Hello doctor, My wife, 26 years old, is facing some problem of senselessness. When she is feeling tension, become senseless near about one hour. Before few months, she became senseless 7 to 8 times in her life. But then, she fell down from staircase, became senseless for 1.50 hours. She gets pain at back side of head. CT scan and EEG report normal. Pressure low. Hemoglobin lower. In these two to three months she became senseless 20 times. Even twice a day. What should I do now?
Hello. She loses sense (consciousness) for 1 to 1.5 hours, and same thing happened for more than 20 times in the past few months. Probably she is suffering from some tension, it does not seem to be seizure or convulsion as it lasts for 1 to 1.5 hours and CT brain and EEG are normal (attachment removed to protect aptient identity). But still seizure cannot be ruled out as she fell down and became unconscious. Tell me more about her senselessness. Is she moving or shaking her hand and legs during that episode? Is she having frothing from mouth? Tongue bite? Urine and stool incontinence? Does she remain confused after waking up from that event? If no to all, then it is less likely to be a seizure or convulsion or mirgi. Now can you tell me any issues or tension or family quarrel in home? If yes, then try to clear it out give her some relaxation if possible, give her warmth and family support. Correct her hemoglobin with proper Iron medications. Encourage her to take proper diet on time and adequate sleep. Tell her to take enough water and salt as needed. Regular exercises. Check her BP and sugar if not done. If possible, do one MRI brain as CT scan is not a good test to see everything. If possible, take opinion of psychiatrist for tension relieving medicines or directly she can take tablet Nexito Plus 1/2 tablet at night.