Female | 3
Is my child's seizure treatment on track with toxic valproic acid levels?
Hi Doctor ,my child 3.5 yrs weight 11.7kg is a known case of seizure of unknown cause since 5 months of age.Now she is on Soval chrono 350 mg per day..... seizure is under control......all investigation are normal like eeg,MRI and other blood test......is the treatment going on in right track? She has leg pain at night time.Her latest serum valproic acid level is 115 which is slightly in toxic level.what to do now please suggest.
Neurosurgeon
Answered on 2nd July '24
It's good your child's seizures remain controlled, although the night leg pains and higher valproic acid levels need discussion. Night leg pains might signal low magnesium or calcium, so checking those could help explain it. To address the higher valproic acid level, adjusting that medication dose may resolve it. Follow up with your child's doctor about these symptoms and potential treatment changes. If any other concerns arise, don't hesitate to reach out to a neurologist for guidance.
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Questions & Answers on "Neurology" (790)
BUT SIR I HAVE NO OTHER SYMPTOMS OTHER THAN EXCESSIVE YAWNING AND SLEEPY FEEL
Male | 18
Excessive yawning and feeling sleepy even when there are no other symptoms can sometimes be due to lack of proper quality sleep. It is also linked to the feeling of being slightly down or the deficit of air. Try going to bed earlier and have a good sleep routine. Get outside for a breathe of fresh air each day to be active a little more.
Answered on 30th Nov '24
Dr. Gurneet Sawhney
Sudden headache followed by Unconsciousness. It happens frequently. MRI, CT SCAN, Report are normal. Deprived sleep EEG shows abnormalities that is sudden spike in waves. She also feels sudden headache at either Side of head nerves gets swallow and got Unconsciousness. Before taking treatment she recognised her giddiness and control herself. But after starting treatment/medication she couldn't recognise any giddiness. She got Unconsciousness and freefall on ground resulting in injury in other parts of body.
Female | 40
The person is said to be having a focal seizure, which is a type of seizure. This can lead to sudden headaches, unconsciousness, and loss of control. The brain wave patterns that are incompatible with the EEG confirm this. Doctors can prescribe these medications to control the seizures and thereby avoid any injuries resulting from falls. It's paramount to follow up your treatment with a neurologist for a thorough diagnosis and the right therapy.
Answered on 11th Oct '24
Dr. Gurneet Sawhney
I'm Amit Das 29 years old. I was watching the mobile for a long time, my mind started moving towards me, when I wake up from sleep , my whole body started moving towards me, when I started moving, my mind started moving somewhere, when I started sleeping, then again my body started moving along with my mind. Yes, all this is happening since last 3 days, there is a lot of pain before sleeping, checked that BP is low. Can this be right?
Male | 19
Prolonged screen time can cause tiredness and it might be the reason for these feelings. It is necessary to rest a little from the mobile phone and make sure you are drinking enough water and eating properly to help your blood pressure. However, given that this has continued for a few days, I strongly advise you to visit a healthcare professional. They can suggest a personalized approach and check whether there are any hidden issues. Take care of yourself and request substantial medical advice.
Answered on 16th Dec '24
Dr. Gurneet Sawhney
My brother is of 22 yrs old and doc says that he has brain tumour from childhood and has swelling too doc said to get him operated
Male | 22
If the brain tumor and swelling are diagnosed, you should follow the doctor’s advice, schedule surgery, and take herbal remedies that reduce brain swelling. Brain tumors may be malignant at one end of the spectrum and benign at the other, so you must seek the guidance of a neurologist who concentrates on this field.
Answered on 23rd May '24
Dr. Gurneet Sawhney
My uncle met with an accident few days ago . He had a head injury. After few days he had lost his memory and also behaving aggressively
Male | 65
Your uncle may suffer from a disorder known as Post-Traumatic Amnesia (PTA) after an injury to the head. Memory loss and aggressive behavior are pervasive symptoms. It is because the main point gets violated, hence, it can be the cause of behavioral changes. Rest, avoiding stress, and patience are necessary for your uncle's recovery.
Answered on 11th Nov '24
Dr. Gurneet Sawhney
I am getting often headaches why
Female | 17
Headaches are a normal thing people get sometimes. The reasons can be stress, not sleeping well, not having enough water, or too much screen time. Even food or your surroundings may cause them. Drink water, get rest, eat healthy foods, and take breaks from screens regularly. Severe or frequent headaches mean you should talk to a neurologist. They happens for different reasons. It could be because of stress, lack of sleep, not drinking enough water, or even looking at screens for too long.
