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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Epilepsy Patient, Taking Eptoin Capsule. Having Low Sodium Level, Severe Back Pain, Fart. Possible Reason?

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HI,
My FIL is 85 years old and an epilepsy patient. He got seizures 2 months bck and was introduced to various drugs apart from eptoin capsule. He again suffered from low sodium level and was in ICU for a week now from past 1 month he is suffering from severe back pain and fart, which will be mostly in the evening, could you plz help as wht could be d reason for this? all the drugs are stopped except for eptoin.
Fri, 26 Jul 2013
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General & Family Physician,  's  Response
Welcome to HCM.The elderly are prone to attacks of Hyponatraemia,the cause is not really known.The low sodium can be corrected by increasing salt intake orally.A mild analgesic like Ibubrufen may be used for the backache.If possible he should walk around ,this will help the peristalsis and reduce gaseousness.Foods like Cabbage,beans should be avoided.The dilantin may be continued and the serum levels of the drug can be checked at regular intervals to ensure adequacy to prevent further seizures.
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Epilepsy Patient, Taking Eptoin Capsule. Having Low Sodium Level, Severe Back Pain, Fart. Possible Reason?

Welcome to HCM.The elderly are prone to attacks of Hyponatraemia,the cause is not really known.The low sodium can be corrected by increasing salt intake orally.A mild analgesic like Ibubrufen may be used for the backache.If possible he should walk around ,this will help the peristalsis and reduce gaseousness.Foods like Cabbage,beans should be avoided.The dilantin may be continued and the serum levels of the drug can be checked at regular intervals to ensure adequacy to prevent further seizures.