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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Seizure In Newborn. How To Treat This?

I have a 3 days older baby boy who felt fits(Shakes his hands with a little twitch ). Nothing was fed to the boy in the first 12 Hrs because it was cesarean and his mother was in IC unit. The next two days he never slept and there was a lack of mothers feed. As we never know how to identify seizure in the newborn , when we went for our third day checkup the nurses found and said that this is an abnormal activity and has to be put in observation for some time. He had seizure symptom once after he was started to get observed and after 2 days doctor said he is normal and the seizure was because there was a lack of feed. The doctor also said giving proper mothers feed will solve the problem. When we looked at his blood test report calcium was high (18) , and I am not sure the fits was because of this. So here is my question, How do we identify fits and how frequent you get to treat the newborns with fits ? Is this disease can be cured on a long run ? Is there any full heath checkup we can do which identifies this or any other diseases on newborns ?
Wed, 1 Jun 2011
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Pediatrician, Neonatology 's  Response
1) IN newborn babies usually seizures occurs in a subtle way(like stare look, pouting of lips, rabbit like movements of mouth, boxing like movements of hands, pedalling movements of legs). Also jittery like movements which cannot be controlled with passive restraining .
2) More commonly in babies born by difficult vaginal delivery, birth trauma, inadequate feeds in small sized babies.
3)Cure depends on the reason behind the fits. If due to mineral dysfunction(Ca, Mg, Na, Sugar) usually wont continue on long run.
4) No routine health check up is advised.But if doctor advises u can do it.
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Pediatrician, Neonatology Dr. Kathirvel Rajan's  Response
Hi, As in ur baby's discharge summary it has been mentioned as benign seizure, it would ve been due to some reversible cause.
Benign seizure has very good outcome.
U ve to visit ur doctor's clinic to control it.
Seizures are usually diagnosed clinically. But a test called electroencephalogram can be done to look for it.
thanks
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Seizure In Newborn. How To Treat This?

1) IN newborn babies usually seizures occurs in a subtle way(like stare look, pouting of lips, rabbit like movements of mouth, boxing like movements of hands, pedalling movements of legs). Also jittery like movements which cannot be controlled with passive restraining . 2) More commonly in babies born by difficult vaginal delivery, birth trauma, inadequate feeds in small sized babies. 3)Cure depends on the reason behind the fits. If due to mineral dysfunction(Ca, Mg, Na, Sugar) usually wont continue on long run. 4) No routine health check up is advised.But if doctor advises u can do it.