The word epilepsy brings to mind visions of people frothing at the mouth and rolling on the ground. However, epilepsy affects each patient in a different way. This can make it hard to recognize at times. In the more serious cases of epilepsy, an epileptic attack can make a patient injure himself or develop other life threatening conditions. In rare cases, epilepsy can even cause death. Thus it becomes imperative to understand how to deal with epilepsy.

Treatment options for epilepsy can be categorized as medication, surgical procedures and dietary changes.

Medication
Medication for epilepsy is prescribed on the basis of the symptoms presented and the type of epilepsy the patient is suffering from. In most cases, seizures can be controlled with a single type of medication, but in others, the doctor may need to prescribe a combination of medicines to control epilepsy. These forms of medication do have side effects and hence any reactions to the medication must be immediately brought to the doctor's notice. The dosage for epilepsy medication may need to be varied with time. An epileptic patient should never discontinue medication on their own.

Surgery
Depending on the type of seizures and the area of the brain affected, a doctor may advise surgery in cases of severe epilepsy. Surgery can help reduce the number of seizures experienced or completely stop them. Surgery to treat epilepsy is of many types. Some of the common procedures are:

1. Surgery to remove tumor of any such conditions that may be triggering the epileptic attacks
2. Surgery to remove a small section of the brain from where a seizure originates. This may also be referred to as a lobectomy.
3. Multiple subpial transaction or a surgery that involves making a series of cuts in the brain to prevent the seizures from spreading to other parts of the brain.
4. Surgery to sever the neural connections between the right and left hemispheres of the brain.
5. Surgery to remove half the brain's cortex or outer layer

Dietary changes
A diet rich in fats and low in carbohydrates can help reduce seizures. This is known as a ketogenic diet and aims at making the body break down fats instead of carbohydrates. It can cause a buildup of uric acid in the body and thus should be practiced only under the guidance of a dietician. In cases where epileptic attacks are triggered by malnutrition and birth defects, taking vitamin supplements can help lower the frequency of seizures.

How to Deal with Severe Epilepsy

Epilepsy is a relatively common disorder. Most cases of epilepsy can be controlled with a combination of drug therapy and healthy lifestyle. In some cases, surgery may also be advised. Epilepsy affects not only the lifestyle of the patient but also that of their caregiver. Each person reacts to epilepsy in a different way and hence the type of care needed also varies from person to person. While some patients have few seizures and require care only when they're having a seizure others need round the clock care. Here are a few tips to keep in mind if a loved one suffers from epilepsy.

Know what type of epilepsy he/she is dealing with: Not all epileptic seizures are the same. Find out what type of seizures your loved one suffers from and what are the possible triggers associated with Involve yourself in their lifestyle. Epilepsy should not be a reason for your loved one to lock themselves in a room to stay safe. Participate in activities with them of you feel the activity may be a safety risk if they were to have a seizure; for example - swimming.
Notice seizure triggers: Often an epileptic patient may not remember the seizure after it has occurred. As their care giver, keep a seizure diary to track their seizures and its related triggers. Look for patterns in the triggers to their epilepsy attacks.
Keep them safe during a seizure: When experiencing a seizure, the patient will lose consciousness, experience muscle convulsions and may grit his teeth. If the person is standing, hold them so that they do not fall. If they are lying down, try turning them onto their side. Do not put anything into their mouth.
Take care of them after a seizure: After the seizure, people are most likely to be confused, tired and have a headache. Check for injuries and keep them calm till medical help arrives. Loosen clothing around their neck and ensure that there is nothing inhibiting their breathing.
Medical identification: While someone who suffers from seizures often is likely to always have someone with them, others who have rare seizures may often venture out alone. In such cases, ensure that they always have medical identification on them. Also make sure that their friends, colleagues etc are aware of their medical condition.
Help them maintain a healthy lifestyle: Staying active is essential for people with epilepsy. Avoid contact sports and pick low impact exercises like walking, running or swimming. Following a buddy system is essential when an epileptic person works out. If you wish to discuss on any specific problem, you can consult a neurologist and ask a free question.

How to Deal With Epilepsy?

Epilepsy is a brain triggered disorder that can result in the affected person having seizures or convulsions of the body. Such convulsions last about a few minutes and the person undergoing epileptic seizure might be unaware of what s happening to him/her during those brief moments. They may recover and appear disoriented for a few minutes more. 

