Emotional Stress and Strokes: What You Need to Know NOW

Emotional Stress and Strokes: What You Need to Know NOW

Discover the hidden link between emotional stress and strokes. Learn how to protect your cardiovascular health today! Read more now.

Stress may feel like an everyday part of life, but did you know it can have serious health impacts? Research shows that chronic stress is a major risk factor for strokes, potentially having long-term effects on your cardiovascular health.

This article will explore how emotional stress and stroke are connected, providing valuable insights to help you understand and navigate these complex matters. Ready? Let’s delve deeper into this important topic.

Key Takeaways

  • Chronic emotional stress is a major risk factor for strokes, as it can lead to arterial damage, high blood pressure, and diabetes.
  • Stress hormones like cortisol can exacerbate the development of stroke-inducing conditions such as hypertension and atherosclerosis.
  • Unhealthy coping behaviors like smoking or excessive alcohol consumption are often associated with chronic stress and increase the risk of stroke.
  • Recognizing physical symptoms such as headaches, muscle tension, fatigue, and sleep disturbances can help identify chronic stress early on and implement effective management strategies.

Understanding Strokes

Emotional Stress and Strokes: What You Need to Know NOW

Both ischemic and hemorrhagic strokes occur when blood flow to the brain is disrupted, leading to damage or death of brain cells.

Definition and types of strokes

A stroke, often called a cerebrovascular accident (CVA), is a medical condition where the blood supply to part of your brain is interrupted or reduced. The two major types are ischemic and hemorrhagic strokes.

An ischemic stroke, the most common type, occurs when a clot obstructs blood flow in an artery supplying the brain. Hemorrhagic strokes result from rupture or leaking of a weakened blood vessel interfering with normal oxygen and nutrient delivery.

Both situations deprive brain cells of oxygen and nutrients, causing them to die rapidly – highlighting the criticality of immediate treatment for recovery success. It’s also noteworthy that stress hormones like cortisol can exacerbate arterial damage, thereby increasing stroke risk, underlining how intertwined chronic stress and cardiovascular health truly are.

Common causes of strokes

Strokes have many causes, many of which are influenced by lifestyle factors and underlying health conditions.

  1. Hypertension: Noticeably, hypertension, or high blood pressure, is identified as the leading cause of strokes.
  2. High cholesterol: It plays a critical role in strokes by causing atherosclerosis – narrowing of the arteries due to plaque buildup.
  3. Smoking: This unhealthy coping behavior increases the risk of clotting which can lead to stroke if it occurs in an artery supplying blood to the brain.
  4. Obesity: Being overweight can contribute significantly to high blood pressure and diabetes—both potential stroke triggers.
  5. Diabetes: Individuals living with this condition often have twice the likelihood of experiencing a stroke compared to those without diabetes.
  6. High blood glucose levels: Stress hormones like cortisol may elevate glucose levels over time, posing an additional risk for stroke development.
  7. Chronic stress: This factor has been linked with arterial damage and increased blood sugar and pressure levels—all precursors for stroke.
  8. Exaggerated Blood Pressure Reactivity: Men who exhibit this phenomenon face as much as a 72% greater risk of experiencing a stroke.
  9. Consumption of energy-providing drinks and stressful habits: These are associated with increasing the risk of stroke incidents due to their effect on cardiovascular health.
  10. Occupational stress, particularly in high-demand and low-control jobs, raises the potential for strokes through elevated stress response mechanisms.

The Connection Between Emotional Stress and Strokes

Emotional Stress and Strokes: What You Need to Know NOW

Emotional stress can significantly impact the body and has been linked to an increased risk of strokes.

The impact of emotional stress on the body

Chronic emotional stress prompts the body to release stress hormones like cortisol. These hormones can propel your fight-flight-freeze response into overdrive, causing physiological changes that can lead to health issues over time.

Cortisol typically aids in regulating blood sugar levels, reducing inflammation, and assisting with memory formulation. However, when cortisol levels remain elevated due to ongoing stress, it can contribute to high blood pressure and high blood sugar — both significant precursors of critical conditions such as hypertension and diabetes.

Chronic stress may also lead individuals towards unhealthy coping behaviors such as smoking or excessive alcohol use. Such habits heighten stroke risks by damaging arterial walls or exacerbating hypertension.

