Najma 72 years old weight 70 kg she is EPILEPSY patient from 6 years Hypertensive from 10 years Diabetic 20 years but diet control no medicine from 5 years Urinary track infection oftenly AF 2 years back cause low potassium and some time hyponatrimia Medicine she is taking are EPIVAL 500 1.5 + 1 + 1.5 DYHIDAN 100 0 + 0 + 3 NORVASC 5 mg 1 + 0 + 0 MEROL 25 mg 1 + 0 + 0 folic acid cualson D multi vitamin cause of UTI she mostly on anti biotic problem is the Seizures they are not going stop she suffer from seizure about once in a month she is going so week and full dose of epileptic medicine the level of medicine are going low serum phenytoin 12.8 serum valproic acid 36.7 what should we do?
Hello, First, we should exclude a focal brain lesion in the brain by doing T2 weighted MRI brain. Then we should exclude a heart problem by doing an ECG. The tight control of blood sugar is important to prevent further health problems. Second, the balanced diet and adequate water supply are crucial in this case. Third, the regular monitor of the blood pressure and the restriction of salt are crucial. The routine investigation of the Liver function and kidney function, as well as the routine examination of the eye (funds examination), are required. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.