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Status Epilepticus: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Generally seizures tend to last for about 2 minutes. But status epilepticus (SE) is a condition where people have continuous or sometimes rapid seizures for a period of 30 minutes and more. The literal meaning of status epilepticus is a state of seizure that is continuous. If one seizure lasts for nearly 5 minutes it is a symptom of status epilepticus and is a serious condition. Whenever status epilepticus occurs it becomes a condition which requires immediate medical supervision. The mortality rate is very high in people who suffer from this condition. Some treatments or therapies for status epilepticus emphasize on reducing it instead of trying to end the seizures completely.

There are mainly two types of status epilepticus- mainly convulsive and non-convulsive. The Convulsive type is very common and the most dangerous of the two. It includes seizures that are tonic-clonic where there is a stiffening of the muscles and the person having it loses his/her consciousness coupled with jerking movements. In non-convulsive status epilepticus a person doesn’t lose their consciousness but go into a state of epileptic twilight. There is clouded consciousness. About 25 % of people who suffer from epilepsy are prone to have SE attacks. And 15 % of these people will have one SE attack at some point or the other in their lives. Children below the age of 15 years and adults above the age of 40 years are susceptible to having a status epilepticus attack.

How is the treatment done?

when treating a loved one suffering from status epilepticus it is imperative that the drug being administered is effective enough to stop the seizures from taking place and the method of delivery of the medication is reliable and easy so that the drug can easily get inside the brain and blood stream and start its work.

The different kinds of medications for status epilepticus includes intranasal, intramuscular and intrapulmonary. In the intranasal method the medications such as midazolam or diazepam can be easily administered and are easily and quickly absorbed into the body. Diazepam, especially is being further tested in laboratories for the possible treatment of cluster seizures which are very high in magnitude. In the intramuscular method the drugs can be quickly administered but the rate of absorption is a bit unreliable as it varies. This method also poses a threat of complications at the site of injection. In the intrapulmonary method after the administration of the medications it gets quickly absorbed into the pulmonary capillaries which get into the heart by way of direct flow in the brain. This is a quick route. However, there aren’t any drugs available in the market as of yet that can be quickly absorbed into the lungs, and researches are trying to see if the existing ones can be modified for easy absorption into the lungs while still having their impact on seizure control.

Who is eligible for the treatment? (When is the treatment done?)

Everyone is eligible to undergo treatment for status epilepticus however, you need to be a minimum of 2 years. Patients who are having seizures for a minimum of 5 minutes or more are diagnosed with status epilepticus and need immediate medical attention.

Who is not eligible for the treatment?

Children below the age of two years are not-eligible to go for treatment of status epilepticus.

Are there any side effects?

Information Not Available

What are the post-treatment guidelines?

After your seizures have been controlled or stopped and you have received the required treatment it is essential that you adhere to certain post-treatment guidelines in order to prevent any future seizures from occurring. In order to maintain stable conditions you should get blood cultures done from time to time. A lumbar puncture or spinal tap procedure should be carried out in order to keep in check any possibility of infections or subarachnoid haemorrhage. If you have already been diagnosed with an infection then you need to take empirical antibiotics. Anticonvulsants should be maintained regularly and adjusted from time to time depending on the serum level fluctuations. These adjusted anticonvulsants should be administered accordingly.

How long does it take to recover?

The time taken to recover from a status epilepticus treatment is proportional to the duration of the attack. If SE can be effectively halted in a short duration of time then it is possible that a full neurological recovery will be successful. There are high chances of causing serious cerebral damage if the seizures continuous to go on for longer durations.

What is the price of the treatment in India?

The cost of treatment for Status Epilepticus including any surgery and medications ranges from about Rupees 1600- 574,000 in India. However, the direct cost of SE is about Rupees 19,000.

Are the results of the treatment permanent?

If patients adhere strictly to the guidelines and regularly take their medications on time their epileptic condition can be stabilized and a possible status epilepticus can be prevented.

What are the alternatives to the treatment?