Epilepsy can t be cured but is treated through medicines called anticonvulsant drugs.

Epilepsy is a neurological disorder brought about due to unusual electrical activity in the brain
The person having the disorder can have episodes of seizures where there can be sudden involuntary movements of the person s whole body and shaking of the arms and legs lasting a few minutes
The condition can occur to anybody irrespective of age but children seem to suffer more from the condition following a head injury or emotional trauma
Electroencephalogram or EEG is the best way for the doctor to understand the exact nature of the disorder and this will help in the treatment.
Treatment through drugs is the most popular way of keeping the convulsions under check
Medically, if the patient goes without seizures for a few years under regular medication then there is every possibility the person may not suffer further convulsions
Apart from medication, dietary regulations have also been adopted by many physicians to treat the condition. Low carb and high protein items are advised as a way to reduce/stop the epileptic seizures
In some cases, the doctor might decide to conduct a surgery to remove the aberrant part of the brain to treat the individual for epilepsy
People with epilepsy have to take a lot of precautions in their daily routines to avoid getting seriously injured if they were to suffer a sudden attack of seizures
Driving and swimming are to be avoided by them
People standing around can help reduce the suffering by turning the person over to one side and offering a support to the head. Care can also be taken to remove any object that can cause injury to the person while having the convulsions.
Some doctors study the pattern of the seizures occurring and help in regulating them in such a manner that the person gets the convulsions only in the nights while asleep
This can limit the damage done to the person and can also help the person in going about normal routines
Parents must inform the school authorities if their children suffers from epilepsy so that they can provide first aid to such students immediately if episodes occur in school
Epilepsy is a brain-related disorder that can cause the person to go through involuntary shaking of the body and the limbs. It is usually treated with drugs.

Epilepsy - Common Facts About It!

Epilepsy is a disorder of the central nervous system, thus it is basically a neurological disorder. In this the nerve cell activity of the brain is disrupted and causes seizures along with episodes of unusual behavior along with the loss of consciousness. The symptoms of the seizure can vary and some people with epilepsy just stare blankly for few seconds when a seizure takes place, while some twitch their arms and legs repeatedly.

Symptoms of Epilepsy:
As epilepsy is caused by the abnormal activities in the brain cells, seizures affect the processes with which the brain coordinates. Some signs and symptoms are:

Staring blankly
Confusion which is temporary
Uncontrolled jerking movements of the legs and arms
Loss of awareness and consciousness
Psychic symptoms
Mostly the symptoms vary depending on the type of the seizure. The seizures are further classified into focal and generalized depending on which part of the brain shows abnormal activity.
Focal seizures
When seizures are due to the abnormal activity of the cells in just one area then it is known as focal seizures. These seizures are of two types:

Simple partial seizures or the focal seizures without loss of consciousness. These seizures basically alter the emotions and the things like change in smell, look, sound and taste. These also result in the involuntary jerking of the body like the legs and arms, with spontaneous sensory symptoms like the tingling and flashing of the lights.
Complex partial seizures or the focal dyscognitive seizures. These seizures have a loss of awareness and consciousness. One might just stare blankly into space in this seizure and performs repetitive activities like swallowing, chewing, walking in circles and chewing.
Generalized seizures
There are six types of generalized seizures. These are:

Absence seizures, also known as petit mal seizures, are commonly seen in children and are characterized by subtle body movements like lip smacking and eye blinking and staring blankly into space. These also cause loss of consciousness.
Tonic seizures lead to stiffening of the muscles. These affect the muscles of the legs and arms and also cause to fall to the ground.
Atonic seizures are also called as drop seizures. These cause loss of control in the muscles, thereby leading to collapse or fall.
Clonic seizures are the rhythmic and jerking muscle movements. These affect the arms, face and neck.
Myoclonic seizures appear as twitches in the arms and legs.
Tonic-clonic seizures also known as grand mal seizures are very dramatic and lead to body stiffening, abrupt loss of consciousness, shaking and loss of bladder control and tongue biting.

Epilepsy - How Seizures Affect It?

A neurological disorder is characterized by sudden recurrent episodes of sensory disturbance, loss of consciousness, and convulsions associated with abnormal electrical activity in the brain.

