Question
The child was diagnosed with epilepsy at the age of nine, experiencing seizures within minutes of falling asleep. Symptoms include vomiting white foam, convulsions of the limbs, and during the first seizure, purple spots appeared on the lips which returned to normal a few seconds later. The child is now 12 years old and has had four seizures, with the second and third seizures occurring due to discontinuing medication, separated by two years. The last seizure was six months ago, also caused by stopping medication. What should be done in this situation?
Answer
When an epilepsy attack occurs, quickly have the patient lie flat, without a pillow, and place a tongue depressor (or toothbrush handle) wrapped in gauze between the upper and lower teeth to prevent the patient from biting their tongue. Loosen the patient’s clothing collar and tilt their head to one side to allow oral secretions to flow out naturally, avoiding aspiration pneumonia. At the same time, lift the patient’s chin to prevent neck bending that could lead to tongue obstruction of the airway. Advice: Epilepsy is a chronic condition with diverse causes and varying clinical presentations in pediatric cases. First, it is necessary to identify the cause and confirm the diagnosis, then choose an appropriate treatment method. The child should follow the doctor’s instructions to take medication on time and in the prescribed dosage. Most children can control or cure their condition after treatment.