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Fits/Epilepsy/Convulsions

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How can Epilepsy be treated ?

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The highlight of epilepsy treatment includes addressing the underlying cause and avoiding the triggering factors

If epilepsy is caused by an infection, is treated. Surgical removal of a tumor may help to control epilepsy in some individuals.

Anti-epileptic medicines, carbamazepine, phenytoin, valproic acid are provided depending on the kind of convulsion. Hence the dosage needs to be adjusted periodically. In underdeveloped countries, the WHO recommends the use of Phenobarbital for partial and tonic clonic seizure. Side effects of the drug is another factor that is always considered when a drug is administered.

The response to a drug varies with each individual. Some seizures respond well to certain drugs and respond poorly to others. An epilepsy that does not respond to drugs is called refractory epilepsy. This condition may be treated, in some, by surgically removing the abnormal cells in the brain that are responsible for the seizures.

In some patients, implanting vagal nerve stimulators in the chest may help to control the frequency of seizures.

Children with epilepsy are sometimes placed on a special diet, such as a ketogenic diet, to help control or prevent the seizures.

Wearing medical alert jewellery cautions the patients and helps to obtain immediate treatment.

In the developing countries, there are 35 million people who are suffering from epilepsy, of whom 85%receive no treatment at all. As a result of this they experience seizures-related morbidity and are victims of stigma and discrimination. Untreated epilepsy induces a lot of human suffering and creates a heavy burden economically. The governments of these countries must ensure that effective treatment is meted out for all.

If you suffer from Epilepsy

  • Don't forget to take your medicines regularly.
  • Have periodical medical checkups.
  • Keep an identity card with you while traveling.
  • Before taking any new treatment, tell your doctor about your epilepsy.

What to do after an attack of Epilepsy?

  • If a seizure occurs, give suitable emergency first- aid immediately.
  • Protect the person from injury. Do not attempt to force a hard object like a spoon or a rod between the teeth, as you may cause more damage than what you are trying to prevent.
  • Clear the area of furniture or other objects that may cause injury from falls during the seizure.
  • Do not attempt to restrain or hold the person down during the seizure.
  • Protect from inhalation of vomit or mucus by turning the person onto the side and if possible keep the head down.
  • Turn the person on to his side while he or she sleeps after the seizure is over.
  • If the person having seizures stops breathing, turn him to the side in order to keep the airway of mouth open and prevent the tongue from obstructing the airway.
  • If there is any injury resulting from a fall following fits, appropriate treatment should be accorded.

Do's and Don’ts for the onlooker

  1. Don't try to stop the fit.
  2. Don't move the patient.
  3. Don't force anything into the mouth during a seizure.
  4. Do allow enough air circulation.
  5. Turn the patient to his/her side to prevent swallowing the vomit.
  6. Note the movements and changes to report to the doctor.
  7. Call the doctor if the convulsion lasts longer.

Self-care tips

  • Change the attitude that you are an epileptic and can't lead a normal life. You are a normal person who can drive and work.
  • Take your medicines regularly.
  • Avoid stress and sleep well.
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Posted by:  rukshi(Guest)  Posted on: 05/06/2013
hello; i m male epilepsy patient since my age of puberty. i m taking 1 tablet [tegrral 200]every night from last 3 years contiuosly, and during these period i didnt experience any fits or seizuier . what should you recomnd me about tablet? should we leave it noe? or make it as half table every day? pls reply me. thanks



Posted by:  sneha24(Guest)  Posted on: 04/29/2013
Respected sir, before 4 months my father , 48 years old, gets unconcious for 20 minutes, so we consult neurologist and done many tests like EEG, MRI,Dopler test and at same period of a time we get to know that he is suffering sugar problem also. the result of MRI AND Dopler test was normal but Conclusion of EEG report showing Left Temporal Spikes. so docter recommended him to take levipill 750. so i want to know that ,is this medicine worthy for my father?? will it cure this problem?? and for how many period of a time my father have to take this madicine? plz give reply fast sir, plz..



Posted by:  Rahman74  Posted on: 03/25/2013
I Have Epilepsy what is the reason for Epilepsy During Epilepsy what is happen in brain



Posted by:  suhai(Guest)  Posted on: 02/07/2013
hello, i'm a keralite. my friend have fits for last two years.She dont have this problem from childhood.First time fits occured due to sodium deficiency.Taking pills regularly,a gap of 1 year occured after first fits.But now,fits occur once a month.EEG,everything is normal.Doctors said weak body and tensions are the causes.But now i'm sure she is healthy and she dont have any tensions.what may be the cause?what treatments can be taken?suggest a doctor pls...


Posted by:  SamikDutta  Posted on: 02/23/2013
If possible meet Dr. Dinesh Nayak at Malar in Chennai or Vikram Hospital in Bangalore. He is treating my son for the last few years; and is showing some hope when all others had turned me down.




Posted by:  moin83(Guest)  Posted on: 02/05/2013
i have fits problem from last 14 years.now my age is 30.i don't have this problem from my chilidhood. i hope this is a GRAND MAL SEIZURES[GENERALIZED TONIC-CLONIC SEIZURES] where iam know before 5 sec from the fits to be start but i am unable to tell anyone from my mouth.my right head turns slowly and fits starts for few mins.so kindly suggest me and help for best treatment.



Posted by:  8.688.03.03.04(Guest)  Posted on: 02/04/2013
sir,my father met with an accident in 2003,he was injuried to head,now he is suffering froM fits,doctor told to stop drinking alcohol,and to take medicines[EPTOIN,TOLEVAR,FRISIUM 5mg],but he didn't stopped taking alcohol,recently fits ocuured severly,,,.he works in R.T.C WHERE HE WORKS TOTAL NIGHT TIME IN NIGHT DUTIES,,.BECAUSE OF THESE HE LOST HIS SLEEP,,,.TELL ME THE SOLUTION TO AVOID TAKING ALCOHOL AND TO AVOID FITS,.PLEASE SIR ,,,,,,.



Posted by:  ramji_fl(Guest)  Posted on: 12/24/2012
sir,my frnd. has got fits recently.but he hasnt got the same situation any time previously.....he was only 17.but his family members did not know wats the reason?,,so confused abt it...plz tel me the treatments that we shld proced,,,?



Posted by:  ruchika.chawla(Guest)  Posted on: 12/09/2012
sir, my husband has this fits problem since last 12 years but its not regular..3 times in 12 yrs ....he is on regular medication..the thing is i am worried and very possessive for my husband nd he is just 27 year old ...there is any permanent cure for fits?? please suggest me the right doctor for him..



Posted by:  boby87(Guest)  Posted on: 10/11/2012
sir, i am not getting fits since two years i am still on medication how long will the treatment go and will i will be able to lead a healthy life in future.



Posted by:  arifpasha  Posted on: 10/11/2012
sir 10 days before my and my wife went to sleep as usual by 11.30 pm just after 45 miniute my wife screamed I put on the lights and saw she bites her tongue her right hand was stied palm was tightly closed we took to Nimhans there they administerd drip 2 bottle after advising eptoin tab 1-0-2 a day sent home within 24 hrs 2nd time same thing happen only there was no tongue biting, after a week we visited as out patiant doc advice to continue the tab,but my wife lost her grip of thumb and finger of right hand pls advise what to do her age is 45 yrs no sugar no diabetics no other problems




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