Dr. Nitin Kumar Saklani
BHMS, MD (Hom)
Hot water epilepsy is a type of reflux epilepsy, precipitated always by pouring of hot water on head. It is a condition in which the seizure or abnormal electrical activity in brain provoked exclusively by an external stimulus and account for 6% of all epilepsies. It is also known as water-immersion epilepsy or bathing epilepsy.
Although it has been reported from all parts of the world, it is more prevalent in the Southern Indian population as most of the reported cases have been from there. It has been rarely reported in other European countries, and isolated case reports have been published from Japan and Turkey.
The highest incidence of HWE is in Yelandur, a rural area near Mysore in Karnataka-India and quoted a prevalence rate of 255/100,000 for HWE. Interictal scalp EEG is usually normal, but 15–20% might show diffuse abnormalities. The exact mechanism of HWE remains uncertain, but altered thermoregulation is a cause. Familial HWE cases with more than one affected member have been noted in 7–15% of Indian patients. A genetic locus in the 10th chromosome had been identified (10q21, 3-q22,3).
Classically in conventional system HWE in humans was managed in two ways previously: (a) Using lukewarm water for a head bath or sponging with hot towels, and (b) use of conventional AEDs such as PHT or carbamazepine (CBZ). The use of PHT or CBZ is generally indicated in children who have spontaneous seizures in addition to seizures triggered by hot water. A newer method of intermittent oral prophylaxis with benzodiazepines is evolved. They advocated the use of 5–10 mg of oral CLB 1.5–2 h before a head bath and not every day.
Management of HWE (Hot water Epilepsy) through “Swiftly, Safely and Sweetly” Mode of treatment – Homoeopathy is quite possible without depending on AEDs ( Anti- epileptic drugs) such as PHT or CBZ or CLB. But there is no permanent and curative treatment available in conventional system for these unique forms of epilepsy. Medication could only reduce the possibility of occurrence of convulsive episode till there continuous intake.
With typical type of exuberating factor for convulsion such as immersion of hot water on head we can find the individualistic drug for HWE (Hot water Epilepsy). With extensive search of literature it is found that APIS, GLONINE, NATRUM MUR AND OPIUM is covering the unique modality of this type of Reflux epilepsy. But Homoeopathy is system of medicine practice on the basis of symptom availability of cases, so no medicine is suitable with matching the individualistic and characteristics symptom of drug. For managing and to get rid of these anomalies took expert opinion.
In clinical practice it is found that these type of tendencies could be removed by using the “Swiftly, Safely and Sweetly” Mode of treatment- Homoeopathy.
Seizures
Dos and Don’ts
| Do remove sharp or dangerous objects from the area. Do check for fluid or vomit in their mouth that could choke them.Do time the seizure and check their breaching. | Don’t offer food or water until the seizure has stopped.Don’t’ put anything in their mouth.Don’t’ try to restrains the person or stop the jerking |
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In medical parlance, the recovery position is called the lateral recumbent position, or sometimes it is referred to as the lateral decubitus position. In nearly every case, first aid providers are advised to place the patient on his or her left side and regularly call it the left lateral recumbent position. Once the seizure is over put the patient on recovery position. Putting patient in recovery position prevent the chances of having choking due to tongue and make the airway or throat more patent for inhalation and exhalation of air.
For curative treatment or removing the tendencies of abnormal electrical impulse generated in brain which is clinically manifested in the form of convulsion. Please opt Homoeopathic mode of treatment and live your life without any fear of being affected with convulsion.
For expert opinion Kindly contact
Dr. Nitin Kumar Saklani
BHMS, MD (Hom)
RRI (H), Shimla
C-5, Lane -2, Sector 2
New shimla – 171009
## 8744021902, 8240350526 ### 0177-2670450
