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Seizures even after medication - 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 : 40 Questions
User :   convulsion since 1year age, now 14 years is on Norep 2 and Encrato chrono 300 the frequency remains thrice a month whats your advice
Doctor :   Hi
Doctor :   Dr XXX here
Doctor :   let me read ur query
User :   hi
Doctor :   So u mean to say that the 14 yr kid is having still 3 episodes of seizures in a month ?
User :   yes
Doctor :   ok
Doctor :   have any tests like MRI brain been done ?
User :   in1997 high fever then convulsion as per docto febrile convulsion todds paralysis only left side as per ct report mild brain shrinkage
User :   ct report on 26.11.200
Doctor :   does he have any developmental abnormality or lack of growth ?
User :   no MIR done yet , no such complaints
Doctor :   The medicines he is on are for control of seizures
Doctor :   And In case, he still has seizures i would recommend an EEG
Doctor :   Also the presence of brain damage can be the cause of the persistant sezures that are recurring
Doctor :   Can u tell me , if the child has been persistantly having seizures every month through out his age ?
Doctor :   OR it has recently increased ?
Doctor :   Also can u describe the seizures ? is there any loss of consciousness ?
Doctor :   Are u ther e?
User :   EEG done last2001,throughout, loss of cncsciousness 1/2mnts
User :   seizures allthrough
Doctor :   Is he going to school and how is his performance ?
User :   in class 9 doing well she is my daughter
Doctor :   other than seizures, does she have any other issue like memory loss , difficulty in daily activities or routine activities ?
Doctor :   Is she able to feed herself ? take care of herself ?
User :   no, other than seizures she has no problems , vomitinng at the time of fits
Doctor :   Ok
Doctor :   as per the history given by u, i feel that she needs proper titration of her meds to stop her seizures
User :   what does that mean
Doctor :   her doses have to be increased or the medications changed so as to control the symptoms
Doctor :   when was the last time she had been seen by her doc ?
User :   1year ago
Doctor :   You need her to be seen by her doc, every 2 months atleast
Doctor :   avoiding medical care, can lead to more complications
User :   using this med since 1yr,but before other med i.e tegretol,eptoin etc
Doctor :   i would advice that the medicines can be adjusted, so that the the response to treatment can be measured
User :   any details
Doctor :   the medicines like clonazepam and valproate that ur daughter is on, have to be increased
Doctor :   and she needs to get evaluated again, to look in for any other causes why the treatment is not responding
User :   would it be right to visit you there becus we dont get proper treatment here
Doctor :   Usually in pts with epilepsy, the Most common cause of treatment failure is low dosage or lack of compliance
Doctor :   make sure that ur daughter is taking the medicines regularly
Doctor :   sometime kids dont understand the importance of meds and sometimes avoid them
Doctor :   I am practicing in XXX
Doctor :   May i know the place of ur residence ?
User :   she has been taking meds regularly ,i want visit you can i get appointment my place is XXX
Doctor :   I am practicing in XXX
Doctor :   But there are good neurologists in XXX as well
Doctor :   any major hospital in XXX can help u
Doctor :   You dont need to travel to XXXX or any far off place for treatment
User :   b XXX has treated her with soval and eptoin
Doctor :   thats fine
Doctor :   You can see her treating doc itself for further care and titration of meds
Doctor :   Changing doctors frequently is not good
User :   can we change norep 2
Doctor :   Or see a Neurologist in XXX, who will follow up, and guide u accordingly
Doctor :   Dont try to change any meds on ur own
Doctor :   let the treating doctor examine her and then decide
Doctor :   Are u following my advice ?
User :   yes thank you
Doctor :   and there is no need to worry
Doctor :   epilepsy is treatable, with proper care
Doctor :   and it can be controlled
Doctor :   effectively
Doctor :   I hope i have answered ur queries ?
User :   yes thank you again.
Doctor :   Please leave ur feedback as u log out
Doctor :   thanks for consulting me here
User :   ok, good bi
Doctor :   bye for now

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