Information not available
Safety: Medium Effectiveness: Low Timeliness: Medium Relative Risk: Low Side Effects: Low Time For Recovery: Medium Price Range: 1600- 574,000

Popular Health Tips

Fighting Penis Odor: Simple Strategies

Dr. Vinod Raina 93% (4641 ratings)
MD - General Medicine
Sexologist, Delhi
Fighting Penis Odor: Simple Strategies
Ah, the senses! These five friends play a huge role in every person's life, including the state of their sex lives. Unfortunately, so many men tend to focus on how they affect one particular sense - for instance, sight, or how their physical presence registers with a potential or existing partner -that they often neglect the impact a man can have on the other four senses. But in fact, the other senses can play a big role in how a man is perceived by another. For example, a man who has a noticeable penis odor is going to be a turn-off no matter how physically imposing he may be. That's why a man needs to develop and maintain penis care strategies that address the problem of unwanted penis odor. The penis odor problem It's true that not every aroma that emanates from a manly penis is a problem. A certain amount of manly muskiness can have an intoxicatingly erotic effect on partners and can actually be a benefit. But when that aroma becomes an actual stench, some serious strategies are called for to fight it. And it's natural that penis odor should be a problem. After all, the sweat glands in the area are those that produce an acrid odor (rather than the more neutral-smelling sweat glands found on arms and legs). And the heat generated by a thick thatch of pubic hair, plus two layers of clothing, means that odor is guaranteed. Strategies So what are some strategies to keep penis odor at bay? - Wash it off. Number one and very basic - be sure to wash the area regularly. And not just with a quick water rinse. Use a gentle but effective cleanser to really clean it off. Do not use soap with strong chemicals or scents; this can irritate delicate penis skin, and the pseudo-scents from the soap can actually worsen the odor. Also, be sure to wash the penis after sex - whether with a partner or after solo play. - Dry it off. Putting clothes on a wet penis is inviting a fungal infection to develop - and that will simply worsen the penis odor problem. - Wash the clothes. Sure, when he was a schoolboy, a guy could get away with wearing his underwear for a couple of days running or with donning the same pair of jeans day after day. Now that he's a man, those days are over. A clean pair of underwear every day is a must, and if trousers must be worn two or three days before being washed, at least space it out so that those days are not consecutive. - Air it out. Assuming a guy has access to some privacy, he should air his penis out every day. Sleeping in the nude is an easy way to accomplish this. - Change the bedclothes. Putting fresh linen on the bed at least once a week is crucial; otherwise, the penis will absorb odors that accumulate in the sheets rather quickly. - Use care when selecting clothes. Clothes that are too tight make the penis sweat more, as do trousers that are too heavy. Lightweight pants that give the penis a little room can help cut down on persistent odor situations. Artificial fabrics, like rayon, don't allow the skin to breathe; natural fibers like cotton are much better. - Manscape. Either keeping the pubic hair neatly trimmed or shaving it down to the skin can help cut down on the heat quotient in the area, and thus on the sweat and aroma. - One of the most important strategies to fight penis odor is to daily apply a high quality penis health cr me (health professionals recommend Man1 Man Oil, which is clinically proven mild and safe for skin) to the member. The cr me must contain vitamin A, as this vitamin has anti-bacterial properties that combat the bacteria that causes unruly penis odor. It also pays to use a cr me with alpha lipoic acid, as that antioxidant will strengthen penis skin by fighting excess free radicals.
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What Can Help You In Reviving The Passion In Your Relationship?

