Hi,
Thank you for posting your query.
It is unfortunate that your father has had recurrent seizures along with multiple other comorbid illnesses, including generalized edema,
hypotension, etc.
The cause of generalized edema is likely to be low
serum albumin and poor nutritional status. His dietary protein intake can be increased through the Ryle's tube feeds. For short term improvement, albumin infusions may be given.
For nursing, his legs can be elevated while he is sleeping or lying down. This would also help reduce his edema in the legs.
If his seizures are not adequately controlled with depakine, then, other anti-seizure medications such as tegrital (carbamepine) or
levetiracetam (
keppra) may be added.
I hope it helps. Please get back if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
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