Answered on 29th Aug '24
Dr. Gurneet Sawhney
Should I be worried constant head pressure and headaches a brain tumor or anxiety? Can anxiety symptoms last 24/7?
Female | 29
Feeling pressure in the head can stem from various sources, such as a brain tumor or anxiety-related issues. Notably, anxiety symptoms may persist consistently rather than appearing intermittently. Brain tumors often lead to additional manifestations like impaired vision or speech difficulties. If you experience concerning symptoms, it's crucial to promptly consult a neurologist for accurate diagnosis and appropriate treatment.
Answered on 4th Sept '24
Dr. Gurneet Sawhney
Cerebral palsy ke seizure ke liye konsa medicine best he
Female | 7
Usually, a doctor prescribes medicine after evaluating seizures in cerebral palsy. Seizures cause movement, staring, shaking. The prescription's goal is controlling seizures. Following the doctor's orders closely matters. Don't miss dosages. Always tell your neurologist of changes or effects.
Answered on 6th Aug '24
Dr. Gurneet Sawhney
I am having weird symptoms and i couldn't find a doctor to help so please help !! sometimes i have pain in my palm and sole، i feel it swallowing sometimes but i dont see it ،Pinching pain in my fingers and tingling in soles sometimes . I also feel my nails getting smashed under something heavy and when i touch something or pick anything i feel uncomfortable what is that
Female | 23
You might be experiencing symptoms related to nerve issues or circulation problems. This can sometimes happen due to conditions like peripheral neuropathy or other nerve-related disorders. It's important to visit a neurologist for a proper diagnosis and treatment.
Answered on 30th May '24
Dr. Gurneet Sawhney
Hello guys, I am a male 24 years old. So in early 201 9 i started to get weird symptoms than at the end develop constant feeling of them.lt all started with just sinus pressure and dizzines,but it develop in to constant unsteadiness like i am walking on a boat 24/7.It does never stop not even for a single second. It does not matter if i am laying,sitting or walking the sensation is there always.This sensation is accompanied with sort of like bouncy vision which is constant same as the unsteadiness.lts hard for me to focus on objects because i have a sensation that they are moving or bouncing.This dual sensation varies in intensity depending on the day. Those both sensation are going on for 5 years.l have developed anxiety with it and often find myself panicking over this symptoms I did an MRI scan that showed no malignat changes on the brain and a C6-C7 discus hernia and relative spinal stenosis. I also went to few ENT doctors,that recommended me to do a deviated septum surgery which i got. They said it could be to air pressure in my ears and oxygen deficiency which ultimately did not prove to be right. I went to a few neurologist that all said the same,that there is nothing wrong according to them I also went to an eye doctor who said i do not have anything wrong with my eyes despite my bouncy vision.Even when i explained my symptoms she said that she had never heard of something like this On the recommendation of my ENT doctor i did caloric test that show the next parametars: Right ear showed 2.20 and left ear showed 2.50 (keep in mind i do not know what this means) I also have checked my blood vessels on my neck to check for circulation and it came out fine I am literally out of options and i do not know what to do next. Anyone out there with simillar kind of symptoms? Can anybody give me some advice for what to do next?
Male | 24
You might be dealing with a condition known as vestibular migraine or chronic subjective dizziness. Given your symptoms and history, it would be best to consult a neurologist who specializes in vestibular disorders. They can provide more targeted treatments and help manage your symptoms effectively. Please visit a neurologist for further evaluation and proper guidance.
Answered on 30th July '24
Dr. Gurneet Sawhney
Good evening. I'm 21 years old, I have been noticing a numbness to my pinky finger of my right hand for quite some while now, it could literally last some hours, sometimes a day, it happens like once in a week. Whenever I have this numbness, I can move the other fingers, but the pinky finger sometimes affects my fourth finger,the finger beside it. Please what can I do?.
Male | 21
You might have a problem with a nerve in your arm that's causing your pinky and sometimes your ring finger to feel numb. This can happen if you put a lot of pressure on your elbow or do activities like typing for a long time. Try not to lean on your elbow too much or do activities that worsen it. You can also try gentle stretches to relax your hand. If the numbness continues then consult a neurologist for a proper diagnosis and treatment plan.
