BMDC Reg. No. A68297 Gaibandha — Friday · Sonargaon — Monday Serial: 01738-737338
Dr. Al-Mahamudul Alam Mimo — Neurology Specialist logo
Epilepsy

Epilepsy and Seizures: Myths, First Aid and What to Do

What to do — and not do — during a seizure, why epilepsy happens, and how regular treatment allows a normal life. Advice from a neurologist.

Epilepsy is a common brain disorder in which nerve cells produce sudden abnormal electrical signals, causing repeated seizures. Many people in our society still believe seizures are caused by spirits — this is completely false. Epilepsy is treatable, and about 70% of patients become seizure-free with regular medicine.

Types of seizure

  • Whole-body stiffening and jerking, frothing at the mouth, loss of consciousness
  • Brief staring spells with no response (more common in children)
  • Jerking or strange sensations in one part of the body
  • Sudden shock-like jerks of the arms or legs

First aid during a seizure

  1. Stay calm and check the time — how long it lasts matters.
  2. Move hard or sharp objects away and put something soft under the head.
  3. When the jerking stops, turn the person onto their side so saliva can drain.
  4. Stay with them until they are fully awake.

Never do this

  • Do not put a spoon, finger or cloth in the mouth
  • Do not hold the limbs down forcefully
  • Do not make them smell shoes or onions — it does nothing
  • Do not give water or food until fully conscious
Emergency: go to hospital if a seizure lasts more than 5 minutes, seizures occur back-to-back, it is the first-ever seizure, or the person is injured.

Diagnosis and treatment

An accurate description of the event is the most valuable diagnostic clue. If possible, record a phone video of an episode. EEG and MRI are done when needed. The medicine is chosen based on seizure type, age and other factors.

Most importantly — never stop epilepsy medicine without your doctor's advice. Stopping suddenly can trigger severe seizures.

Everyday safety

  • Get enough sleep; sleep deprivation triggers seizures
  • Avoid bathing in ponds or swimming alone, working at heights or near open fire alone
  • Do not drive until seizures are controlled
  • If planning pregnancy, talk to your doctor in advance

With proper treatment, people with epilepsy can study, work and marry like anyone else.

This article is for awareness only. Do not start or stop any medicine on your own — consult a doctor.

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