Role of Physiotherapy in Epilepsy

It helps improve strength, mobility, and increases the range of motion and sphere of movement.
It helps improve sensory awareness, response, balance, and coordination.
It helps to improve quality of movement and physical performance.
The Goals of Physiotherapy

To develop strength enough to support one s head upright
To have balance and motor control to maintain their trunk at midline
To use many different muscle groups
To assist necessary motion in their trunk and extremities
The physiotherapists write short-term goals for each of the items on the problem list that need to be covered to help the patient achieve the long-term goals
To understand what the patient is good at and does well
To focus on what he or she capable of doing rather than on what they can t do
To educate and provide awareness with a view to prevent injury. For example, advice on special swimming equipment to prevent drowning if he/she gets seizures in the pool
Physiotherapy treatment for a healed fracture consists of strengthening muscles that have got weak from being immobilized and stretching muscles that are stiff owing to being in the cast for a long period of time.

Physical exercise improves fitness, energy, and mood and even relieves stress. Improving overall health and wellbeing in this way can help reduce seizures. It can also help people feel more in control of their health. It also helps release  feel good  hormones into the brain, helps keep the muscles active, reduces fat levels in the body, and increases oxygen flow to the brain. It can also increase the bone density. A research showed that regular sessions of aerobic exercise (for example running, walking, swimming, cycling) for 60 minutes, twice a week, for 15 weeks resulted in a significant reduction in the number of seizures they had.

Drink water, diluted fruit juice, or squash while exercising to help replace the fluids and body. Do not exercise straight after a meal.

Team sports or group activities such as walking or gardening groups can also be a good way of increasing self-confidence. Making new friends may help with any feelings of isolation. Most sports, including contact sports like football, hockey, basketball and rugby, have not shown to increase the chance of someone having a seizure, but contact sports come with an increased risk of head injuries, which could affect people with a history of epilepsy. Protective sports headgear helps to reduce this risk. 

Role Of Physiotherapy In Treating Epilepsy!

A neurological disorder characterized by sudden recurrent episodes of sensory disturbance, loss of consciousness, and convulsions associated with abnormal electrical activity in the brain.

Role of physiotherapy in epilepsy

It helps improve strength, mobility, and increases the range of motion and sphere of movement.

It helps improve sensory awareness, response, balance, and coordination.

It helps to improve quality of movement and physical performance.

The goals of physiotherapy

To develop strength enough to support one s head upright

To have balance and motor control to maintain their trunk at midline

To use many different muscle groups

To assist necessary motion in their trunk and extremities

The physiotherapists write short-term goals for each of the items on the problem list that need to be covered to help the patient achieve the long-term goals

To understand what the patient is good at and does well

To focus on what he or she capable of doing rather than on what they can t do

To educate and provide awareness with a view to prevent injuries

For example, advice on special swimming equipment to prevent drowning if he/she gets seizures in the pool

Padding out sharp corners in the house to prevent damage if fallen on

Physiotherapy treatment for a healed fracture consists of strengthening muscles that have got weak from being immobilized and stretching muscles that are stiff owing to being in the cast for a long period of time.

How can physical exercise help with seizures?

Physical exercise improves fitness, energy, and mood and even relieves stress. Improving overall health and well-being in this way can help reduce seizures. 

It can also help people feel more in control of their health. 
It also helps release  feel good  hormones into the brain, keeps muscles active, reduces fat levels in the body, and increases oxygen flow to the brain. 
It can also increase the bone density. 
A research showed that regular sessions of aerobic exercise (for example running, walking, swimming, cycling) for 60 minutes, twice a week, for 15 weeks can result in a significant reduction in the number of seizures they had.
Drink water, diluted fruit juice, or squash while exercising to help replace the fluids and body. Do not exercise straight after a meal.
Team sports or group activities such as walking or gardening groups can also be a good way of increasing self-confidence. 
Making new friends may help with any feelings of isolation. 
Most sports, including contact sports like football, hockey, basketball and rugby, have not shown to increase the chance of someone having a seizure, but contact sports come with an increased risk of head injuries, which could affect people with a history of epilepsy. Protective sports headgear helps to reduce this risk.


Epilepsy - Understanding The Role Of Physiotherapy In It!

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