Dr. Hemika Agrawal 88% (50 ratings)
MD - Psychiatry, MBBS
Psychiatrist, Delhi
What Can Help You In Reviving The Passion In Your Relationship?
Marriages in our country usually last a lifetime and require effort from both parties involved to make them work. Often, marriages end because of boredom, as the partners begin to believe that the spark is gone. But there are many ways couples can perk up their marriage. While it is true that many people are short on precious time in today s day and age, what is also true is that a marriage is well worth some prioritisation. Leaving dirty dishes in the sink for a little while longer does make good sense, if it means that the time is well-used to bond with one s significant other. Leisure time spent between couples is crucial for the success of a marriage. Many couples do not make it a habit of listening to each other and this really does work to their detriment. Paying close attention to what the other one says and providing a response may not need a lot of effort but the dividends are rich in the form of the partner feeling good. Intimacy is a valued feeling of being wanted and it has a big part to play in the success of a marriage. Over the long term, many couples do not make the required effort and the overall quality of their bond is reduced, as a result. While reinitiating contact may be as simple as holding the other s hand, many people do not do this as they feel their partner should be the one to do so. Intimacy does not only equate to sexual intimacy, but can even simply be looking into one s partners eyes with love. Laughter is said to be the best medicine, and this happens to be true in the case of a marriage, as well. It has been found that couples who laugh about their past experiences are happier and get along a lot more amicably than those who do not. Recalling together where the couple first met and started seeing each other also has a positive impact as it makes both partners feel valued and thankful about what they have. Below, are tips that don t require much if any money, time or even hard work! Engage in a new activity with your partner. Doing novel activities with your partner enables you to re-experience the original emotional state at the beginning of your marriage. In other words, trying something new sparks excitement, producing passion. You can do anything from deep-sea fishing to salsa dancing to hiking a mountain to eating at a different restaurant. Add the element of mystery or surprise. Both mystery and surprise also mimic the emotional state of a new romance. But it doesn t mean whisking your wife away to the Mediterranean or surprising your husband with expensive dinners. Here, little gestures also go a long way. Examples include, surprising your wife at work and whisking her away for lunch, or sending a greeting card in the mail. Do something that kicks up your adrenaline and arousal. Young marriages start out with an adrenaline rush. Your heart races, you get giddy, you re alert, awake and excited. Arousal-generating activities can include exercising, going on a vigorous hike, and even watching a scary movie. So it s almost like fooling your brain that the arousal produced to this scary movie (or any other arousing activity) is really due to your marriage, and this helps to perk up the passion. Take a mini-vacation just the two of you. Get out of the house for at least one night and two days, somewhere that interests both of you and creates new memories together. You don t have to go far from home or spend a lot of money. The key is to spend quality time together away from home. Studies show that for women, in particular, getting away is important. They feel more passionate when they re away from the pressures of their lives. At home, women have a tough time compartmentalizing things. They re thinking about the laundry, lunch, paying the bills, cleaning the house, and checking things off their mental to-do list. Touch more often. Touch produces arousal, comfort and support both physiologically and psychologically, and it doesn t have to be much of a touch. Holding hands on a walk, making sure you give a hug or kiss or embrace daily reminds you that you re physiologically bonded. When reigniting your relationship, the key is to shake things up consistently. Good luck!

Depression - Did You Know It Is Related With Food?

Ph. D - Psychology
Psychologist, Jammu
Depression - Did You Know It Is Related With Food?
Depression is a clinical, mental, and emotional condition that may give rise to feelings of hopelessness and chronic sadness. It slows down the way people process everyday activities and leads the patient to a sense of constant gloom and doom. It is a disabling mental condition as per WHO, and may be caused due to reasons like genetics, changes in the balance of hormones, stress, grief, trauma and prolonged, chronic physical ailments. Depression is also connected with food and nutrition. Do you want to know how? Read on to see the three ways in which food and depression are connected. * Severity and Duration: Depression is a mental illness that signifies an imbalance in the hormones and the emotional faculties in the brain. Nutrition is the fuel that keeps the brain and body in prime working condition. When a depressive state sets in or becomes emotionally rooted, then nutritious eating and a proper diet take a back seat as the patient succumbs to a state where he or she is not concerned about the food intake. As a result, the brain and hormonal balance get further affected. This can have an adverse effect on the severity and the duration of the depressive mode, which makes it all a vicious cycle of sorts. Poor appetite, not having proper meals, skipping meals, eating junk, avoiding social settings where food will be served, and even emotional eating are all outcomes of depression too. * Eating Disorders: Many patients who have eating disorders often experience deep rooted and chronic depression. Since despondency and hopelessness are the main characteristics of depressive behaviour, the outcome is that the patient tries to behave in a way that seeks approval. And in all this, the patient usually thinks that he or she is not 'good enough'. In such a scenario, the patient may start trying out fad diets and eventually fall prey to eating disorders like Bulimia that make the patient overeat and then vomit. These eating disorders usually come with phases of binge eating, throwing up, starving and then repeating the cycle again. Eating in secrecy is also a symptom of this condition. * Nutrition to Fight Depression: Nutrition and proper food intake can build a sense of resilience by first of all improving the overall physical condition of the patient. This can take care of a lot of angst even as the minerals and vitamins travel to the brain for better functioning in the long run. Ensure that you eat right as a part of your therapy for depression. This is as good as taking your medication on time!
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Irrfan Khan - Battle Against Neuroendocrine Tumour!