Answered on 23rd May '24
Dr. Gurneet Sawhney
I'm Naazneen sultana my age 23. I'm suffering from headache more than a week I consult a Dr .. I had taken medicine. But also there is no relief.. Suffering from body pain fever also. So what should I do
Female | 23
If you're facing severe headache or migraine for more than a week, along with body pain and fever then consult a neurologist as there can be some reason that the doctor can evaluate.
Answered on 23rd May '24
Dr. Gurneet Sawhney
My grandfather age is 69 and he has second stroke in last 2 month and he unable to move and speak but in progress and today his bp is high what is the reason for high bp please doctor give me your suggestion
Male | 69
It is common for people who have had strokes to experience high blood pressure, especially after a stroke. The stroke might have altered the brain areas that regulate blood pressure. As a result, the body may struggle to control it. Hypertension can also exacerbate the severity of strokes. Thus, advise him to eat foods that are low in salt content, take the medications he has been given strictly, and get enough sleep to regulate the levels of this condition.
Answered on 29th May '24
Dr. Gurneet Sawhney
I am suffering the following: - Post Polio Residual Paralysis cerebral vascular accident Is it coming under Multiple disability or Locomotor Disability
Male | 64
Your conditions, Polio Residual Paralysis and cerebral vascular accident (stroke) would generally be categorized as "Multiple Disabilities" rather than "Locomotor Disability." Multiple Disabilities involve coexisting impairments in different body systems, while Locomotor Disability typically refers to issues related to mobility. It's important to consult a medical professional for accurate classification.
Answered on 23rd May '24
Dr. Gurneet Sawhney
I end up being very tired during the day and trouble focusing from staying up for hours at night. Is this insomnia at all?
Female | 18
You may have trouble sleeping. Not sleeping well means finding it hard to doze off or stay rested through the night. Daytime tiredness and lack of focus could signify this problem. Common culprits – anxiety, stress, and poor sleep patterns. To rest better, wind down before bed with calming activities. Avoid screens late at night. Most importantly, keep your sleep schedule consistent.
Answered on 25th Sept '24
Dr. Gurneet Sawhney
bacpan se problam hai lekin kal M.R.I karwaya tab pata chala hume beti ko brain tumar hai kya iska ilaj ho sakta hai
Female | 21
You should immediately consult a neurologist or neurosurgeon to know the brain tumor size and type. The treatment options will vary based on the location, size, and type of tumor, among others. Only the best doctor can design the most suitable treatment plan.
Answered on 23rd May '24
Dr. Gurneet Sawhney
Pressure headache mostly around eyes behind nose and cheekbones. Generally feeling like I have a band around my head. Gets worse when I am bending over.
Female | 35
You might have a sinus headache. Sinuses are spaces in your face that can get swollen and cause pain. Pressure can be made worse by bending over. Other symptoms can include a runny or stuffy nose. To feel better, you can try using a warm compress on your face, staying hydrated, and using over-the-counter pain relievers. If you feel this way all the time, it is best to go to a doctor to be sure.
Answered on 14th Oct '24
Dr. Gurneet Sawhney
Headache in brain and negative feelings
Male | 26
You may get headache from many factors: stress and dehydration among them. Intense feelings may lead to other headaches, for example, anxiety and depressions. Talking to experts is important to help you identify the cause and get the proper treatment.
Answered on 23rd May '24
Dr. Gurneet Sawhney
Tooth ache Head ache at soft spot in head Difficulty talking Blurry vision on right eye expecially if I close and open it Fatigue Can't sit upright Can't stand upright Difficulty remembering things Facial pain Pressure on nose bridge Numb toe finger My neck feels like there's someone touching it taken pain relief but it doesn't do much
Female | 20
You have got a mix of symptoms that could be related to each other. Toothache, headache at the soft spot in your head, difficulty in talking, blurry vision, fatigue, and memory problems are the symptoms of neurologic problems or even vascular problems in the brain. The pressure on your nose bridge and the soreness of the face could be caused by sinus problems. Numbness in your toe finger is possibly caused by nerve compression issues. The neck pains and soreness during sitting or standing straight may be due to the spinal cord. It is important to see a neurologist promptly for a proper evaluation and treatment plan.
Answered on 11th Nov '24
Dr. Gurneet Sawhney
Need to talk about Seizures
Female | 62
Seizures are a neurological disease that is caused by irregular brain electrical activity. Symptoms include seizures, loss of consciousness, and disorientation. Visiting a neurologist rather than self-diagnosing is advised.
Answered on 23rd May '24
Dr. Gurneet Sawhney
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