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Sub-arachnoid haemorrhage
A guide for patients and carers
Recovery and convalescence
Is there permanent damage?
Many people recover completely, but in some cases the damage to the brain tissue may, for example, cause speech disturbance, weakness down one side or double vision. However, not all damage is permanent and these problems can continue to improve over a number of years. It is difficult to forecast which disabilities will get better. The type of disability will depend on where and to what extent the bleeding occurred.
What should I be doing now?
Try to return to as normal a lifestyle as possible, slowly but surely.
What can I do to help myself?
Be aware that recovery is not a continuous process although it may continue for several years. There will be peaks and troughs, good days and bad. Don’t give up hope during the bad days.
What precautions should I be taking now?
- Continue to take your medication as prescribed.
- Don’t smoke for one year and if possible, give up permanently.
- Don’t drive or cycle in traffic.
- Don’t climb ladders.
- Don’t swim unaccompanied because of the risk of exhaustion, a faint or a fit.
Make sure your blood pressure is controlled. - When washing your hair, immerse your head only when the wound has healed. This is usually possible after 2-3 weeks. The use of hair dyes after this time is not harmful.
How much exercise should I take?
Exercise is beneficial. You should gradually increase the amount of exercise taken (for example, walking a little further each day). The limitation is tiredness. Over-enthusiasm will result in severe tiredness. This is not dangerous.
How do I know if I'm doing too much?
You will become exhausted and need more rest! Your body will let you know when to slow down. On average, people tire easily for the first three months after discharge from hospital.
What should the family do to help?
Provide practical support such as help with transport. Other than that, unobtrusive support that allows you to return to a normal and independent life is the best thing they can offer you. They also need to be ready to listen and to supply comfort on low days.
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