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Overview

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

How To Know Your Fertility Status?

MBBS, DNB - Obstetrics and Gynecology, Fellowship In Reproductive Medicine
IVF Specialist, Delhi
How To Know Your Fertility Status?

Everyone should know their fertility status before planning for pregnancy. These days couples are planning to start a family at a later date. Hence is the importance of getting a fertility check done.

For males the gold standard investigation is semen analysis. If semen analysis is within normal limits then no further investigations are needed for male partner. 

In case of female partner- serum. Amh or anti mullerian hormone estimation is of prime importance. Amh levels give a fair idea about the fertility status. If levels are borderline or low then delaying family is not advisable. Unmarried girls can go for fertility preservation with egg freezing. Married couples should not delay conception & take help of a specialist if they are facing problems in conceiving.The othet test for female fertility is ultrasound to check for antral follicles. These give a fair idea about fertility status too.

In case a male or female gave undergone any surgery which can impact their fertility them help should be seeked earlier. 
 

How to Prevent A Pre-Diabetic State From Becoming Type-2 Diabetic State?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - General Medicine, Certificate Course in Management of Thyroid Disorder, Post Graduate Course In Diabetology
Endocrinologist, Delhi
How to Prevent A Pre-Diabetic State From Becoming Type-2 Diabetic State?

What is a pre-diabetic state and what is a diabetic state?
When blood glucose levels (blood sugar level) go above than normal level, but it’s not so high enough to be considered as diabetes than it is considered as a pre-diabetic state whereas diabetes is considered when the blood glucose levels are too high.


Who is prone to become diabetic from a pre-diabetic state?
Certain ethnic groups are more likely pre-diabetic due to their lifestyles, such as African-Americans, ASIAN group, Hispanic Americans, Native Americans, and Asian Americans, and they are at highest risk of developing diabetes. The pre-diabetic state can be prevented from becoming a diabetic state by making following changes in lifestyle:

 

 

  • By reducing weight: The pre-diabetic state is associated with high body mass index (BMI), and large abdominal girth. So to prevent diabetes, the weight should be reduced.
  • By increasing physical activity: A sedentary lifestyle is one of the major factors for developing diabetes from pre-diabetes. It includes exercising, cycling, walking for at least 5 days of a week for at least 30 minutes.
  • By taking care of the health as age advances: As age advances, the risk of developing diabetes increases. During 40-50 decades of our life risk is highest if they are accompanied by pre-diabetic states.
  • By maintaining blood pressure level and by reducing high cholesterol levels: High bad cholesterol levels for the longer duration of time often associated with the conversion of the pre-diabetic state into the diabetic state.
  • By improving eating habits: Practicing mindful eating is one of the best ways of preventing diabetes. By eating when you are hungry, and by stopping it when you are full will help you to maintain the weight, and to prevent diabetes.
  • By taking treatment for underlying disease: Certain diseases, such as polycystic ovarian diseases, thyroid disorders are a major cause of pre-diabetic state. Thus, to prevent further development of diabetes, they should be treated properly.
  • By maintaining blood sugar level with proper diet and lifestyle: A previous history of Gestational diabetes (diabetes while you were pregnant), or positive family history increases the risk of developing diabetes. Thus, to lessen the chances of becoming diabetic, we must keep a check on the diet.
    • By eating healthy food
    • By taking low carbohydrate diet
    • Having low glycemic index foods, such as high fiber diet will help to avoid development of diabetes. An excessive intake of foods which are processed, cooked, or canned can rapidly shift pre-diabetic state into the diabetic state as they have a high glycemic index.
    • Avoiding lot of meat as it can lead to high cholesterol levels

In case you have a concern or query you can always consult an expert & get answers to your questions!

2784 people found this helpful

Depression - How To Help Someone In Such A State?

MBBS, DPM - Psychiatry
Psychiatrist, Greater Noida
Depression - How To Help Someone In Such A State?

Depression is an illness which has a direct impact on the brain. People feel that it’s just feeling down but it is more than that. It is a serious illness caused by changes in brain chemistry. There are other factors also that contribute to the onset of depression, including

  1. Genetics,

  2. Changes in hormone levels,

  3. Stress,

  4. Difficult life circumstances.

Any of the above mentioned factors or combination can precipitate changes in brain chemistry and may lead to depression. Depression is a serious and a very common condition these days which may lead to suicide in extreme cases.

Signs of Depression:

  1. Loss of pleasure in virtually all activities,

  2. Feeling of fatigue or lack of energy,

  3. Difficulty with concentration or memory,

  4. An increase or decrease in appetite, with a corresponding change in weight.

  5. Thoughts of suicide Depression & Suicide.

A major cause of suicide is mental illness, very commonly depression. People feeling suicidal are overwhelmed by painful emotions and see death as the only way out, losing sight of the fact that suicide is a permanent solution to a temporary state. Most people who succeed with living feel glad that they resist and are alive today. Suicidal thoughts may be fleeting or more frequent, passive or active. People who are in depress state often start preparing for death, such as giving away possessions or acquiring a gun and these are cause of great concern and should be taken very seriously.

