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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Epilepsy And Severe Back Pain?

respected sir ,
i am addicted to corex for the past 9 yrs .now a days am having drooling from my oral cavity and severe back pain.Two days back i had epilepsy.Two years back i was under medication i was using carbamezapine and valporine ,and clonozepam tabs.can you kindly advice me how to get back to normal state of life.
regards
Mon, 9 Jan 2017
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Hi , i am dr. Ramez mohammed,
Thanks for using health care website ,
I had gone through your question and understood your concerns..


At first i'll inform you in summry about epilipsy and epiliptic seziurs ,
Epilepsy is a group of neurological diseases characterized by epileptic seizures.
The cause of most cases of epilepsy is unknown, although some people develop epilepsy as the result of brain injury, stroke, brain tumors, infections of the brain, and birth defects. Known genetic mutations are directly linked to a small proportion of cases. Epileptic seizures are the result of excessive and abnormal nerve cell activity in the cortex of the brain. The diagnosis involves ruling out other conditions that might cause similar symptoms such as fainting and determining if another cause of seizures is present such as alcohol withdrawal or electrolyte problems.

For good diagnosis of epilepsy is typically made based on observation of the seizure onset and the underlying cause.
1.An electroencephalogram (EEG) to look for abnormal patterns of brain waves.

2.Diagnostic imaging (CT scan or MRI) to look at the structure of the brain are also usually part of the workup.

3.testing of electrolyte, blood glucose and calcium levels is important .

4.An electrocardiogram can rule out problems with the rhythm of the heart.

Treatment:
At home the recommended initial medication for seizure of a long duration is midazolam placed in the mouth.
Diazepam may also be used rectally. In hospital, intravenous lorazepam is preferred.
If two doses of benzodiazepines are not effective, other medications such as phenytoin are recommended. Convulsive status epilepticus that does not respond to initial treatment typically requires admission to the intensive care unit and treatment with stronger agents such as thiopentone or propofol.

Surgery
Epilepsy surgery may be an option for people with partial seizures that remain a problem despite other treatments.
The goal of surgery is total control of seizures and this may be achieved in 60–70% of cases.

Avoidance therapy consists of minimizing or eliminating triggers. For example, in those who are sensitive to light, using a small television, avoiding video games, or wearing dark glasses may be useful.


Low back pain (LBP) is a common disorder involving the muscles, nerves, and bones of the back. Pain can vary from a dull constant ache to a sudden sharp feeling.

Medications
The medication typically recommended first is acetaminophen (paracetamol) or NSAIDs (though not aspirin), and these are enough for most people. Standard doses of acetaminophen are very safe; however, high doses may cause liver problems

NSAIDs are more effective for acute episodes than acetaminophen; however, they carry a greater risk of side effects including: kidney failure, stomach ulcers and possibly heart problems. Thus, NSAIDs are a second choice to acetaminophen, recommended only when the pain is not handled by the latter. NSAIDs are available in several different classes; there is no evidence to support the use of COX-2 inhibitors over any other class of NSAIDs with respect to benefits. With respect to safety naproxen may be best.

Muscle relaxants may be beneficial
& multivitamins for nerve injury ..

For further investigation .. you may get an xray or MRI scan to rule out the cause or signs of injury & pain .

Hope above informations helps you, thanks again for writing into healthcaremagic website and if you have additional or follow up questions then plz. Dont hesitate in writting to us ..
I'll be happy to answer your questions

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
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How To Treat Epilepsy And Severe Back Pain?

Hi , i am dr. Ramez mohammed, Thanks for using health care website , I had gone through your question and understood your concerns.. At first i ll inform you in summry about epilipsy and epiliptic seziurs , Epilepsy is a group of neurological diseases characterized by epileptic seizures. The cause of most cases of epilepsy is unknown, although some people develop epilepsy as the result of brain injury, stroke, brain tumors, infections of the brain, and birth defects. Known genetic mutations are directly linked to a small proportion of cases. Epileptic seizures are the result of excessive and abnormal nerve cell activity in the cortex of the brain. The diagnosis involves ruling out other conditions that might cause similar symptoms such as fainting and determining if another cause of seizures is present such as alcohol withdrawal or electrolyte problems. For good diagnosis of epilepsy is typically made based on observation of the seizure onset and the underlying cause. 1.An electroencephalogram (EEG) to look for abnormal patterns of brain waves. 2.Diagnostic imaging (CT scan or MRI) to look at the structure of the brain are also usually part of the workup. 3.testing of electrolyte, blood glucose and calcium levels is important . 4.An electrocardiogram can rule out problems with the rhythm of the heart. Treatment: At home the recommended initial medication for seizure of a long duration is midazolam placed in the mouth. Diazepam may also be used rectally. In hospital, intravenous lorazepam is preferred. If two doses of benzodiazepines are not effective, other medications such as phenytoin are recommended. Convulsive status epilepticus that does not respond to initial treatment typically requires admission to the intensive care unit and treatment with stronger agents such as thiopentone or propofol. Surgery Epilepsy surgery may be an option for people with partial seizures that remain a problem despite other treatments. The goal of surgery is total control of seizures and this may be achieved in 60–70% of cases. Avoidance therapy consists of minimizing or eliminating triggers. For example, in those who are sensitive to light, using a small television, avoiding video games, or wearing dark glasses may be useful. Low back pain (LBP) is a common disorder involving the muscles, nerves, and bones of the back. Pain can vary from a dull constant ache to a sudden sharp feeling. Medications The medication typically recommended first is acetaminophen (paracetamol) or NSAIDs (though not aspirin), and these are enough for most people. Standard doses of acetaminophen are very safe; however, high doses may cause liver problems NSAIDs are more effective for acute episodes than acetaminophen; however, they carry a greater risk of side effects including: kidney failure, stomach ulcers and possibly heart problems. Thus, NSAIDs are a second choice to acetaminophen, recommended only when the pain is not handled by the latter. NSAIDs are available in several different classes; there is no evidence to support the use of COX-2 inhibitors over any other class of NSAIDs with respect to benefits. With respect to safety naproxen may be best. Muscle relaxants may be beneficial & multivitamins for nerve injury .. For further investigation .. you may get an xray or MRI scan to rule out the cause or signs of injury & pain . Hope above informations helps you, thanks again for writing into healthcaremagic website and if you have additional or follow up questions then plz. Dont hesitate in writting to us .. I ll be happy to answer your questions