THURSDAY, May 5 (HealthDay News) -- If you have a brain
aneurysm, drinking coffee, having sex or even getting angry may
boost the risk of it rupturing, a new study suggests.
Although the risk is extremely small, people who have aneurysms
should be careful, said Dr. Sahil Parikh, assistant professor of
medicine at University Hospitals Case Medical Center in
"For those patients who do have aneurysms, it would be advisable to avoid those behaviors," said Parikh, who's familiar with the study findings.
Aneurysms occur when the wall of an artery weakens and bulges
out. They can occur anywhere in the body, but are particularly
dangerous in the brain, where they can cause a hemorrhagic
(bleeding) stroke if they burst.
In the study, published online May 5 in the journal
Stroke, researchers asked 250 patients who had suffered a ruptured brain aneurysm about their exposure to 30 possible triggers before the hemorrhage.
The investigators found that being startled raised the risk of
burst aneurysm in someone who already has an aneurysm by the
highest level -- 23-fold. Anger boosted the risk by 6 times. Other
things raised the level, too: Coffee (2 times), cola (3 times),
straining for defecation (7 times), sexual intercourse (11 times),
nose blowing and vigorous physical activity (both 2 times).
The cause seems to be higher blood pressure, said study lead
author Dr. Monique H.M. Vlak, since all eight activities cause
blood pressure to rise.
Vlak said about 2 percent of the population has a brain
aneurysm. They are often symptomless and frequently harmless.
"You shouldn't be scared because the likelihood of this happening is extremely rare," said Parikh. "I would encourage patients not to worry excessively about it and consult with their doctor if they feel at risk of an aneurysm."
Even if you do have an aneurysm, it's unlikely to bother you.
"We think most aneurysms never rupture," said Vlak, a neurologist
at the Utrecht Stroke Center at University Medical Center in
Utrecht, the Netherlands.
"Most aneurysms are discovered incidentally, since they hardly ever cause symptoms before rupturing," she added. "If they do cause symptoms, most often it is double vision or an incredibly severe headache, which is maximal within less than a minute. The latter is often a small leak and is called a 'warning leak.'"
People with known aneurysms should avoid caffeine, Vlak said,
and use laxatives if they're constipated.
As for exercise, Vlak said its positive effects on the body
outweigh the extra risk among those patients.
For more about
brain aneurysms, visit the Brain Aneurysm Foundation.
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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