight socks, which improve blood flow in the legs. Stay hydrated by drinking plenty of water and avoid alcohol, which can cause dehydration and thicken the blood. Move around and exercise regularly during the flight to improve blood flow.
It is important to have travel insurance, especially if travelling internationally. Declare your history of stroke to your insurance provider and ensure you are fully covered. Carry medical documentation and any necessary medications, and be aware of the rules and restrictions for travelling with medication.