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Thanks for contacting with your health concern
1. Without directly examining the patient I can't comment on the situation but because seizures occur on empty stomach check with blood sugar level [hypoglycemic seizures], and since the
epilepsy diet restrict consumption of sugars/simple carbohydrates, so it would be better to eat a snack with protein and/or complex carbs rather than simple sugars.
2. as the problem is chronic [5 years] and was under observation but still, her condition has deteriorated
consult a Neurologist for proper neurological examination and investigation since she has to be put on regular antiepileptic treatment.
3. Consult a doctor specialized in Pediatric Neurology as it may require pediatric intensive care
unit [PICU] services and respiratory therapists since if left untreated it can cause damage to the brain.
4. I at most can let you know about the instructions which one has to follow with the epileptic patient:
- do not miss the treatment even for one day.
- avoid places where convulsions can be dangerous: swimming, driving, climbing heights, work near moving machinery, standing in train or bus doors, work near the fire.
- drugs to be continued for at least 5 years after the last fit, & then slowly tapered off over 6 months.
- instruct all relatives about the possibility of recurring
fits, if they see the patient getting convulsions, support him immediately and make him lie on the ground, then put a spoon or wooden ruler between the teeth and wait for convulsions to stop.
PS. If treatment is stopped suddenly, rebound may occur and the patient may even go into
status epilepticus, so remember the importance of taking treatment regularly.
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