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Wednesday, March 27, 2013

Convulsions/Epilepsy/Fits

Convulsions/Epilepsy/Fits
 

A convulsion is a condition where body muscles repeatedly contract and relax rapidly, resulting in an uncontrolled shaking of the body.

Convulsions are commonly referred to as "fits".

Convulsions are also known as "seizure". There are many types of seizures, some of which have mild symptoms instead of convulsions.

Seizures of all types are caused by disorganized and sudden electrical activity in the brain.


Convulsions can be disturbing to watch.Most seizures are harmless. They usually last from 30 seconds to 2 minutes. But if a seizure is prolonged, or if multiple seizures happen and the person doesn't awaken in between, then he should be immediately shifted to hospital.


A convulsion is a symptom of an epileptical seizure. However, not all epileptic seizures lead to convulsions, and not all convulsions are caused by epileptic seizures. Convulsions are also consistent with an electric shock.

Causes
 
   Epilepsy
   Fever (particularly in young children)
   Head injury
   Heart disease
   Electric shock
   Alcohol use
   Barbiturates, intoxication or withdrawal
   Brain illness or injury
   Brain tumor (rare)
   Choking
   Drug abuse
   Heat illness (see heat intolerance)
   Illicit drugs, such as angel dust (PCP),cocaine, amphetamines
   Low blood sugar
   Meningitis
   Poisoning
   Stroke
   Toxaemia of pregnancy
   kidney failure(uraemia)
   Very high blood pressure (malignant hypertension)
   Venomous bites and stings
   Withdrawal from benzodiazepines (such as Valium)

Symptoms

   Brief blackout followed by period of confusion
   Drooling or frothing at the mouth
   Eye movements
   Grunting and snorting
   Loss of bladder or bowel control
   Sudden falling
   Teeth clenching
   Temporary halt in breathing
   Uncontrollable muscle spasms with twitching and jerking limbs
   Unusual behavior like sudden anger, sudden laughter, or picking at one's clothing

AURA: symptoms before the attack

     Fear or anxiety
     Nausea
     Vertigo
     Visual symptoms (such as flashing bright lights, spots, or wavy lines before the eyes)
     Increased Appetite
     Uneasiness in abdomen

First Aid

   1. When a seizure occurs, the main goal is to protect the person from injury. Try to prevent a fall. Lay the person on the ground in a safe area. Clear the area of furniture or other sharp objects.
   2. Cushion the person's head.
   3. Loosen tight clothing, especially around the person's neck.
   4. Turn the person on his or her side. If vomiting occurs, this helps make sure that the vomit is not inhaled into the lungs.
   5. Look for a medical I.D. bracelet with seizure instructions.
   6. Stay with the person until he or she recovers, or until you have professional medical help. Meanwhile, monitor the person's vital signs (pulse, rate of breathing).

In an infant or child, if the seizure occurs with a high fever, cool the child gradually with tepid water. You can give the child paracetamol/acetaminophen (Tylenol) once he or she is awake, especially if the child has had fever convulsions before. DO NOT immerse the child in a cold bath.

DO NOT

     DO NOT restrain the person.
     DO NOT place anything between the person's teeth during a seizure (including your fingers).
     DO NOT move the person unless he or she is in danger or near something hazardous.
     DO NOT try to make the person stop convulsing. He or she has no control over the seizure and is not aware of what is happening at the time.
     DO NOT give the person anything by mouth until the convulsions have stopped and the person is fully awake and alert.

Reference: http://www.drmanoj.com/article.php?id=22

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