How to judge if suicide is a possibility?

There may be some warning signs, though hard to predict but can be an area of concern:

  1. Being depressed or signs of some mental disorders.

  2. Talking about the loss of interest in living or not to be around.

  3. Increased social isolation.

  4. Mood swings very often.

  5. Buying suicide materials.

  6. Preoccupation with death.

While anyone can become suicidal, there are certain risk factors that make suicide more likely:

  1. Previous suicide attempts.

  2. Recent losses like loss of a relationship or job.

  3. Cultural and religious beliefs supporting suicide.

  4. Access to means of suicide.

How to help a depressed person?

  • Let the person know if you've noticed a change in their behaviour.

  • Spend time talking with the person about their experiences and let them know that you're there to listen without being judgmental.

  • Suggest the person see a doctor or health professional and/or help them to make an appointment.

  • Offer to go with the person to the doctor or health professional.

  • Help the person to find information about depression and anxiety from a website or library.

  • Encourage the person to try to get enough sleep, exercise and eat healthy food.

  • Discourage the person from using alcohol or other drugs to feel better.

  • Encourage friends and family members to invite the person out and keep in touch, but don't pressure the person to participate in activities.

  • Encourage the person to face their fears with support from their doctor/psychologist.

Remember that your loved one's depression isn't anyone's fault. You can't fix the person's depression — but your support and understanding can help.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3478 people found this helpful

Heart Attack Like State!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Heart Attack Like State!

What is Heart Attack like state?

If the heart muscle does not have enough blood, it dies and a heart attack like state occurs.

Symptoms of Heart Attack like state-

Causes of Heart Attack like state-

  • The narrowing or blockage of arteries that flow blood to the heart
  • Risk factors of Heart Attack like state
  • Increasing age
  • Family history or race
  • High levels of blood cholesterol
  • Overweight
  • Diabetes
  • Smoking

Complications of Heart Attack like state-

  • Heart rupture
  • Heart valves damaged
  • Heart failure
  • Abnormal heart rhythms
  • Hypoxemia

 Diagnosis of Heart Attack like state-

The doctor will listen to your heart and lung sounds with a stethoscope. The following tests will be done:

  • Electrocardiogram (ECG)
  • Blood tests
  • Chest X-ray
  • Echocardiogram
  • Coronary catheterization

 Precautions & Prevention of Heart Attack like state

  • Exercise for 30 minutes on most days of the week
  • Do not smoke
  • Maintain a healthy weight
  • Control your blood pressure, cholesterol level and diabete
  • Reduce Stress

Treatment of Heart Attack like state

  • Homeopathic Treatment of Heart Attack like state
  • Acupuncture & Acupressure Treatment of Heart Attack like state
  • Psychotherapy Treatment of Heart Attack like state
  • Conventional / Allopathic Treatment of Heart Attack like state
  • Surgical Treatment of Heart Attack like state
  • Dietary & Herbal Treatment of Heart Attack like state
  • Other Treatment of Heart Attack like state

Homeopathic Treatment of Heart Attack like state-

Homeopathy can offer good support. Homeopathic remedies are used for congestive heart conditions. It is also used in palpitation with distress on exertion. These remedies are used to tone heart muscle and remove oedema. Some of the homeopathic remedies to support treatment of heart attack like state are:

  • Adonis V
  • Cactus G
  • Iberis amara
  • Kalmia
  • Aconite
  • Naja
  • Crot H

Acupuncture & Acupressure Treatment of Heart Attack like state-

Acupuncture help to energize the body, maximize the absorption of nutrients, regulate elimination, control overeating, suppress the appetite, and reduce anxiety. By applying acupuncture needles at specific sites along the wrist, inside the forearm or in the leg, decreases the heart’s activity and thus its need for oxygen. All of these will help alleviate unnecessary stress on the heart, and help to strengthen it as well.

Psychotherapy Treatment of Heart Attack like state-

Psychotherapy treatment of heart attack like state involves Cognitive-behavioral therapy (CBT). It reduces the feeling of helplessness that often accompanies anxiety disorders. CBT aims to help a client to become aware of thought distortions which cause psychological distress, and of behavioural patterns which are reinforcing it, and to correct them. It teaches people a new way of reacting to events. CBT sessions help people to learn skills on coping with stress and reducing feelings of anger and hostility.

Conventional / Allopathic Treatment of Heart Attack like state-

Allopathic treatment of heart attack like state includes vasodilators, blood thinning drugs and anti- cholesterol drugs. The doctor will first give the drugs called Nitrates, which are sorbitrate, monotrate, aspirin, angispan, isordil and ismo. These drugs dilate the vessels & thereby supply more oxygen to heart.