Moreover, surveys have depicted a concerning correlation between work-related stress in high-demand jobs with low control elements and increased stroke incidence rates among professionals.

How stress can lead to a stroke

Chronic stress can profoundly impact our bodies, and one area where it can cause significant harm is increasing the risk of strokes. When we experience stress, our bodies release hormones like cortisol that help us respond to threats.

However, prolonged exposure to stress hormones can damage our arteries and increase blood pressure, leading to hypertension. This elevated blood pressure strains our arteries’ walls and can eventually lead to a stroke.

Additionally, chronic stress promotes unhealthy behaviors such as smoking or overeating, which further contribute to the development of conditions like diabetes and high cholesterol, that are known risk factors for strokes.

Professionals must be aware of how stress affects their health, including their risk of stroke. By managing chronic stress through regular exercise or deep breathing exercises, professionals can reduce their risk of developing conditions that make them more susceptible to strokes.

Taking steps towards a healthier lifestyle by adopting habits that promote cardiovascular health – such as following a balanced diet and getting enough restful sleep – also plays a crucial role in preventing stroke.

Statistics: Stress and Stroke Risk

Emotional Stress and Strokes: What You Need to Know NOW

Stress is a significant risk factor for stroke, with research indicating that chronic stress can contribute to arterial damage and increase the likelihood of experiencing a stroke.

The prevalence of stress-induced strokes

Stress-induced strokes are a significant concern, with research showing that both short-term and long-term emotional stress can increase the risk. A large study of over 26,000 participants found that self-reported psychosocial stress within the previous 12 months was associated with an increased risk of both ischemic and hemorrhagic stroke.

This link between stroke and stress holds regardless of socioeconomic status, occupation, or educational level. Certain lifestyle factors may also contribute to this increased risk, including depression, lower education level, marriage, and perceived stress.

Additionally, pre-stroke depression and perceived stress have been strongly linked to the severity of the stroke. These findings emphasize the importance of recognizing and managing chronic stress as part of comprehensive stroke prevention strategies for professionals like you.

How stress increases stroke risk

Chronic stress significantly increases the risk of stroke by negatively affecting our cardiovascular system. Prolonged stress leads to elevated levels of stress hormones like cortisol, which can damage blood vessels and contribute to atherosclerosis, or the build-up of plaque in arteries.

This plaque buildup restricts blood flow and can lead to high blood pressure, a major risk factor for stroke. Chronic stress is often associated with unhealthy coping behaviors such as smoking, excessive alcohol consumption, and poor dietary choices, which further increase the risk of stroke.

Professionals must recognize the impact that chronic stress can have on their patients’ health and implement strategies for managing stress effectively in order to reduce their risk of stroke.

Recognizing the Signs of Chronic Stress

Chronic stress can manifest in physical symptoms such as headaches, digestive issues, and changes in appetite or libido.

Physical symptoms

Chronic stress can manifest in various physical symptoms that professionals should be aware of. These symptoms may include:

  1. Headaches: Chronic stress can cause frequent and intense headaches, ranging from tension headaches to migraines.
  2. Muscle tension and pain: Stress often leads to muscle tension, resulting in pain or discomfort in the neck, shoulders, back, or other body areas.
  3. Fatigue: Prolonged stress can lead to chronic fatigue, making it difficult for individuals to maintain energy levels throughout the day.
  4. Sleep disturbances: Stress can disrupt sleep patterns, causing insomnia or difficulties falling asleep and staying asleep.
  5. Digestive issues: Chronic stress can contribute to digestive problems such as stomachaches, bloating, constipation, or diarrhea.
  6. Weakened immune system: High levels of stress hormones suppress the immune system, making individuals more susceptible to infections and illnesses.
  7. Changes in appetite: Stress can lead to changes in eating habits, resulting in either increased or decreased appetite and potential weight fluctuations.
  8. Chest pain or tightness: Severe stress may cause chest discomfort or tightness due to increased heart rate and blood pressure.
  9. Respiratory problems: Stress-induced breathing patterns may cause shortness of breath, rapid breathing, or shallow breathing.
  10. Skin issues: Some individuals may experience skin problems such as acne breakouts, psoriasis flare-ups, hives, or rashes due to heightened stress levels.

