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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fainting, Vomiting, Stomach Ache, Tingling Hands. What Do You Think?

Hi my mom had an episode of walking up in the middle of the night, sitting up on the beed and then faiting with both eyes open, then she vomited 3 times after that. she felt exausted, barely could walk, she stayed unconscious for only 20 secs. She was having terrible stomach aches for the last 2 to 3 days. She had bil hands tingling during the day, at hospital they found a small infection. she went to the ER yesterday after the fsainting and vomiting, last one being at the hospital; her BP wads 150x100 mmHG, HER nl is 100x60; she reports she was "flying in the space" somewhere seating in her bed prior to fainting, today she has had a tingling sensation in one side of her mouth. what you think?
Sat, 8 Jun 2013
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Neurologist 's  Response
Hi
Based on the details she is having seizure phenomenon (type of fits with loss of consciousness and tingling hands)

The cause of it need to be evalauted ( CT scan/Mri brain to rule out structural lesion or whether it is ischemic seizure)

Treatment depends on imaging brain. Meantime she can be started on anti epileptic drugs (oxecarbazepine, levetiracetam, sodium valproate etc)
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Fainting, Vomiting, Stomach Ache, Tingling Hands. What Do You Think?

Hi Based on the details she is having seizure phenomenon (type of fits with loss of consciousness and tingling hands) The cause of it need to be evalauted ( CT scan/Mri brain to rule out structural lesion or whether it is ischemic seizure) Treatment depends on imaging brain. Meantime she can be started on anti epileptic drugs (oxecarbazepine, levetiracetam, sodium valproate etc)