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Problems about epileptic seizures - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Epilepsy
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   Hi,
Doctor :   Hi
User :   hello doctor
Doctor :   hello and How may i help you today?
User :   i do have a doubt
Doctor :   OK, please proceed
User :   sir my brother suffered
User :   a seizure
User :   on last week
User :   whn he was in college
Doctor :   ok
Doctor :   may i know his age ?
User :   he was taken to the hospital and the dctor conducted CT scan
User :   22
User :   and suggested that it could be either Epilepsy or wilsons disease
User :   sir,now he is on oxocarbamazepine and clonezapam
Doctor :   do u have the CT reports ?
User :   ya but they are not readable
User :   as am chating from andaman
Doctor :   you mean there is no printed reports?
Doctor :   ok
User :   ya
Doctor :   ok
User :   sir
User :   what would u suggest sir
User :   for this
Doctor :   does he have any other symptoms as of now ?
Doctor :   and did he have any other problems in his childhood ?
User :   he has drowsiness and weakness
User :   a slight problem to his neck
User :   during pregeancy so think happened and his neck used to be tilted
Doctor :   did he have any fever or headache at any time ?
User :   climatic
User :   only
Doctor :   Has he had any other medical conditions prior to this ?
User :   no sir
Doctor :   And he has been completely healthy so far , before this episode ?
User :   ya
Doctor :   ok epilepsy can present at any time during adulthood,
User :   during this seizure he had severe tremors with passage of stool and urine
User :   ok
Doctor :   this can be due to some irritation in the BRAIN neurons
User :   ok
Doctor :   Yes, this means he had a generalied tonic clonic seizure
User :   ok
User :   what does that mean
Doctor :   this is the most common type seen either due to an infection or any metabolic abnormality
Doctor :   it is a term used to describe the specific seizure that ur brother had
User :   sir so what should be the treatment route
Doctor :   He will need to be on epileptic medications for at least 3 years
Doctor :   this is to prevent any recurrance of seixures
User :   what type of medicines need to be given
Doctor :   During this period, any chances of recurrance, of seisures, the medications need to be reviewed
Doctor :   The same that he is on right now
User :   sir but with these medicines can he is feeling very much drowsiness
Doctor :   this is due to CNS depression that occurs with these medicines
User :   ya as he is a student will that affect his studies
Doctor :   this symptoms is a short lived
Doctor :   it will go away over some time
Doctor :   and this condition is not going to affect him in any way
User :   ok
User :   ok
User :   sir
Doctor :   Do u have any other questions for me ?
Doctor :   he needs to be on this medication so that the recurrances do not occur again
User :   sir any type of precautions to be taken
Doctor :   Avoid driving , swimming and any activities that involves traveling with him in control
Doctor :   this is coz, seixures can be precipitated at any time
Doctor :   and in such an occation, if seizures come, he can endanger the life of others and his own too
User :   sir so is it epilepsy ?
Doctor :   yes
Doctor :   it is defintiely
Doctor :   epilepsy
User :   sir, is epilepsy completely curable
Doctor :   yes, it can be controlled and people can live normal life
Doctor :   epilepsy is a symptom
Doctor :   it is not a disease
Doctor :   epilepsy can occur due to a lot of conditions as i have said earlier due to metabolic changes , infections
User :   so to identify that what all tests are preferable
Doctor :   MRI brain, EEG are some tests
User :   so if the improper condition is resolved then could epilepsy be cured completely
Doctor :   yes
Doctor :   defintely
Doctor :   if no symptoms for about 3 yrs, the meds can be stopped
User :   ok
User :   due to this medications could there be an infertility issues
Doctor :   no
Doctor :   not at all
Doctor :   this is not going to affect his fertility
User :   k
User :   sir
Doctor :   he will be able to have normal kids
User :   thank u sir
User :   thanks a lot
Doctor :   you r welcome
Doctor :   i hope i have solved ur issues
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