Emotional and behavioral symptoms

Emotional and behavioral symptoms are common signs of chronic stress, which can contribute to an increased risk of strokes. Professionals need to be aware of these symptoms to recognize and address the impact of stress on their patients’ health. Here are some emotional and behavioral symptoms to watch out for:

  1. Mood swings: Chronic stress can lead to frequent changes in mood, including irritability, anger, and frustration.
  2. Anxiety: Individuals experiencing high stress levels may often feel anxious or experience a sense of impending doom.
  3. Depression: Prolonged exposure to stress can increase the likelihood of developing depression, characterized by sadness, hopelessness, and loss of interest in activities.
  4. Increased substance use: Some individuals may use alcohol or drugs to cope with chronic stress.
  5. Social withdrawal: Stressful situations can make individuals want to isolate themselves from others, leading to decreased social interaction.
  6. Poor concentration and memory problems: Chronic stress can impact cognitive function, making it more difficult to focus and remember information.
  7. Sleep disturbances: Stress can disrupt sleep patterns, causing difficulties falling asleep or staying asleep throughout the night.
  8. Changes in appetite: Some people may experience fluctuations in appetite when stressed, leading to either overeating or undereating.
  9. Decreased libido: High levels of chronic stress can cause a decrease in sexual desire and satisfaction.
  10. Agitation and restlessness: Individuals under significant stress may exhibit agitation and restlessness, finding it difficult to relax or sit still.

How to Manage Chronic Stress

Emotional Stress and Strokes: What You Need to Know NOW

To manage chronic stress, engage in regular exercise, practice deep breathing techniques, monitor caffeine intake, and focus on controllable aspects of life.

Regular exercise

Regular exercise is a crucial component in managing chronic stress and reducing the risk of stroke. Regularly engaging in physical activity helps release endorphins, known as the “feel-good” hormones that promote relaxation and combat stress.

Exercise also improves cardiovascular health by lowering blood pressure, reducing inflammation, and decreasing cholesterol levels, all of which contribute to a lower risk of stroke. In fact, research has shown that individuals who lead sedentary lifestyles are more prone to high stress levels and an increased risk of stroke.

By incorporating activities such as walking, jogging, or yoga into your routine, you can effectively manage emotional stress and improve both your mental well-being and overall cardiovascular health.

Deep breathing exercises

Deep breathing exercises are powerful for managing chronic stress and its impact on the body. When we’re stressed, our breathing tends to be shallow and rapid, which can contribute to a heightened state of anxiety.

However, by intentionally slowing down our breath and taking deep inhales and exhales, we activate the body’s relaxation response. Deep breathing has been shown to reduce cortisol levels, lower blood pressure, and promote a sense of calmness in both the mind and body.

Research has found that practicing deep breathing techniques regularly can help prevent or manage cardiovascular disease and reduce the risk of stroke. So take a moment each day to focus on your breath – it’s a simple yet effective way to promote overall well-being and protect against the negative effects of chronic stress.

Monitoring caffeine intake

Monitoring caffeine intake is essential for managing chronic stress and reducing the risk of stroke. While a cup of coffee can provide a temporary energy boost, excessive consumption of caffeine can elevate your heart rate, increase blood pressure, and contribute to feelings of anxiety and restlessness.

Long-term consumption of high amounts of caffeine has been linked to an increased risk of developing hypertension, a major risk factor for stroke. By being mindful of your caffeine intake and limiting it to moderate levels, you can help maintain healthy blood pressure levels and reduce stress on your cardiovascular system.

Focusing on controllable aspects of life

One effective way to manage chronic stress and reduce the risk of stroke is by focusing on controllable aspects of life. By identifying and addressing the areas of our lives that we have control over, we can empower ourselves to make positive changes and alleviate stress.

For example, establishing a regular exercise routine can help release tension, improve mood, and promote overall well-being. Deep breathing exercises are another valuable tool for stress management, as they activate the body’s relaxation response and can quickly calm the mind.

It’s also important to monitor caffeine intake, as excessive consumption can amplify stress levels. By recognizing the controllable factors in our lives and taking proactive steps to manage them, we can significantly impact our emotional well-being and decrease the risk of strokes associated with chronic stress.

Lifestyle Factors That Influence Stress and Stroke Risk

Emotional Stress and Strokes: What You Need to Know NOW

Lifestyle choices, such as diet and nutrition, sleep and rest, and smoking and alcohol consumption, can significantly influence stress levels and stroke risk. Discover how these factors impact your health.

