How Long Should Patients Rest in Bed After Subarachnoid Hemorrhage?

Understanding Recovery Time After Subarachnoid Hemorrhage

Following a subarachnoid hemorrhage (SAH), one of the most critical aspects of early recovery is strict bed rest. Most patients are advised to remain in complete bed rest for approximately four weeks, although the exact duration can vary depending on the severity of the bleed, the patient's overall health, and whether complications such as aneurysms are present. During this period, minimizing physical strain and emotional stress is essential to reduce the risk of rebleeding, which can be life-threatening.

Managing Daily Activities During Hospitalization

Monitoring fluid intake and output is crucial during the acute phase of treatment. Medical teams closely track how much the patient eats and drinks, as well as urine and stool output, to maintain stable fluid balance. This helps prevent fluctuations in blood pressure that could increase the risk of another hemorrhage. Patients are encouraged to avoid any activity that causes sudden increases in intracranial pressure—such as straining during bowel movements or intense coughing. In some cases, doctors may prescribe stool softeners or mild sedatives to prevent straining.

The Role of Early Vascular Assessment

One of the primary concerns after SAH is identifying the underlying cause, most commonly a ruptured cerebral aneurysm. To evaluate this, medical professionals typically perform a cerebral angiography—a detailed imaging test that visualizes the brain's blood vessels. Early detection of an aneurysm allows for prompt intervention, significantly improving long-term outcomes.

Treatment Options for Aneurysms

If an aneurysm is detected, treatment usually involves either endovascular coiling (filling the aneurysm with platinum coils) or surgical clipping (placing a metal clip at the base of the aneurysm). Both methods aim to seal off the weakened vessel area and prevent future bleeding. The choice between procedures depends on the aneurysm's size, location, and the patient's overall condition.

Lifestyle Adjustments for Long-Term Prevention

Even after discharge, patients must continue taking precautions. Avoiding strenuous physical activities, heavy lifting, and emotionally charged situations—such as anger or extreme excitement—is strongly recommended. These triggers can spike blood pressure and place undue stress on blood vessels in the brain. Instead, gradual reintroduction of light activity under medical supervision supports recovery without increasing risk.

Supporting Recovery Through Holistic Care

Recovery from subarachnoid hemorrhage extends beyond physical healing—it often requires psychological support, nutritional guidance, and regular follow-ups with neurologists. Educating patients and caregivers about warning signs of complications, such as severe headaches or neurological changes, empowers them to seek immediate help if needed. With proper care, many individuals go on to make significant recoveries and return to fulfilling lives.