Abstract              Background: Patients with acute Ischaemic stroke are at risk for Neurological and Medical complications. Identifying the frequency of complications could enhance timely treatment and improve clinical outcome. Methods: We analysed the frequency of the complications following Ischaemic stroke in 100 consecutive patients diagnosed in Medical and Neurology wards of Amala Institute of Medical Sciences. Results: Complications during hospital admission were recorded in 100 stroke patients. Specific complications were as follows. Neurological Complications – Recurrent stroke (2.8% of patients), seizure (5.6%), haemorrhagic transformation (2.8%), brain edema (2.8%) Acute confusional state – 5.6% Medical complications: Urinary tract infection in 23.1%, Pneumonia in 4.9%, Electrolyte imbalance –Hyponatraemia in 36.4%, Hypokalemia in 13.3%, Acute coronary syndrome in 0.7%, pressure sores is 0.7%. Conclusion: Our Prospective study has confirmed that post stroke complications particularly infections are common. However we have also identified complications relating to Electrolyte imbalance that are potentially preventable and may previously have been under estimated.