A little out of my area, but I have worked with stroke patients, so
I'll offer this:
(1) For prophylaxis for "normal" people, I believe one "baby" aspirin
every other day is fairly usual. I don't know how many mgs this is,
but you can easily check it out. Looking at an old aspirin bottle, I
see that (at least for the time release pills) 2 tablets, each 650 mg,
is a normal starting dose for a HEADACHE, followed by 1 or 2 more every
6 hours, if needed.
(2) For long term (daily or every other day) use, one has to be alert
to the possibility of gastric bleeding, but I would guess that the dose
you describe, less than 1/4 of the usual initial headache dose, is less
likely to cause this. Just to keep it in perspective: I had very
serious gastric bleeding after a long period of heavy doses of
ibuprofen, with a course of methlyprednisone for a few days (due to
severe sciatica), but my internist/gastroenterologist thinks a baby
aspirin every other day would be good for me.
(3) Given that she has a history of stroke, i.e. is demonstrably at
HIGH RISK for stroke, it seems reasonable to me that somewhat higher
than usual prophylactic dose would be prescribed (i.e. about a half of
an aspirin tablet per day? I believe I've heard that recommended for
normal prophylaxis also.
(4) Some people ARE allergic to aspirin, and I can imagine the
possibility of finger swelling being an allergic reaction, but it seems
to me more likely that the aspirin might work to REDUCE inflammation
and swelling due to the bone crack.
(5) Which wrist? Is it on the oopposite side of the body from the site
of the stroke? Prolonged circulatory disturbance, autonomic
distrurbance, swelling, etc., are not uyncommon in limbs affected by
stroke. (cf. "shoulder-hand syndrome"))
F. Frank LeFever, Ph.D.
New York Neuropsychology Group
In <7mbt6b$e7p$1 at nobel2.pacific.net.sg> "pacific" <mvpl at pacific.net.sg>
writes:
>>I hope someone could help.
>>My mum is a stroke patient and has been on Asprin. When she was
discharge
>from the hospital , she was given 100mg asprin. When she return for
follow
>up , the doc give her 300mg. Is this normal ?
>>1. I thought it should be the mg should be lower as time goes by...
>>2. My mum also has a bone crack on her wrist and there is swelling on
her
>hand up to finger point,
>It's been 2 months already, and the swelling still there, is the
swelling
>due to her stroke and aspirin ?
>>Anyone has any info, please advise. Thank you.
>>Derek
>>>>>
