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Dr. Andrew Rynne

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How To Treat Seizures ?

my daughter is 4 & 1/2 mnth old she has seizures problem from last 2 months she has taken medication :-gardinal biotin levipil ebitoin . but still seizures coming after 45 minutes for 2-3 minutes every day & also 30-40 jerks every day due to this problem her physical growth is stop like headholding
Mon, 8 Sep 2014
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Diabetologist 's  Response
Hi, welcome to our site. I am Dr Saumya Mittal, MD.

Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query

At that high rate, I would, as a doctor admit her and treat her again till her seizures are well controlled

If there is no response to the medications, it can mean one of the following things

1.The antiepileptic medicines have to be adjusted till the appropriate dose is reached for the patient. till then the seizures can continue.

2. The type seizure may have been wrongly identified. Till the right type of seizure is identified, the wrong medicine will be given, and hence seizure will continue.

3. there may be some triggering event causing the seizure. Till that is removed, seizure may continue.

4. The diagnosis may be wrong entirely, patient may have pseudoseizure (unlikely in your child)

You really need to contact your neurologist and get her admitted and scanned. EEG and MRI need to be done. A correct diagnosis of the type of seizure need to be made and the appropriate medicine and its dose need to be achieved.

I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further.

I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.

Please do understand that some details could be extracted from a detailed history and examination.

Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further.
(If the answer has helped you, please indicate this)
Best of luck.
Dr Mittal.
MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)
Consultant Physician and Diabetologist
JS Hospital
Ex Apollo Hospital, Delhi
Ex Kailash Hospital, Noida
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How To Treat Seizures ?

Hi, welcome to our site. I am Dr Saumya Mittal, MD. Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query At that high rate, I would, as a doctor admit her and treat her again till her seizures are well controlled If there is no response to the medications, it can mean one of the following things 1.The antiepileptic medicines have to be adjusted till the appropriate dose is reached for the patient. till then the seizures can continue. 2. The type seizure may have been wrongly identified. Till the right type of seizure is identified, the wrong medicine will be given, and hence seizure will continue. 3. there may be some triggering event causing the seizure. Till that is removed, seizure may continue. 4. The diagnosis may be wrong entirely, patient may have pseudoseizure (unlikely in your child) You really need to contact your neurologist and get her admitted and scanned. EEG and MRI need to be done. A correct diagnosis of the type of seizure need to be made and the appropriate medicine and its dose need to be achieved. I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this) Best of luck. Dr Mittal. MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology) Consultant Physician and Diabetologist JS Hospital Ex Apollo Hospital, Delhi Ex Kailash Hospital, Noida