Dr. Aastha Gupta 93% (85 ratings)
MBBS, MD - General Medicine, Certification In Diabetes
Endocrinologist, Delhi
Irrfan Khan - Battle Against Neuroendocrine Tumour!
Irrfan Khan's saddening revelation about his health and diagnosis of Neuroendocrine tumour (NET) has undoubtedly created a rage amongst his fans, which is now being followed by good wishes for speedy recovery from his supporters all across social media. The actor shared in an emotional Twitter post that he s been diagnosed with NET, a rare tumour that develops from cells of the neuroendocrine system and grows predominantly in the digestive or respiratory tract - lungs, appendix, small intestine, rectum, and pancreas - it can occur in any part of the body. Here is more on Irrfan s disease: What is NET? A neuroendocrine tumor is characterized by a rapid and abnormal growth that happens in the nerve cells which produce hormones. Hormones control how different organs in the body work. It is a condition wherein, endocrine cells, the hormone-producing cells of the body, develop a tumor in any part of the body - while it can can grow in lungs or the thymus, or more rarely, in the ovaries, kidneys, or testicles - the most common is lung, intestines, and pancreas. What causes NET? A neuroendocrine tumour is quite a rare disease, occurs in less than one per million cases. The exact cause is not known. The Symptoms- It can cause a myriad of symptoms, depending on where in the body the NET is. If it is in your digestive system, it can cause pain or discomfort in the abdomen area that comes and goes. You may feel sick, nauseated, vomited, or there may be a change in how often you pass stools. If the NET is in the lung, it can cause shortness of breath, chest infections, or you can even have a cough up blood. Weight loss and loss of appetite may also be some common signs of a neuroendocrine tumour. Some NETs may overproduce a hormone-like substance called serotonin. This causes a group of symptoms called carcinoid syndrome. Symptoms include wheezing (like asthma), flushing of the skin and diarrhoea. Who can be affected with NET? These tumours, depending on the type, are more common in certain age or sex. And few have very strong family history too. People who have a rare condition called multiple endocrine neoplasia 1 have an increased risk of developing a NET. Did You Know? Apple founder Steve Jobs died from the same disease in 2011. The tumour affected his pancreas. Know The Different Types of NET: Based on the organ that is affected, NET can vary a lot. When the chromaffin cells that produce adrenaline are affected, it is called Pheochromocytoma, and it is related to the stress levels of the body. When a cell is formed abnormally under the skin and the hair follicles, it is called Merkel cell cancer. This is also called neuroendocrine carcinoma of the skin and the condition can occur anywhere in the body. The commonly occurring places include lungs, gastrointestinal tract, and brain. The status of the tumour, cancerous (malignant) or noncancerous (benign), decides the survival rate. Often slow-growing and noncancerous, they can invade surrounding parts of the body and at times, turn cancerous and spread across the body. However, you can still choose to live a good quality life with strict modifications in diet and lifestyle. The changes are made after taking into consideration the symptoms of the tumor. The organ where the tumor is formed also matters. How Is It Treated? Treatment depends on the location of the tumour, its type, how severe it is and whether it has spread to other parts of the body. Usually, the first treatment choice is surgery to remove the tumour. And, if the NET cannot be removed, your will prescribed with a treatment that will not only relieve the symptoms but will also improve the quality of your life. How can a NET be prevented? The first thing you need to do for the prevention of NET is to curb stress. Stress affects the entire body severely. Lifestyle modifications: A healthy lifestyle is what you need to stick to if you want to manage its symptoms during the treatment cycle. Your doctor will prescribe you to do exercises at least 4 days a week for a minimum of 30 minutes. You can also try a walk instead of strenuous exercises. People with carcinoid syndrome may be advised to avoid food or activities that may trigger flushing, such as eating spicy food or drinking alcohol. Indulge yourself in therapies that help in gaining more positive energy. If you are already affected by NET, eliminate all the sources of stress and get a good night's sleep every day. Join the support groups that make you grow strong and happy. After all, the mind is devised to do miracles when it is full of life and positive thoughts. Is Irrfan Khan's tumour curable? Dr Saumitra Rawat, HOD, Surgical Gastroenterology & Liver Transplant, Sri Ganga Ram Hospital, said, "NeuroEndocrine Tumour is an abnormal growth of Neuroendo cells which are present in bodies. When there is an abnormal growth, then it forms a tumor - Normally seen in intestine, pancreas, lung, thyroid and other parts of the body". On commenting on Khan's case, he said, "It depends on the location of tumour, its size, and what is its mitotic index". "Depending on where the tumour is localized, you can take it out surgically and the chances of cure are very high", Dr Rawat explained. Actor Irrfan, who has been diagnosed with the disease is one of the most versatile actors in India, has also made a name for himself in the west, where he has been an important part of critically-acclaimed films such as The Namesake , Jurassic World , and Life of Pi . At home, the actor has delivered remarkable performances in films such as Haasil , Paan Singh Tomar , Maqbool , Lunch Box , Piku , and the most recent Hindi Medium . Irrfan Khan is not just a disarmingly natural actor, but also an endearing human being -- honest and humble to the core. It s time to stand together and pray for him a speedy recovery!
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Proprioception - Balance Exercises For ACL Injury

