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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Epileptic Fits Followed By Gastric Upset

whenever my wife gets stomach upsets, she starts vomiting, and has loose motion, immediately after she gets faint, clenching of jaws, and fist. this is happening for last 25 years, some time back my physician gave anti epileptic drug carbamazepane, after 2 years treatment was stopped. but the problem is occuring again and again, the frequency of the fit is almost once in 2 years followed by gastric upset. otherwise she did not have fainting episodes.
Tue, 11 Jul 2017
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Neurologist 's  Response
Hello:

Your wife is having focal seizures with secondary generalization. She needs pharmacological treatment to control the seizures and diminish the risk of complications. It can be done with drugs as carbamazepine, oxcarbazepine, topiramate, clonazepam, levetiracetam, or even with more than one drug. Pharmacological treatment needs to be at least 5 years, depending on the cause of the epilepsy. If she lasts 10 years without seizures (the last 5 without taking any medication), we may consider her epilepsy resolved.

By now, try to avoid sleep deprivation, fasting, flashing lights, alcohol and if possible, stressful situations.

By the symptoms you are describing, the seizures can have a temporal lobe origin. I suggest consulting with a neurologist for a complete assessment, focusing in Mesial Temporal Sclerosis, as it can be cause and consequence of epilepsy, and can play an important role in refractory epilepsy. Maybe she will need a new MRI and a new electroencephalogram.

I hope this helps. If you have any doubt before your appointment, please let me know.

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Suggest Treatment For Epileptic Fits Followed By Gastric Upset

Hello: Your wife is having focal seizures with secondary generalization. She needs pharmacological treatment to control the seizures and diminish the risk of complications. It can be done with drugs as carbamazepine, oxcarbazepine, topiramate, clonazepam, levetiracetam, or even with more than one drug. Pharmacological treatment needs to be at least 5 years, depending on the cause of the epilepsy. If she lasts 10 years without seizures (the last 5 without taking any medication), we may consider her epilepsy resolved. By now, try to avoid sleep deprivation, fasting, flashing lights, alcohol and if possible, stressful situations. By the symptoms you are describing, the seizures can have a temporal lobe origin. I suggest consulting with a neurologist for a complete assessment, focusing in Mesial Temporal Sclerosis, as it can be cause and consequence of epilepsy, and can play an important role in refractory epilepsy. Maybe she will need a new MRI and a new electroencephalogram. I hope this helps. If you have any doubt before your appointment, please let me know.