Surgical Treatment of Heart Attack like state-

  • Angioplasty – Angioplasty opens up the coronary artery. A small wire goes up the artery from the patient’s groin or arm and is pushed until it reaches where the clot is in the coronary artery. There is a small balloon, shaped like a sausage, at the end of the wire. The balloon is placed at the narrowest part of the artery and is then inflated, squashing the clot away. A flexible metal mesh, called a stent, is then placed there to keep that part of the artery open.
  • Coronary artery bypass graft – The damaged blood vessel is by-passed with grafts taken from blood vessels elsewhere in the body. The bypass effectively goes around the blocked area of the artery, allowing blood to pass through into the heart muscle.

Dietary & Herbal Treatment of Heart Attack like state-

  • Apples and processed apple like apple butter is very beneficial for patients with weak heart.
  • Intake of foods rich in vitamin E
  • Vitamin C is prevents the increase in blood cholesterol

Other Treatment of Heart Attack like state-

  • Garlic lowers cholesterol levels and blood pressure

 

2 people found this helpful

A Peaceful State Of Mind Is The Key To A Healthier Life

MD - Internal Medicine
General Physician,
A Peaceful State Of Mind Is The Key To A Healthier Life

Find the root of all your suffering in some negativity you are nurturing in your life. Rise above all negativity, drop down all things you are holding onto become free at this moment life is very beautiful nd we are all beautiful children of god.

5 people found this helpful

Popular Questions & Answers

Hi, I think I have gone into depression state. Tell me how to come out from this Thanks,

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
Loss of interest, decreased concentration and attention, feeling low and disturbed sleep or appetite are some of the signs of depression. Consult a psychiatrist who will assess you in detail. If you are feeling suicidal or hopeless, seek professional help immediately.

I have been coughing for long time but when I am in my home state it is gone and when im back in maharashhtra I stated coughing again. Can you help me with this?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
This may be allergic coughing due to atmosphere change. Take tab. Sinarest sos for it. Drink warm water at coughing time.

My job was almost wondering at outside from one state to another state. Due to improper food motions what I have to do.

BHMS
Homeopath, Faridabad
Hello, you can take Alpha LIV, 1 tsp twice daily after meals to make your digestion better. Take BC NO. 08, 5 tabs , thrice a day when you suffer with loose motion.

Getting erection but can't feel penis in flaccid state nor in erect state. Please tell what the problem is?

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
Hello- Incidental weak erections are normal. Like professional athletes, sometimes you just have “an off day”. For some, a weak erection is an occasional problem; for others, a chronic issue. Weak erections are not random; they are due to one of four reasons: because of penile injury that inhibits blood flow; because of insufficient blood flow to the penile sponge-like tissues; because penile tissues cannot maintain blood; or because blood flow exits out of the veins unexpectedly. The cause for each of these problems varies from drugs and old age to improper diet and excessive masturbation.

I can pull my foreskin in semi erect state but not in erect state. What should I do?

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Dehradun
Hello- You are suffering from Phimosis. " Phimosis" is the technical term for an un-retractable foreskin. An acute case of phimosis may create problems for the person when he would want to pass urine or to perform sex, as this action may either be restricted or become troublesome. This is when phimosis becomes a medical emergency. It has been linked with an increased risk of infection, loss of sexual stimulation of the penis and even penis cancer. Traditionally medicine offers conservative treatment of phimosis. It is worth noting that in recent years, medicine has made great progress in this field. So, if you looking for a permanent solution for your tight foreskin, yes it is possible with Ayurveda. Surgery (circumcision) can be avoided.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Know More About Mental Health
Tips to maintain your Mental health and State of mind
Play video
Colon Cancer
Colon cancer happens when tumorous growths develop in the large intestine. There are often no symptoms in the earliest stages, but symptoms may develop as the cancer advances. Treatment will depend on the type and stage of cancer, and the age, health status, and other characteristics of the patient.
Play video
Understand the Term of Depression
Here are some tips related to Depression.
Here are some tips related to Depression.

Understand the term Depression
Hi! I m Dr. Priyanka Srivastava, a Psychologist, practicing in Noida.
Today, let s understand the term depression. Depression is nothing but a psychological condition that can drain your energy, drive and hope from your life. The things that you once rejoiced may not be pleasurable anymore.

Meanwhile, it is not a simple and an easy way to move out from depression. You need to consult a counseling psychologist or a counselor or a therapist to overcome the symptoms of depression. Yet at the same time, there are certain things you need to avoid and you need to follow when you are moving in this state of depression.

So, There are four things that you need to avoid during this state of depression.