Dr. Ritesh Kharnal 89% (551 ratings)
MSPT (Master of Physical Therapy)
Physiotherapist, Indore
Proprioception - Balance Exercises For ACL Injury
What is proprioception? Proprioception is the sense of knowing where your body part is in space. This can be a difficult concept to grasp until you lose it, because so much proprioception occurs subconsciously. Your proprioception capabilities can be impaired when joints are injured, such as with ligament sprains. When you lose proprioception of your joint after a sprain, you may experience an unstable sensation of the joint. Your joint may even give-out. The most common symptom of reduced proprioception is poor balance. In this respect, most people can understand the concept that poor balance can be a result of poor proprioception. However, even your spinal posture has a proprioception component telling you whether or not you are sitting or standing upright. Good posture, for example, could be thought of as perfect spinal balance! Every injury has the potential to decrease your proprioception and subsequently your balance. However, you can quickly improve both your proprioception and balance with proprioception and balance exercises. That's where your physiotherapist is an expert and can help you. What are proprioception / balance exercises? Proprioceptive and balance exercises teach your body to control the position of a deficient or an injured joint. An common example of a proprioceptive or balance exercise is the use of a balance or wobble board after an ankle sprain. The unpredictable movements of the balance board re-educates your body to quickly react to the wobbly movements without having to think about these movements. That is, your natural balance and proprioceptive reactions that we are attempting to retrain make the transition from a conscious to a subconscious state. A quality subconscious proprioception and balance system is important in everyday life and particularly in sport. Elite athletes are not thinking about how to stay balanced as they pass or kick a ball. That all happens automatically behind the scenes. The best athletes can then elevate their performance by focusing on what they plan to do with the ball and performing that match winning skill rather than wasting their mental power on just staying upright. How does your proprioception or balance improve? Proprioception exercises are designed to improve your proprioception feedback circle. In simple terms, your brain sends electrical contract or relax messages to your muscles. Your joint movement response is detected by your sensory nervous systemand reported back to your brain for fine tuning and improvement with repetition of the process. In other words, perfect practise will eventually mean proprioception perfection. There are hundreds of injury specific proprioception and balance exercises whether your injury is your shoulder, elbow, hip, knee, ankle or spine. It is best to see your trusted physiotherapist to ensure you are doing the right things at the right time and not disrupting tissue repair. It is possible to commence advanced proprioception or balance exercises too early, which can be detrimental to your rehabilitation outcome.
1 person found this helpful