Read more about lifestyle factors that influence stress and stroke risk now.

Diet and nutrition

A healthy diet plays a crucial role in managing chronic stress and reducing the risk of strokes. A balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats provides essential nutrients that support overall well-being.

Interestingly, certain foods are known for their stress-reducing properties. For instance, foods high in omega-3 fatty acids, like salmon and walnuts, have been shown to lower cortisol levels and promote brain health.

Additionally, incorporating magnesium-rich foods such as spinach and avocados can help regulate blood pressure levels linked to stress-related hypertension. By making mindful food choices, professionals can positively impact their stress levels and improve their cardiovascular health.

Sleep and rest

Adequate sleep and quality rest are essential for managing chronic stress and reducing the risk of stroke. Poor sleep can exacerbate stress levels, leading to increased blood pressure and inflammation – both significant factors in stroke risk.

Individuals who consistently get less than six hours of sleep per night have a higher chance of experiencing a stroke. Quality rest allows the body to recharge and repair itself, ensuring optimal cardiovascular health.

Good sleep hygiene habits, such as sticking to a consistent bedtime routine, creating a comfortable sleeping environment, and practicing relaxation techniques, can significantly improve sleep quality and reduce stress.

Smoking and alcohol consumption

Smoking and alcohol consumption are two lifestyle factors that influence stress levels and increase the risk of stroke related to emotional stress. Research has shown that individuals who smoke or consume excessive amounts of alcohol are more likely to experience chronic stress, leading to higher blood pressure, inflammation, and increased cholesterol levels – all of which can significantly raise the risk of stroke.

Moreover, people with high levels of chronic stress tend to make unhealthy choices such as insufficient exercise, inadequate sleep, smoking, excessive drinking, and indulging in comfort food – further contributing to their vulnerability to strokes.

Professionals must be aware of these connections between smoking/alcohol consumption and strokes caused by emotional stress when advising patients to manage their overall health and reduce stroke risks.

Steps to Prevent Stress-Induced Strokes

Emotional Stress and Strokes: What You Need to Know NOW

It’s important to incorporate stress management techniques into your daily routine, prioritize regular medical check-ups, and make healthy lifestyle choices to prevent stress-induced strokes.

Stress management techniques

Stress management is crucial in reducing the risk of stroke. Here are some effective techniques for professionals to manage stress:

  1. Regular exercise: Engaging in physical activity releases endorphins, which can help improve mood and reduce stress levels. Aim for at least 30 minutes of moderate-intensity exercise, such as jogging or swimming, most days of the week.
  2. Deep breathing exercises: Deep breathing techniques like diaphragmatic breathing or alternate nostril breathing can activate the body’s relaxation response, decreasing stress hormones like cortisol.
  3. Practice mindfulness or meditation: Focusing on the present moment can help alleviate stress and promote a sense of calm. Guided meditation apps or attending mindfulness courses can help develop these practices.
  4. Establish healthy boundaries: Learn to say no when your workload becomes overwhelming and set realistic expectations for yourself. Avoid taking on more than you can handle and delegate tasks whenever possible.
  5. Prioritize self-care: Take time out for activities that bring you joy and relaxation, whether it’s reading a book, listening to music, or enjoying a hobby. Make self-care a priority in your daily routine.
  6. Build a support network: Surround yourself with positive relationships and seek support when needed. Talk openly with trusted colleagues, friends, or family members about your challenges.
  7. Time management skills: Develop effective strategies for managing your time, such as creating a schedule, setting priorities, and breaking tasks down into smaller manageable steps.
  8. Seek professional help if needed: If chronic stress becomes overwhelming and affects your daily functioning and well-being, consider seeking the assistance of a mental health professional specialising in stress management techniques.