Avoid staying alone- Whenever we are in this depression mode, we generally do not want to interact with the people, do not want to move into the social situations but we recommend that you should move into the social situation so that the feeling of loneliness is being taken care of.
Avoid not seeking help- Avoid not seeking help means that you need to consult a therapist or a counseling psychologist who will help you to overcome with these symptoms of depression either through online or an offline mode of consultation.
Avoid white foods or processed foods- Now white foods or the processed foods, they are generally simple carbohydrates that can actually lead to insulin dumping and trigger the process of depression.
Lastly, the products of aspartame.
Aspartame is nothing but an artificial sugar. Eating aspartame can increase the density of depression symptoms and may result in insomnia as well.

Now, What are the things we need to follow during this depression mode?

We need to consume more of omega-3 fatty acids in our diet- For the vegetarians, we can include flaxseeds, broccoli, in our diet. For non-vegetarians, we can include fish, or fish cod liver oil
Get involved in social settings- Getting involved in social settings will surely help you move out from this state of depression.
Fix your daily routine- Fixing the daily routine will help you; motivate you to move out again from this state of depression.
Be positive and be open to the new ideas- Have a positive thinking then, surely you will come out from this state of mind, and be open to the ideas from the social gathering.
For any other consultation, regarding this depression, you can consult me through Lybrate online and offline mode.
Play video
Depression
Hello, I am Dr Vikass Khanna. I m working as a counsellor and hypnotist in Gurgaon Delhi. Today I will be talking about depression.

What is depression?

We have all been depressed sometimes in our lives. We ve all been through ups and downs.

What is clinical depression?

CD is a very vague and broad clubbing of thought patterns. But does depression have a substance, absence of a state you want to be in. Let s go to the roots of drips. You never visited the roots. The value system of our society which tells us to be someone to be happy to be kind, to be successful is the root of depression. We are always in a state of being someone, be somewhere, we have to be kind, to be more religious, be somewhere. Somewhere where one is not. There lies the conflict of what you are and what you want to be. Life is paly of polar opposites. You have expectations. You will have frustrations. They are eternally linked. If you don t know the definition of happiness there s no unhappiness. So why does one want to be in a futuristic state always, all the time, to be someone. As per the culture happiness, expecting something or the other all the time.

Now how do you manage depression?

Either pop a pill, take anti-depressants, which are 3 basically serotonin reuptake inhibitors. They inhibit the serotonin uptake. The chemicals they act till your taking them. In the brain circuits, a lot of adverse effects associated.

What is the other kind of motivation?

Diversion, meditation, which are again suppressions. This suppressing kind of thought, Will you get rid of depression by that? Can you stop struggling to be free of depression? It is your mind which tells that you re not happy. you re sad. You should be somewhere. You should be like this. The same mind tells you to be free of depression. It is a moment, a mental moment, a though moment. Both the things can bring about that change.

Can you be depression free by struggling?

To get rid of it. Or increasing the depression like falling into the trap of depression. Can u let go of this struggle? Can you revisit the roots of depression? Expectations that ideal state, you want to be in. ideal state.

For any help enquiry, you can either come through the platform of lybrate or you can contact me directly on my mobile no. I m available in Gurgaon and Delhi on appointments.

Thank you
Play video
Know More About Eye Problems
Hi,

I am Dr. Varun Gogia, Director Eye clinics advance eye care and senior consultant Ophthalmology at Forty SeaDoc taking care of all their diabetic patients and having eye problem.

We at diabetic eye clinics or our eye clinics advance eye care have a single motto of patient first, vision first and we provide all comprehensive and complete eye care very affordable prices for all our patients. The services provided by us include a complex retinal therapeutics and diagnostics which include three dimensional OCT, diluted examination fluorescein angiography for diabetic neuropathy fundoo phrosis for various retinal disorders and lasers. in lasers we have a very specialized machine which is a multi-spot laser which is extending the benefits of reduction in total duration of the laser and reducing pain which is not available in many of the centers of Delhi and NCR region. Apart from that state of art endoscopic switcher less retina surgeries are being performed for all kind of complex retinal problems like Aetna detachment, macular hole, ERN s, diabetic retinal detachment, diabetic ERN s and various severe disorders. Apart from that we extend this care to our patients even post-operative period by providing them with protect me recovery support system which help them in maintaining their position even after the surgery which helps them in the success of the surgery. Having done my senior in see my graduation and post-graduation from a premier institute of all India with medical sciences we hear them at making the diagnosis at a very initial stage thus preventing the total visual loss specifically you will and retinal disorders like separgenous colitis, acute retinal process. Apart from these kind of services have a state of the art institute for cataract surgeries, Lasik surgeries other glaucoma and squid surgeries and uplopastic surgeries.

If you want to contact me, you can contact either, either through Lybrate, or you can come to my clinic at Eye clinic s advance eye care. Thank you.
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