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Dr. Andrew Rynne

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I need more information about sub clinical epilepsy that gets

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Dr. Ajay Panwar

Neurologist

Practicing since :2007

Answered : 1795 Questions

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Posted on Thu, 20 Dec 2018 in Brain and Spine
Question: I need more information about sub clinical epilepsy that gets more pronounced at middle age. I'm in treatment with a psychiatrist who is knowledgeable about this disorder. I moved to a rural suburb, so we just do phone sessions. Anyway, I think a lifelong illness that can sometimes be very restrictive and upsetting, left untreated until now makes sense. I'm keeping track of symptoms. I have neuropathic pain conditions anyway, and live alone and far away from doctors, so I'm already taking an anticonvulsant. In this case it is Gabapentin.

I also take wellbutri n and the occasional beta blocker. I have interstitial cystitis pain, and being heavy, bulking up helps it heal. I order Grub hub.

I noticed my blood pressure was very high normal. It actually got higher when I had my evening wine - and NHL hockey. So, another question, how to manage transitioning back to normal.
doctor
Answered by Dr. Ajay Panwar 1 hour later
Brief Answer:
How was your subclinical epilepsy diagnosed?

Detailed Answer:
Hi,
Thanks for being on healthcaremagic.com
I am Dr.Ajay Panwar, a neurologist, here to answer your query.

Subclinical seizures are often referred to electrophysiological seizure activity without any obvious seizures. Some patients may have subtle symptoms like transient changes in sensorium, not usually noticeable to others. Were your subclinical seizures diagnosed on basis of EEG?
Further, if your BP is rising to a high even transiently, its better to start antihypertensive medicines.

I shall be glad to have you in follow up with details.


Regards,
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. Ajay Panwar 4 hours later
I have convulsions not seizures. Subtle, involving a tightening of my tongue to the roof of my mouth, twitchy movements of arms when I'm in bed, not standing, a rumbling feeling inside, sleepiness all at once, bed wetting. Worse under stress, so probably no driving, Gabapentin and wine is okay, so I'm not freaking out. Not yet.
I am keeping track of these symptoms to help my doctors decide if my current medications are keeping them in check and me safe. I can't and won't leave my house. I have permission to secure myself this way. My dogs are very easy and attentive to me. Schipperkes are a wonderful breed.
doctor
Answered by Dr. Ajay Panwar 11 hours later
Brief Answer:
What does your EEG say?

Detailed Answer:
Hi,
Thanks for being in follow-up.

Has your EEG been done. If not, doing it at the time of convulsions or preferably a video EEG will help to show if abnormal electrical discharges occur in the brain at the time of convulsions. If yes,and if the symptoms at any point of time don't appear to be controlled with Gabapentin, then its dose can be increased or even an additional anticonvulsant can be added.

Hope that helps. I shall be glad to have you in further discussion on it.

Regards,

Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Ajay Panwar 18 hours later
I have not been referred to a neurologist. At this point I need to report any symptoms to my psychiatrist. Phone sessions at this point. I was supposed to be a mother with raise children in this town. I have security concerns and the family decision was to have me shelter in place, alone, with no security, and not seek medical attention unless it is an emergency. I order everything in, and don't need a food tester because I am extremely impervious to toxins. I am genetically Native XXXXXXX from a very high latitude, and Chinook, apparently. There are toxins that are infused into food, set to magnets, ones where someone is willing to get injured or worse, to get them to you... Anyway, I can eat anything without worrying. The chelation therapy inventors became perpetrators, so I use natural chelation only. Oolong tea, alcohol, lots of food, Tens device, etc. Cannabis was strengthened, to horrendous levels, so Southeast Asian countries swapped all of it out. The U.S. didn't win Vietnam... It was for all our benefit. And to protect the innocent and key personnel. Developing nations, less fortunate ones protect their women by having them shelter at home. It works.

I take a beta blocker. I have no family history of heart disease. It also might be a convulsion or part of the Lyme disease. a calcium channel blocker might make sense... But my psychiatrist doesn't think so.

Try reasoning through the problem where mutagenic illicit substances didn't get into patients systems. Our lifespans should be better.
doctor
Answered by Dr. Ajay Panwar 4 hours later
Brief Answer:
Wish you a healthy life ahead.

Detailed Answer:
Hi,
Thanks for being in follow-up.
I understand the concerns which you have been through. At this point of time, I can say that if you seems to be doing well with your psychiatrist's treatment, then you may continue the same; however, please try to visit a neurologist if possible concerning your subclinical epilepsy.

Hope that helps. If you have any further questions, I shall be glad to have you in follow-up.

you can ask a query directly to me anytime at-

https://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=69273

Regards,

Dr.Ajay Panwar,
MD,DM(Neurology)


Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Ajay Panwar 31 hours later
I worry about identity theft. I don't have guards to watch my guard dogs, so medical care is emergency only. I was seen received and they did a good job. I was convinced I was never going to see my dogs again though. I don't have children, so it was an emergency into itself.
doctor
Answered by Dr. Ajay Panwar 52 minutes later
Brief Answer:
I can understand your concerns.

Detailed Answer:
Hi,
Thanks for being in follow-up.

I can understand your deep attachment to your guard dogs. May God help you in leading a peaceful and pleasant life.

Let me know if you have any health related queries in future.

You can ask me a query directly to me anytime in future at- https://doctor.healthcaremagic.com/Funnel=askDoctorDirectly&docId=69273

Regards,
Dr.Ajay Panwar,
MD,DM(Neurology)


Above answer was peer-reviewed by : Dr. Kampana
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