Regular medical check-ups

Regular medical check-ups are crucial for professionals to prevent stress-induced strokes related to emotional stress. Here are some important reasons why regular check-ups should be a priority:

  1. Detect and manage risk factors: Regular check-ups allow healthcare professionals to monitor and manage risk factors contributing to stroke, such as high blood pressure, high cholesterol levels, and diabetes. By identifying these risk factors early on, appropriate interventions can be implemented to reduce the chance of a stroke.
  2. Assess overall cardiovascular health: Check-ups allow professionals to assess their cardiovascular health, including heart function, blood flow, and the condition of blood vessels. This comprehensive assessment helps identify any potential issues that may increase the risk of a stroke.
  3. Evaluate stress levels: During medical visits, healthcare providers can evaluate an individual’s stress levels and discuss strategies for managing stress effectively. By addressing chronic stress through therapy or lifestyle modifications, the risk of stroke can be minimized.
  4. Review medications: Regular check-ups ensure that professionals receive a thorough medication review. Healthcare providers will assess if any medications being taken may increase the risk of stroke or if adjustments need to be made.
  5. Provide guidance on healthy lifestyle choices: Medical check-ups allow professionals to receive guidance on making healthy lifestyle choices that promote overall well-being and reduce the risk of stroke. This may include recommendations regarding diet and exercise tailored specifically to their needs.

Healthy lifestyle choices

Maintaining a healthy lifestyle is crucial in reducing the risk of stress-induced strokes. Professionals can take the following steps to promote their overall well-being:

  1. Prioritize regular exercise: Engaging in physical activity helps reduce stress levels and improves cardiovascular health. Aim for at least 150 minutes of moderate-intensity aerobic activity per week, such as brisk walking or cycling.
  2. Practice deep breathing techniques: Deep breathing exercises can activate the body’s relaxation response, helping to alleviate stress and lower blood pressure. Incorporate diaphragmatic breathing or mindfulness meditation into daily routines.
  3. Monitor caffeine intake: While a cup of coffee can provide temporary energy, excessive caffeine consumption can increase anxiety and elevate blood pressure. Limit caffeine intake by opting for decaffeinated beverages or herbal teas instead.
  4. Focus on controllable aspects of life: Recognize that not all stressors are within one’s control, but individuals can manage their reactions to them. Focus on areas where professionals have influence and take proactive steps towards positive change.
  5. Maintain a balanced diet: A healthy diet rich in fruits, vegetables, whole grains, lean proteins, and low-fat dairy products promotes heart health and reduces stroke risk factors such as high cholesterol and hypertension.
  6. Get enough sleep and rest: Adequate sleep is vital in managing stress levels. Aim for 7-9 hours of quality sleep each night to support overall well-being and maintain optimal cognitive function.
  7. Avoid smoking and excessive alcohol consumption: Both smoking and heavy alcohol use contribute to increased stroke risk factors, including high blood pressure and damaged blood vessels.

Treatment Options for Strokes

Emotional Stress and Strokes: What You Need to Know NOW

Medical interventions and rehabilitation are crucial treatment options for strokes. These include using medications such as Plavix, Eliquis, and Pradaxa to reduce the risk of blood clots and manage underlying conditions like high cholesterol levels.

Additionally, stroke patients undergo intensive physical, occupational, and speech therapy to aid in recovery and regain lost abilities.

Medical interventions

Medical interventions play a crucial role in treating and managing strokes related to emotional stress. These interventions aim to prevent further damage to the brain, promote recovery, and reduce the risk of future strokes. Here are some key medical interventions used:

  1. Thrombolytic therapy involves administering medication (such as tissue plasminogen activator) intravenously to dissolve blood clots and restore blood flow to the brain.
  2. Mechanical thrombectomy: In cases where thrombolytic therapy is not effective or feasible, a minimally invasive procedure may be performed to physically remove the clot from the blocked artery using specialized devices.
  3. Antiplatelet medications: Drugs like aspirin, clopidogrel (Plavix), apixaban (Eliquis), and dabigatran (Pradaxa) may be prescribed to prevent blood clots from forming or getting larger.
  4. Anticoagulant therapy: For certain individuals at high risk of stroke due to conditions like atrial fibrillation, anticoagulant medications such as warfarin or direct oral anticoagulants (DOACs) are commonly used to thin the blood and prevent clot formation.
  5. Blood pressure management: Controlling high blood pressure is crucial in preventing recurrent strokes. Medications such as ACE inhibitors, beta-blockers, diuretics, and calcium channel blockers may be prescribed.
  6. Cholesterol-lowering medications: Statins are often prescribed to help lower cholesterol levels and reduce the risk of developing atherosclerosis, a contributing factor for strokes.
  7. Rehabilitation therapies: Stroke survivors may benefit from various rehabilitation therapies such as physical therapy, occupational therapy, speech therapy, and cognitive-behavioral therapy to regain function and improve quality of life.
  8. Lifestyle modifications: Healthcare professionals are vital in educating patients about lifestyle modifications that can reduce stroke risk. This may include guidance on maintaining a healthy diet, exercising regularly, quitting smoking, and moderating alcohol consumption.

