well i think what i told you speaks for itself, what could be the reasons for this?
r u there?
nothing no meds. he did have a sore throat about two weeks ago.
this the first time this has happen to him
his father died when he was 6 months old from marfan syndrome. and he is an identical twin
r u there?
Yes, I'm here. Give me just one minute please while I type out my response. It's not a one sentence response.
what can cause this to happen. and what should he do if this happens again
it say that you went offline. do i ask for another expert? i didnt get any answers or suggestions
There are about five dozen things that could potentially cause this type of reaction/behavior. Many things that aren't true seizures/seizure activity can appear as convulsions that may be mistaken for seizures. Certain sleep disorders such as night terrors or panic attacks can appear to cause such movements. Alterations in blood oxygen concentration, blood chemistry levels, infections, toxic ingestions or poisonings. I'm still here...
But I'm typing on a smartphone so its taking me a little bit of time to respond. There's still more...
But this is just the tip of the iceberg. The bottom-line is that convulsions that wake an individual out of sleep are not normal at all, especially for someone who has previously been healthy. For that reason I would recommend that you not wait until a second episode happens, but that you take him to see his primary care doctor right away to start an evaluation which would include an exam, bloodwork, and possibly xrays. Does this make sense?
i did ask my son if he was under stress or having anxiety he said no. but i really did scare him. he said he couldnt beleve the amount of blood that he woke up to. could ths be epilipsy?
what should i be watchful for
do i have to worry about anersums?
Yes, it is certainly possible. I do suspect that the nose bleed was a direct reaction or consequence of the convulsive activity and any amount of blood thrashed around a room can look like a lot. You need to watch out for changes in his level of consciousness/sensorium, fevers, and repeat occurrences. And yes, aneurysms can be a cause of epileptic activity sometimes. But if he were my son, I would be worried about all of the above and make sure he gets seen as soon as possible. I wouldn't recommend just waiting to see if something else happens.
Do you have any other concerns or questions about this topic?
the problen both twins live on there own.
I see; that is definitely a problem when they live on their own, away from concerned parents. I would just do your best to encourage/insist that he either see a doctor where he is, or at least come home to have a workup with his family doctor.
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Anything else I can help you with?