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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Epilepsy In A Child

Dear Doctor, my daughter is suffering from epilepsy for last eight years. Though the frequency of seizures are very less sometimes it did not occur for two years however, when she is in stress or have sleeping disorder, it occurs. She is taking lametac DT 50 once in the morning and two in the evening. For some time I felt some behavioural changes like missing and unresponsive. Is this the side effects of medicine or otherwise. Pl. advise. Thanks Arvind 0000
Mon, 29 Jun 2015
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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

There are two things you need to understand.

1. the medicines are weight based. That is the dose is weight adjusted. As the child grows older and gains weight, the dose has to be adjusted. Sometimes, the medicine has to be changed.

2. the patient should avoid stressful conditions. Stress and lack of sleep are known triggers in seizure patients and should be actively avoided.

As for the behavioral changes, they need to be assessed by an EEG. A video EEg is a better option. They may be a manifestation of -
a. the seizures
b. post seizure status
c. sometimes medicines have the effects too.

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. You can upload them on the site.

You can upload them with the query, or if you have a problem, send them to attachments@healthcaremagic.com with Sub: ATTN 'Your Name'. Once we receive the photos or diagnostic reports, my team will send reports / pictures to me.

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

Please click on Thanks/Helpful if found useful.

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)
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Suggest Treatment For Epilepsy In A Child

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 There are two things you need to understand. 1. the medicines are weight based. That is the dose is weight adjusted. As the child grows older and gains weight, the dose has to be adjusted. Sometimes, the medicine has to be changed. 2. the patient should avoid stressful conditions. Stress and lack of sleep are known triggers in seizure patients and should be actively avoided. As for the behavioral changes, they need to be assessed by an EEG. A video EEg is a better option. They may be a manifestation of - a. the seizures b. post seizure status c. sometimes medicines have the effects too. 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. You can upload them on the site. You can upload them with the query, or if you have a problem, send them to attachments@healthcaremagic.com with Sub: ATTN Your Name . Once we receive the photos or diagnostic reports, my team will send reports / pictures to me. Please do understand that some details could be extracted from a detailed history and examination. Please click on Thanks/Helpful if found useful. 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)