Popular Questions & Answers

I had a sex with 2 girls at a time. Without any protection will I get any aids problems?

Dr. Ashutosh Upadhyay 95% (192 ratings)
General Physician, Delhi
Hi If the status of the partners are not known the there are chances of HIV transmission if any of the partner have HIV infection. Thanks.

I am a chain smoker and lately I have started facing difficulty in breathing and heavy panting even in a little walk. I'm also taking medicines for diabetes. Would that be any beneficial to get a pacemaker.

Dr. Prabhakar Laxman Jathar 95% (12739 ratings)
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Hello, Thanks for the query. It appears excess smoking for years may affected lung capacity, hence the breathlessness. There may be emphysema developing. Get a physician's opinion. Thanks.

My father diabetes is 332 after breakfast and empty stomach is 220, should he eat Some medicine or keep precaution while eating and take regular exercise!

Dr. Shashidhar 94% (5154 ratings)
Homeopath, Secunderabad
Managing diabetes becomes easier if the patient and the family member's become alert and aware and take pragmatic and practical steps. So, please without wasting time let him be examined by a doctor (and some tests can be done to know his current status of health, as it can affect every major organ of the body ). Please go for regular follow-ups with the doctor and follow a very healthy lifestyle (proper balanced diet and daily exercise is also equally essential ). Read all the details about Diabetes (from the internet) and let everyone be knowledgeable to help the patient become self reliant.

I am 54-year-old man. Since 8 years I am facing premature ejaculation. I have blood sugar, I am using insulin dose. I am implanted pace maker in the year 2014. Recently I am facing erectile dysfunction problem along with previous problem of premature ejaculation. Please advise me by Homeopathic Doctor.

Dr. Harkirat Wilkhoo 88% (303 ratings)
BHMS, Certificate in Sex Education & Parenthood, PG Dip (Preventive & Promotive Healthcare), Dip in LSM (Prescribing Exercises), Dip in LSM (Metabolic Disroders & Nutrition), Dip in Occupational health & industrial hygiene., MBA (Healthcare), Certificate in Good Clinical Practice, Dip in Healthcare Quality, Core Competency In Lifestyle Medicine
Homeopath, Jamshedpur
Dear lybrate-user It's good to share your concern about your health problem. You've mentioned two major issues related to your metabolism and your heart. IDDM is a major cause of ED and premature ejaculations. As you are on pacemaker, I'll suggest you to practice 15 mins of Kegel's exercise. Let me know after 1 week about your status.

My father has chronic diabetes. And his serum creatinine level is 1.6 mg/dl. Is it a serious issue? He is under medications. Can it be controlled?

Dr. Shashidhar 94% (5154 ratings)
Homeopath, Secunderabad
It signifies the importance of keeping the sugar levels in good control so the the complications of diabetes do not affect the vital organs. Tell him to take charge of his health by a firm commitment. Let him follow a healthy lifestyle and stick to the discipline. Read more (from the internet) about Diabetes and its management -which is quite easy otherwise. Let him learn Yoga and do some simple exercises everyday. Regular followup along with basic tests is essential to keep a check on the overall status of health. You can try Homeopathy which can help in the natural healing process and aid the body to overcome the problem without any side effects. A detailed consultation is required to select remedy which suits his constitution. You can contact me for the same.

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