What are the symptoms of abdominal epilepsy?

Written by Yuan Jun Li
Neurology
Updated on March 01, 2025
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Patients with abdominal epilepsy can experience abdominal pain, and some may show symptoms of bloating, nausea, and vomiting, as well as diarrhea. Abdominal epilepsy is a type of epilepsy, commonly seen in children and adolescents. The symptoms generally recur and last mostly from three to five minutes. If the symptoms last more than five minutes, it is usually called a status epilepticus, and some antiepileptic drugs can be used to control the seizures. After an epileptic episode, an EEG might show spike-and-wave patterns. If the EEG is normal, a dynamic EEG can be conducted, which might increase the positive diagnostic rate for patients.

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Written by Liu Shi Xiang
Neurology
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Can mild epilepsy be treated?

Mild epilepsy is treatable. If the patient is experiencing their first seizure or if the seizures are infrequent, it’s generally appropriate to observe clinically and not rush to use anti-epileptic drugs. Such patients typically experience only very mild neurological symptoms during a seizure, such as limb weakness, numbness, or facial droop. However, if the patient's seizures occur frequently, it is necessary to control the symptoms with anti-epileptic medications, which often include drugs such as levetiracetam, gabapentin, sodium valproate, and lamotrigine. Patients with mild epilepsy should also work on strengthening their exercise routines, maintaining a calm mind, and getting sufficient sleep to help prevent seizures to a certain extent. If the patient's condition worsens or becomes intractable epilepsy, surgical treatment methods may be considered to control the symptoms.

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Written by Liu Shi Xiang
Neurology
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What can severe epilepsy lead to?

Severe epilepsy can cause many complications, such as cerebral edema, brain herniation, upper gastrointestinal bleeding, etc. Therefore, severe epilepsy can seriously threaten the patient's life. If the patient's epilepsy is not controlled in time, it can easily lead to a state of status epilepticus. Status epilepticus is a very dangerous central nervous system disease. Patients may experience sudden respiratory and circulatory arrest and uncontrollable massive gastrointestinal bleeding. For severe epilepsy patients, it is necessary to promptly administer medications such as diazepam and sodium valproate to terminate the seizures. If status epilepticus occurs, the patient needs to be urgently sent to the ICU for observation and treatment, and effective interventions for various complications must be provided. For example, in the case of cerebral edema caused by epilepsy, medications such as mannitol and glycerol fructose are needed to dehydrate and reduce intracranial pressure. If epilepsy causes acute upper gastrointestinal bleeding, treatments to suppress acid, stop bleeding, and maintain blood pressure are required.

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Written by Liu Shi Xiang
Neurology
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How is epilepsy caused?

Epilepsy is generally caused by cerebrovascular diseases, brain trauma, intracranial tumors, and central nervous system infections, and some cases of epilepsy are due to congenital genetic factors. Patients with epilepsy need to undergo timely examinations and treatments in the department of neurology. Examination methods mainly include CT, MRI, EEG, transcranial Doppler ultrasonography, cerebral angiography, etc., among which video EEG or ambulatory EEG is the most important basis for diagnosing epilepsy. Once epilepsy is diagnosed, the treatment plan needs to be decided based on the individual condition of the patient. If it is the patient's first episode, medication may not be necessary initially, and regular follow-ups are sufficient. However, if the patient frequently experiences episodes, it is necessary to promptly administer antiepileptic drugs, commonly used drugs include carbamazepine, oxcarbazepine, gabapentin, levetiracetam, etc.

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Written by Liu Shi Xiang
Neurology
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Can epilepsy patients drink water frequently in their daily life?

Patients with epilepsy can often drink water in their daily lives, but they should avoid drinking water during the acute phase of a seizure to prevent aspiration. Patients with epilepsy generally need to take anti-epileptic drugs for a long time to prevent seizures, such as carbamazepine, oxcarbazepine, gabapentin, etc. Drinking water frequently does not affect the patient's condition. Moreover, drinking water frequently helps to dilute the viscosity in the blood and lower blood lipids, thereby preventing cerebral vascular accidents. In addition to drinking water, patients with epilepsy can also eat more fruits and vegetables, which contain abundant vitamins and trace elements that nourish nerve cells. Furthermore, patients with epilepsy should avoid climbing heights and coming into contact with dangerous environments such as ponds and lakesides.

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Written by Yuan Jun Li
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What are the signs before the onset of epilepsy?

Before the onset of epilepsy, most patients do not exhibit any signs and can suddenly experience an epileptic seizure. Different types of epilepsy have different symptoms. For example, during a major seizure, symptoms can include limb twitching, eyes rolling upwards, frothing at the mouth, clenched teeth, loss of consciousness, and abnormal blood pressure, which can lead to severe falls and injuries. During a minor seizure, the patient mainly shows transient loss of consciousness, objects in hand may suddenly drop, unresponsiveness when called, and a vacant stare. Most patients do not fall, and the symptoms generally last for only a few seconds to tens of seconds. If autonomic epileptic seizures are considered, symptoms may include nausea and vomiting. Psychotic symptom seizures can present with hallucinations and delusions.