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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Convulsions. Taking Lavipil, Epsolin And Dicorate. Pain In The Lower Abdomen. Any Suggestions?

Hi, My weight is 60 kg. I was taking DicorateER1500mg, and Topaz 200mg. Then i was prescribed Lavipil1000mg, and Epsolin300 mg alongside it. But still i had convulsions, rescently my weight became 55kg, and i was taken to a different doctor for a check up, who prescribed me DepakoteXR500mg, twice a day, Topaz100mg twice a day and Eptoin100mg twice a day. What i have noticed is i have pain in my lower abdomen , as if the taste buds are gone, problem in reading.
Sat, 30 Mar 2013
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Neurologist 's  Response
Hello,

Thanks for the query,

I understand your problem

Before I respond to your query, Let me tell you that just like fever which can be due to many causes (fever can be due to viral fever, urine infection, chest infection) and the treatment depends upon the EXACT TYPE of fever, same is the situation for epilepsy.

In order to classify the exact type of epilepsy, we need a detailed clinical history of the patient,EEG (A test which can tell us the area of the brain which is abnormal and tell us if there are changes suggestive of seizures/epilepsy). Some patients need prolonged EEG and/or genetic tests to find out the cause of epilepsy

I am sorry that I do not know what exact type of epilepsy you have. The data that you have posted suggest that your abdominal problem could be related to Topaz. You may do an ultrasound of abdomen to rule out a stone in the kidney which is side effect of Topaz. The other problems that you have are also related to Topaz

I urge you to get re-evaluated by an Epileptologist (a neurologist with advanced training in epilepsy) who will help you select medications related to your epilepsy and he will discuss if surgery can be done after evaluating your case in detailed.



Hope this clarifies
Best wishes
Dr Gopal K Dash MD, DM, Post-doctoral fellowship (Epilepsy)
Consultant Neurologist and Epileptologist
Narayana Hrudayalaya Hospital, Bangalore
My Blog in the Web site:
http://www.healthcaremagic.com/doctors/dr-gopal-krishna-dash/64344






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Having Convulsions. Taking Lavipil, Epsolin And Dicorate. Pain In The Lower Abdomen. Any Suggestions?

Hello, Thanks for the query, I understand your problem Before I respond to your query, Let me tell you that just like fever which can be due to many causes (fever can be due to viral fever, urine infection, chest infection) and the treatment depends upon the EXACT TYPE of fever, same is the situation for epilepsy. In order to classify the exact type of epilepsy, we need a detailed clinical history of the patient,EEG (A test which can tell us the area of the brain which is abnormal and tell us if there are changes suggestive of seizures/epilepsy). Some patients need prolonged EEG and/or genetic tests to find out the cause of epilepsy I am sorry that I do not know what exact type of epilepsy you have. The data that you have posted suggest that your abdominal problem could be related to Topaz. You may do an ultrasound of abdomen to rule out a stone in the kidney which is side effect of Topaz. The other problems that you have are also related to Topaz I urge you to get re-evaluated by an Epileptologist (a neurologist with advanced training in epilepsy) who will help you select medications related to your epilepsy and he will discuss if surgery can be done after evaluating your case in detailed. Hope this clarifies Best wishes Dr Gopal K Dash MD, DM, Post-doctoral fellowship (Epilepsy) Consultant Neurologist and Epileptologist Narayana Hrudayalaya Hospital, Bangalore My Blog in the Web site: http://www.healthcaremagic.com/doctors/dr-gopal-krishna-dash/64344