Hello-new here + a couple of questions

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Allyson

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Hi everyone. I'm new here, and new to seizures in general. A bit of background about myself: I had my first seizure (grand mal) last November, at the age of 25. There's no history of epilepsy in my family, and I never had any sort of illness or injuries that could have caused it. It happened at work, and I didn't feel at all weird beforehand. I remember being fine one minute, then waking up to paramedics standing over me. Also, I felt strangely normal after it happened...I was talking and joking with the EMTs on the way to the ambulance, and even had my blackberry out in order to message my friends telling them that I couldn't make happy hour. MRIs and everything turned out normal, so I didn't go on any sort of medication. I was fine for 8 months, until a couple of weeks ago, when I had another grand mal seizure, this time on the metro. Once again, I felt completely fine beforehand; however, one major difference this time was that I felt really out of it after. I couldn't answer basic questions about what year it was, and either the metro operator or the EMTs had to call my parents and fiance for me. By the time I got to the hospital, I was slightly more aware of what was going on, but still pretty out of it, and my fiance was telling me about conversations I supposedly had but don't remember at all. I also had another seizure at the hospital, which I didn't even realize until my fiance told me the next day.

So anyway, a couple of questions: first, the ER gave me a prescription for dilantin, which I turned out to be horribly allergic to. About a week after starting it (just this past Thursday), I broke out with a horrible itchy rash, then several days later got a high fever and found myself to be constantly exhausted, sleeping 9 hours a night plus taking 2 hour naps everyday. Plus, I was kind of nausous and unable to eat. Yesterday, I went to see my primary care doctor (couldn't get into neurologist on such short notice, have an appointment with him next week), who had me stop taking the dilantin immediatly, and start in Keppra this morning. I feel maybe slightly better, still groggy, but thinking I can make it through the whole work day, still have a bit of a fever, but it's gone down a bit, rash is starting to fade and itch less, still not remotely hungry, but able to force down a little bit of food, so I think these are all good signs. What I'm wondering though, is how long should I expect to be feeling the effects of the dilantin for? I know I can't expect to magically feel better right away, but when should I start to get concerned if I'm not feeling better?

And second question: Is it normal to suddenly get your first seizure in your mid-20's, when you have no genetic pre-disposition or anything? As far as I can tell, it seems like most people either start getting them when they're a kid, or as the result of some other illness or injury when they're older, or if nothing else, they've had family members who have had them. Should I be concerned that there's some underlying cause that no one is finding?

Anyway, sorry for the long ramling post, and thanks for any insight you can provide.
 
Hi Allyson,

Sorry to hear of your dilemma. Dilantin, as well as all the other meds are powerful medications, so it will probably take several weeks before the effects of Dilantin completely disappear. Keppra is also a strong medication and one of the well known side effects of it is rage, depression, so beware.

I've had epilepsy now for 30 years. I started having CP seizures at the age of 22 with no family history of epilepsy and no brain injury, meningitis, etc for me. I've experienced CP and TC seizures over the years and am the only one in the family who has this miserable brain disorder. No body knows where it came from. I've taken numerous meds, had brain surgery, the VNS and still have seizures, so who knows?!

Did they check your glucose levels, your thyroid, your hormones and other blood work?
Sometimes that could give them and indication of the cause.

Good luck!
 
Thanks for the response Cindy. We're waiting for results on blood work; I'm actually not sure whether glucose levels and thyroid were tested. I'll definitely ask the neurololgist about that next week, and if he hasn't/doesn't plan to do that, I'll go back to my regular doctor to get that done, since I've found him to be really helpful and generally better at explaining things than any neurologists I've seen.

I'm so sorry to hear that you've had so much trouble controlling your seizures. Best of luck to you!
 
Hello Allyson - Welcome

My daughter's seizures began at the age of 14. She is now 17. Most of her story can be read on the two links at the bottom of my post.

What I had to learn (via the University of Google) was that we all have a seizure threshold. There are many reasons that this is lowered over time. You just happened for whatever reason to fall below your breaking point. Epilepsy is only a label. It puts a label on the fact that you have had two or more seizures .. period. What doctor's rarely do, or have the time to do, is find the true cause.

In my daughter's case, all her tests were done. Nothing was way out of the norm. But my mother's intuition and keeping a journal, kept pointing me in the direction of nutrition, blood sugar levels, intestinal issues, etc. So I personally have pursued this avenue. I do not use a doctor for much of this. They have steered me in the wrong direction, and only want to offer one more "new" designer drug.

Where she use to have six tonic clonic seizures a month, she now has not had one in over three months. I would say we are on a roll.

So my suggestion is to find ways to improve your health. This will decrease your need for medication, and the side effects that they produce. Keep a journal of your diet, and activities, and you might see a pattern happening. Again, this is not a quick fix, but one that will improve your quality of life in the long run.
 
Thanks for the tips Robin. After reading some of the other threads here, I did go out and buy some fish oil supplements, and a multi-vitamin that contains vitamin E, selenium, and a bunch of B vitamins. One thing that makes this particularly frusterating, is that I've always been really healthy. I work out daily (or at least used to, before the dilantin made me too weak), do yoga or pilates a couple times a week, don't drink soda, or consume any sort of nutra-sweet or any of the other fake sugars. I'm hoping to get back to regular workouts soon and maybe make yoga a more regular part of my routine, and hopefully the vitamins I'm starting will help. I also need to research whether any other aspects of my diet could be contributing. Anyway, thanks again for the suggestions.
 
Hi there

Allyson. Welcome to CWE. :)

In truth, E can hit at any age--even in the 70s or 80s. It knows no boundaries.

Robin's right--nutrition plays a BIG role in our lives as E patients. I am a living testament to that. The GARD diet helped me out a lot, and then the doctors realized that I was actually a celiac patient. Bringing that under control has helped my seizures immensely. There are still some issues, but not nearly as many.

Have fun checking out all the nooks and crannies here.

Take care.

Meetz
:rock:
 
Hi Allyson --

Dilantin has a half-life of about 2 weeks, so it should be all out of your system by then, depending on your metabolism. Dilantin can also be an appetite suppressant, so it might take a few days before your normal appetite returns. The transition to Keppra is usually pretty speedy, but you may need to be patient as your body adjusts. Keppra has it's own potential side effects, so take note of anything that seems unusual. Contact your doctor if you have questions about what you are experiencing.

Over half of epilepsy is of unknown cause, so you're not alone by any means!

Best,
Nakamova
 
Meetz, I feel really dumb for having to ask this, but what does GARD stand for?
 
OOOps, sorry.

Gut Absorption Recovery Diet. Some also call it the Gluten Free Casein Free (GFCF) Diet.

My bad..........you shouldn't feel dumb.....

GARD diet
 
Hi Allyson. I had my first seizures when I was 27 as did my brother in law, neither of us had any family history and drs have found no reason for either of us to be having seizures (no injuries, illness, scaring etc) so in my experience I would say it's not uncommon for it to show up at this stage in your life. You sound like you are dealing with it very well so that's fantastic, good on you. I certainly didn't adjust as easily and that's where this site is helpful.
 
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