Epilepsy -- Counseling
Good morning Mrs. Smith I am Dr. Munagapati, senior house officer in the department of Obstetrics and Gynaecology. You were brought to A and E fitting. It was necessary for us to start you on a medication to control these fits, as they have become more frequent. So we started you on a drug called Carbamazepine. Since then you are doing extremely well. We have also done a few tests like tracing of your brain and a scan. We have come to a diagnosis that you have Epilepsy. Epilepsy means that there is some abnormal electrical activity in your brain. This can be controlled with the help of drugs. Refer: Epilepsy.
Unfortunately we don't know the cause.
Mrs. Smith, since you are being discharge today, I have some advice for you.
You have to take your medication regularly. If you suddenly stop them this could precipitate a severe fit. There are also some side-effects. The most common ones are blurring of vision, dizziness and unsteadiness. If you get fever, sore throat, rash, mouth ulcers, bruising or bleeding please contact your GP.
You have to inform the DVLA. You will not be able to drive till you are fit free for a period of one year or you have fits only during sleep for three years.
You shouldn't operate heavy machinery. (Teachers and pilots need to change their profession).
Antiepileptics may reduce the affect of pills.
If you wish to get pregnant, you should discuss this with your doctor first. It is important to take adequate folic acid supplements before and during pregnancy to prevent neural tube defects. Prophylactic Vitamin K is recommended before delivery as there is increased risk of neonatal bleeding. Breast-feeding is acceptable.
Please do not lock bathroom doors.
Avoid swimming and cycling alone.
Wear an epilepsy card or bracelet.
Your GP has been informed of your condition. If you have any questions please feel free to ask.