Recurrent seizures caused due to sudden and uncontrolled changes in the brain's electrical activity is called epilepsy. People with epilepsy have symptoms like confusion, uncontrolled jerking of the hands and legs, loss of consciousness, tiredness, etc. The factors that increase the risk of epilepsy are head injury, stroke, brain tumor, infectious diseases, birth brain defects, and autism.
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I am a 59-year-old male suffering from recurrent episodes of grand mal seizures over the past 14 years. Why so?
Query: Hello doctor,I am a 59-year-old male who suffered three grand mal seizures over the past 14 years. The first was at age 45 when I was taking Larium, an anti-malaria med that has been taken off the market due to a wide range of side effects, including seizures. At that time, my MRI, CT scan, EEG, and... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. I understand your concern. The rare seizures seem to have happened in somewhat provoked situations. On the other side, because these seizures have occurred rarely, I agree with you that taking medication is unnecessary, considering its adve... Read Full »
My daughter bit her tongue during seizures. Can this be epilepsy?
Query: Hello doctor, Please help! I am so upset. My daughter had a seizure. She had one 7 months ago too. We thought it was syncope, but now we think it is a seizure. She had CAT scan, blood work, and EKG and all the reports are fine. We saw a neurologist, and he said everything seemed all right. He gave ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your daughter's comprehensive medical history written by you. Tongue bite and urination indicate that these episodes are seizures. The probable diagnosis would be epilepsy. Tongue bite is not seen in syncope, though urinary incontinence may be rare... Read Full »
I am pregnant, so is it safe to take epilepsy tablets?
Query: Hello doctor, I am a 30 year old female. I am 8 weeks pregnant. I have been having epilepsy since 10 years. I had the last seizure a year ago. I am taking the following tablets: tablet Tegretol CR 200 (1-0-2), tablet Frisium 5 mg (0-0-2) and tablet Folic acid 5 mg (0-0-1). Can I take these tablets ... Read Full »
Answer: Hello, Welcome to icliniq.com. Tablet Tegretol should not be used in pregnancy. Only pregnancy-safe drugs should be taken during pregnancy. It is categorized as category D of FDA drugs in pregnancy. Category D means, there is enough evidence that it causes risk to the fetus. So, I would advise y... Read Full »
Query: Hi doctor, I had my first tonic clonic (grand mal) seizure seven days ago at work. It lasted 1 minute 30 seconds. I bit my tongue badly, but did not have any incontinence. Beforehand, I was shaking, had a loud beating heart and had a feeling of vertigo and anxiety. Afterwards, I was confused for app... Read Full »
Dr. J. Mariano Anto Bruno Mascarenhas
Answer: Hi, Welcome to icliniq.com. I have gone through your query with diligence and would like you to know that I am here to help you. From what you have narrated, I am of the opinion that your seizures were provoked or brought on by a combination of non-diabetic hypoglycemia, lack of sleep, dehydratio... Read Full »
What is the treatment for epilepsy who has had it for the past 22 years?
Query: Hello doctor, My mother is a patient of epilepsy for 22 years. Earlier she was diagnosed as GTCS (generalized tonic-clonic seizures) and CPS (complex partial seizures) and given Eptoin 100mg BD at first, then Zeptol CR 400mg BD with Cloba 10mg for fits, convulsions, and senselessness. But still, it... Read Full »
Answer: Hello, Welcome to icliniq.com. Your mother's situation seems to be very complicated. I would like to explain that it is true that Carbamazepine (Zeptol) can have no good effect or even worsen idiopathic generalized seizures. I would not recommend Topiramate for this type of epilepsy, because it is ... Read Full »
My 5-year-old son had fits when he had a fever. Can it be due to epilepsy?
Query: Hello doctor, My 5-year-old son had a recurring fever, cold, and cough for over a month and was managed with fever medicines. One day he got fits and had only a slight fever; otherwise, he was active during the day. Took him to the emergency hospital immediately, gave him medicine, and then only ... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Please answer the following questions: 1. Is there any history of fits in the family? 2. Was the child a normal delivery, and was there a NICU stay at birth? 3. How are his social skills, like playing with others and following commands? 4... Read Full »
Is it fine to get visual hallucinations after taking Mirtazapine?
Query: Hello doctor, I am on Mirtazapine for the past four months, treating episodical depression and panic attacks. Overall it was going good but yesterday I have experienced visual hallucinations for the first time. I will see my doctor in half a month only. Should I be worried? Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for taking help from a psychiatrist. Visual hallucinations are due to organic brain lesion (epilepsy) or any substance abuse (alcohol or recreational drug). If it is just once in while then it is not problematic but if it is an increase in the frequency and dist... Read Full »
My 11-year-old child is epileptic and has headaches and seizures despite taking the medications. Which alternative medicines can she take?
Query: Hello doctor, My child is 11 years old and is epileptic. She is taking the tablet Epliex Chrono 300 mg. She always complains of headaches and seizures. Her MRI reports are normal. However, the EEG shows an ictal headache. She always passes stools without informing. Please suggest some other medicine... Read Full »
Answer: Hello, Welcome to icliniq.com. Epilepsy is a long-term disease that needs long-term medication, and nothing can be done. I cannot change the medications. I suggest your son undergo a colonoscopy to know if you have intussusception. Please attach the colonoscopy and ultrasound reports. Read Full »
What can be the reason behind severe shifting pain with numbness and weight loss?
Query: Hello doctor, I have multiple sclerosis, diabetes, and epilepsy. However, I am usually numb to pain, my bowels function fine, and my temperature is normal. I got two shots of the vaccine for COVID. Hence, over the last three or four weeks, I initially got pain in both kidney areas, but not from them... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your query. I am sorry for such discomfort you are having. Your description of the symptom does not fit the usual suspects. Therefore I would like to ask you a few questions; Do you have any aggravating or relieving factors for the pain in the mentioned... Read Full »
I am suffering from fever, cough, and body aches along with two other chronic diseases, epilepsy, and psoriasis. Please help.
Query: Hello doctor, I have fever, cough, headache, and heavy body aches for the past few days. I am also suffering from two chronic diseases. 1. Epilepsy- I was under medication for Phenytoin for two years. I then consulted a doctor who advised me to stop Phenytoin and start Sodium Valproate immediately. ... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. Your symptoms suggest a viral illness that must be taken more seriously due to your underlying diseases and history of using anticonvulsants and corticosteroids. Symptomatic therapy is going to be enough for now... Read Full »