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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 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!

2783 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

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

Enlarged Prostate State - 7 Signs That Can Indicate it!

MCh, MS - Urology
Urologist, Surat
Enlarged Prostate State - 7 Signs That Can Indicate it!

Benign prostatic hyperplasia or BPH is a condition where the prostate gland gets enlarged. This is mostly common in men who are ageing. When the prostate gland gets enlarged, the flow of urine through the urethra gets blocked, and hence, several problems related to urination may occur. BPH occurs as a result of hormonal imbalance. If untreated, BPH can lead to severe bladder and urinary health conditions.

There are several symptoms and signs of benign prostatic hyperplasia. Here are 7 common symptoms:

  1. A frequent need for urination: Men affected by BPH feel an increased need to urinate frequently. This gets enhanced during the night and is called nocturia. The patient may even need to urinate more than eight times a day. Due to the enlarged prostate gland, more pressure is put on the urethra, which leads to uncontrollable urination.
  2. Urinating difficulties: The act of urination becomes difficult. Because of enhanced pressure on the urethra, the flow of urine to the penis from the bladder gets blocked. This makes a urine stream hard to start. The urine stream gets weak and interrupted, and more difficulty may be experienced during the end of urination.
  3. Pain during urination and ejaculation: Due to pressure on the urinary tract and reproductive system, pain can accompany urination and ejaculation. Some patients tend to push urine out, which results in pain. The pain may also occur because of infection during BPH.
  4. Blood in urine and an unusual color/smell: Urine may take a dark color and have an unusual smell due to urinary retention. Unpleasant urine smell signifies urinary tract infection. Blood in the urine may also result because of dilated veins present on the surface of the enlarged prostate.
  5. Urinary retention: When a patient is unable to pass any urine, it is called urinary retention. Such a condition requires immediate treatment, and you need to consult a doctor immediately.
  6. Urinary tract infections: Bacteria may start growing in the bladder when the bladder is not fully emptied of urine. This bacterial infection causes darkening of the urine, and emission of a foul odor.
  7. Bladder stones: Bladder stones may develop because of the inability of the bladder to empty itself completely. This is a major symptom of BPH. Hard lumps of minerals or bladder stones are formed when the urine present in the bladder gets highly concentrated, which causes the crystallization of minerals. Bladder stones may cause infections, result in blood in urine, cause bladder irritation and may also block urine flow.

So you see that benign prostatic hyperplasia involves the enlargement of the prostate gland, and results in several problems related to urination and different symptoms. Hence, immediate treatment is advisable. In case you have a concern or query you can always consult an expert & get answers to your questions!

1666 people found this helpful

Mental State - 5 Ways It Impacts Sexual Health

Bachelor of Unani Medicine & Surgery (B.U.M.S), PGD(Sexual Medicine & Councelling)
Sexologist, Panaji
Mental State - 5 Ways It Impacts Sexual Health

Sex is not only a physical need, sex is a great way to emotionally bond and get closer to your partner as well. Any dissatisfaction in the bedroom can affect other aspects of your life, and can lead to fights, squabbles and general unhappiness. The inability to orgasm can become a major bone of contention. There can be various reasons behind the inability to climax. Some of the common ones are detailed below:

1. Lack of stimulation
Studies show that only 25% of women reach climax during sexual intercourse. The remaining 75% of women require more stimulation, like fingers or even toys and tongues to reach orgasm. Amongst this is a subset of 10-15% of women who never reach orgasm. Thus, a large number of women require extra stimulation to achieve climax during sex. You must talk to your partner about putting in some extra effort and providing the extra stimulation you need to achieve climax.
2. Over-thinking
Many men and women over-think their actions in bed. From their expressions to how they are reacting and how they are making their partner feel - everything is under constant scrutiny and revision. This leads to a lot of stress, which can hinder your ability to reach orgasm. You need to relax in the bedroom, because whatever you do will feel good in some way or another. Your anxieties can also distract you from what is going on, which means you don't get the chance to fully experience the pleasures of sex. If it helps, speak to your partner about your anxieties and tell them what you are stressing about during sex.
3. Differences between men and women
Men are visual creatures. This means that what they see turns them on. A woman's orgasm, on the other hand, happens in her head. Thus, men and women have different roots to their stimulation. Lack of an orgasm might mean either of these needs isn't being fulfilled. A great way to work around this and make sex more fun is to include a lot of foreplay in your love-making session. You can do this by trying out role-playing or using sex toys. Make sure to take it slow for a great build-up to your orgasm.

4. Performance issues
Porn has an impact on your sex life. It can increase your expectations to a considerable extent, which may not be fulfilled, thus hampering your experience in the bedroom. A lot of people become so focused on reproducing that experience that they forget that its real life. The focus on performance overwhelms their actual experience of sex, which results in an inability to reach orgasm. Try to accept the fact that you don't really have to perform for your partner. Your partner appreciates you for what you are, despite everything.
5. Mental blocks
A problem in the relationship, certain health conditions like depression, past trauma and negative social conditioning can all have negative impacts on your ability to orgasm. Talk to your partner about past trauma if you have any, and what your triggers are. Consider speaking to a sex therapist as mental health issues should never be neglected. Depression hits the libido hard, and the problem is only compounded by antidepressants. Negative social conditioning can only be helped by therapy, so try to reach out to a mental health professional. If you wish to discuss about any specific problem, you can consult a Sexologist.

3171 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.

My cheeks are shrinking how do I get my cheeks into original state? Please tell me.

MBBS
General Physician, Faridabad
take protein diet, green vegetable diet, dal, paneer, cheese, fruits, eggs etc, drink 3-4 litre of water daily, take cap autrin 1 cap od , 1 hr walk daily, it will help you,thanks.

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
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.
Play video
How Long Can You Avoid Pregnancy?
I m Dr. Veena Shinde. I m obstetric, gynecologist and infertility specialist.

I have been practicing in Mumbai since last 26 years. And I m seeing the trends that girls today don t want to be pregnant at an early age. But they have a facility of egg freezing. And with experience today we can get good embryos once we retrieve the eggs at younger age. See many of the girls have living relationships but because of career they are not able to have a baby at a younger age. The best age is 22 to 28 even 30. I have seek girls coming at 39 for egg freezing, it is very difficult to get good quality eggs at 39 years of age. Although you are financially independent and in a state to freeze your eggs at 39, it s not recommended that you freeze your eggs at 39. You should do this between 25 to 30 years of age.

If you need any more information you can contact me on lybrate.com
Having issues? Consult a doctor for medical advice