Rehabilitation and recovery

Rehabilitation and recovery are crucial steps in the journey of stroke patients. Here are important aspects of this process to consider:

  1. Stroke-specific rehabilitation programs focus on helping patients regain their independence and improve their quality of life. They include physical therapy, occupational therapy, and speech therapy.
  2. Physical therapy: This plays a vital role in restoring mobility and strength. Therapists work with patients on exercises to improve balance, coordination, and motor skills.
  3. Occupational therapy: Occupational therapists assist stroke survivors in relearning daily activities such as dressing, grooming, and eating. They also help individuals adapt their surroundings to accommodate any physical limitations.
  4. Speech therapy: Many stroke survivors experience communication difficulties or swallowing problems, known as dysphagia. Speech therapists provide techniques to improve speech clarity and swallowing function.
  5. Cognitive rehabilitation: Strokes can cause cognitive impairments such as memory loss, attention deficits, or difficulty with problem-solving and decision-making. Cognitive rehabilitation focuses on restoring these functions through various exercises and strategies.
  6. Emotional support: Recovering from a stroke can be emotionally challenging for patients and their families. Mental health professionals provide counseling and support services to address feelings of depression, anxiety, or frustration.
  7. Assistive devices: Depending on the severity of the stroke’s impact on physical abilities, patients may require assistive devices like walkers, canes, or wheelchairs to aid mobility.
  8. Home modifications: Making necessary modifications at home can ensure a safe environment for recovery. This may include installing grab bars in bathrooms or ramps for wheelchair accessibility.
  9. Medication management: Stroke survivors often need medications to manage blood pressure, prevent blood clots, or control other medical conditions that may have contributed to the stroke.
  10. Lifestyle changes: Rehabilitation includes educating patients about adopting healthier habits such as maintaining a balanced diet low in sodium and saturated fats, engaging in regular exercise appropriate for their abilities, and avoiding smoking or excessive alcohol consumption.

Conclusion

In conclusion, the connection between emotional stress and strokes is undeniable. Chronic stress can significantly impact our physical and mental well-being, increasing the risk of arterial damage, high blood pressure, and diabetes – all major contributors to stroke.

By recognizing the signs of chronic stress and implementing effective stress management techniques, we can take proactive steps to reduce our risk and prioritize our health. Remember, taking care of our mental health is just as important as taking care of our physical health when preventing strokes.

Emotional Stress and Strokes – FAQs

1. Can emotional stress increase the risk of having a stroke?

Yes, emotional stress has been linked to an increased risk of strokes. Research suggests that chronic or prolonged stress can lead to changes in blood pressure, inflammation, and blood clotting, all of which contribute to the development of strokes.

2. What are the common stroke symptoms caused by emotional stress?

The symptoms of a stroke caused by emotional stress are similar to those caused by other factors. They can include sudden weakness or numbness on one side of the body, difficulty speaking or understanding speech, blurred vision, severe headache, dizziness or loss of balance.

3. How can I manage emotional stress to reduce my stroke risk?

Managing emotional stress is important for overall health and wellbeing. You can try various strategies such as practicing relaxation techniques like deep breathing exercises, mindfulness meditation or engaging in regular physical activity. Seeking support from friends, family or professional counselors can also help manage and reduce emotional stress.

4. Are there any lifestyle changes I should make to lower my risk of having a stroke due to emotional stress?

Yes, making certain lifestyle changes can help reduce your risk. This includes maintaining a healthy diet rich in fruits and vegetables while limiting salt intake, exercising regularly for at least 30 minutes most days of the week and avoiding tobacco smoke as smoking increases your chances of developing heart disease and your odds of experiencing strokes at younger ages compared with nonsmokers.

Emotional Stress and Strokes – Sources

https://www.health.harvard.edu/heart-health/anger-or-emotional-upset-may-trigger-stroke

https://www.flintrehab.com/can-stress-cause-a-stroke/

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2799352

https://www.healthline.com/health/stroke/can-stress-cause-a-stroke

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