Dravet Syndrome Seizure Treatment Options People with Dravet Syndrome often experience a variety of different types of seizures, including prolonged ones. To help, there's Fintepla, a medication approved to treat seizures caused by Dravet syndrome. Fintepla Fintepla works by targeting the brain’s electrical activity, helping to reduce the number and severity of seizures. Doctors prescribe Fintepla when other medications haven’t been effective in controlling seizures. This treatment has shown positive results in many patients, making it an essential option for managing Dravet syndrome. Medications for Dravet Syndrome Seizures Clobazam: This drug is often prescribed alongside other treatments. It helps to control seizures by calming the brain and reducing electrical activity. Valproate: This medication is used to control a variety of seizure types. However, it is not always the best choice for younger children due to its potential side effects. Topiramate: Used to prevent seizures, this medication works by affecting the brain's electrical signals. [youmaylike] Doctors may need to try different combinations of medications to find what works best for the individual. It’s important for patients and their families to closely monitor the medications and any side effects. Dietary Approaches: The Ketogenic Diet For some individuals with Dravet Syndrome, medications may not be enough to control seizures. In these cases, dietary treatments, such as the ketogenic diet, can be very helpful. The ketogenic diet is high in fats and low in carbohydrates, and it forces the body to use fat for energy instead of carbohydrates. This change in metabolism can help reduce seizures. The ketogenic diet should only be followed under the supervision of a doctor or dietitian, as it requires careful planning to ensure that the person gets the proper nutrition. Some children with Dravet Syndrome may experience a significant reduction in seizures after starting the ketogenic diet. Vagus Nerve Stimulation (VNS) Vagus Nerve Stimulation (VNS) is another treatment option for Dravet Syndrome. This therapy involves implanting a small device under the skin in the chest. The device sends electrical signals to the brain through the vagus nerve, which can help reduce the frequency and severity of seizures. The device can be programmed to give a burst of electrical stimulation when a seizure is detected, helping to stop the seizure or make it less severe. VNS is often considered when medications and diet do not provide enough seizure control. It is typically used in combination with other treatments. Surgical Options In some rare cases, surgery may be an option for treating Dravet Syndrome. If seizures are only coming from one part of the brain and medications do not help, surgery may be performed to remove that part of the brain. This surgery is called a lobectomy or hemispherectomy, depending on the area of the brain involved. Surgical options are not suitable for everyone, and doctors will carefully evaluate the risks and benefits before recommending surgery. Supportive Therapies While medications and other treatments are important for managing seizures, other therapies can be helpful in improving quality of life for individuals with Dravet Syndrome. These may include: Physical therapy: This helps improve mobility and strength, which can be affected by seizures. Occupational therapy: Helps individuals learn daily skills to live as independently as possible. Speech therapy: Helps improve communication skills, which may be affected by seizures. Ongoing Monitoring and Care Managing Dravet Syndrome requires ongoing care. It is essential for individuals with the condition to have regular check-ups with their doctor to monitor their progress and adjust treatment plans as needed. Seizures can sometimes change over time, and it is important to stay flexible with treatment options. The Best Approaches to Seizure Control While Dravet Syndrome can be challenging, there are many treatment options available. With the right combination of medications, diet, therapy and support, people with Dravet Syndrome can lead fuller lives. It is important to work closely with healthcare providers to find the best treatment plan for each individual.
Diet for Bariatric Surgery
If you have tried everything within your power to lose weight or you have a health condition that prevents you from losing weight, your doctor may suggest bariatric surgery. Frequently called gastric bypass, this type of procedure often involves sealing off the top of the stomach, which decreases the amount of food you can consume and reduces nutrient absorption. As a result, it’s much easier to lose any excess weight. But what should a diet for bariatric surgery include and what can help you recover? In this article, we are going to explore all the foods, supplements and vitamins you might want to consider after your bariatric surgery. Let’s dive in!
Post-Bariatric Surgery Diet Tips
After bariatric surgery, you need to be cautious about what you consume. It’s recommended to:
- Drink at least 64 ounces of water each day.
- Delay drinking anything after a meal for 30 minutes.
- Eat slowly.
- Consume protein-rich foods.
- Avoid alcohol.
- Limit caffeine.
- Thoroughly chew each and every bite.
Phase 1
Initially, you will be only allowed to consume liquids. This gives your stomach (and body) time to heal and recover. Some of these liquids may include:
1. Broth
Broth is gentle and soothing on the digestive tract. In fact, it is frequently recommended for those with digestive issues due to its healing capabilities. Bone broth, in particular, contains protein and various minerals that help with your gut lining, ensuring you obtain adequate nutrition.
2. Unsweetened Juice
Added sugars may irritate your stomach and digestive tract. Thus, choose unsweetened juices that naturally contain plenty of vitamins and minerals that can accelerate the healing and recovery process. You can also slowly suck on a popsicle or gelatin that is sugar-free.
3. Decaffeinated Tea or Coffee
Caffeine should be avoided due to its stimulatory effects on the digestive system (which can mean you end up absorbing next to no nutrients from your food post-surgery). However, you can try decaffeinated varieties, receiving plenty of antioxidants and other nutrients.
4. Milk
Milk can help you obtain adequate calcium and protein. Go for skim or 1% to avoid overloading your digestive system with too much fat.
Phase 2
After a week of good tolerability of liquids, you will move on to pureed foods, making your diet a little more interesting! Typically, this means eating about three to six snacks or meals each day, with each meal taking about 30 minutes to consume. Here’s what this stage of the bariatric diet will include:
5. Pureed Fruits and Veggies
Fruits and vegetables boost tons of nutrients that your body needs on a regular basis. They also come jam-packed with antioxidant and gut-friendly compounds, helping your digestive tract heal and get back on track post-surgery.
6. Pureed Lean Ground Meat
While this might not sound ultra-appetizing, your body needs protein to heal and repair. Protein is the building block of the body, which means it is essential for improving your digestion as you recover.
7. Soft Scrambled Eggs
Pureed foods further include soft scrambled eggs! Make sure not to overcook them, as this may make them tricky to eat.
8. Soups
You can also enjoy various soups during this second week, allowing you to add variety to your daily diet.
Phase 3 and 4
From here, you can begin introducing soft foods, such as:
- Ground meat.
- Flaky fish.
- Cottage cheese.
- Rice.
- Cooked veggies.
The following week, if all goes well, you can then introduce solid foods a little bit at a time.
Supplements, Vitamins and Minerals
Your doctor may further recommend certain supplements to guide your recovery and replace any foods you are unable to eat for the first few weeks. This is essential to prevent nutrient deficiencies and adverse health effects. Some supplements that you may be recommended include:
9. Calcium
The intake of 1,200 milligrams to 2,000 milligrams of calcium can help prevent bone loss. This is especially important if you aren’t drinking milk (such as those that don’t tolerate lactose very well).
10. Vitamin D
Vitamin D can be taken alongside calcium. It’s recommended to take 800 to 1,000 international units of vitamin D. Alternatively, you can also obtain vitamin D via the sun, which may mean your doctor can recommend sitting outside in the sun for 15 to 20 minutes each day.
11. Vitamin B12
B12 is an essential bariatric vitamin for energy production and is necessary for healing! It also may be hard to obtain initially when consuming only liquids since it is often found in meat and animal products. Aim for 500 micrograms daily.
12. Folic Acid and Iron
Your doctor may further recommend folic acid or iron, especially if you are a woman who is currently menstruating. These are commonly lost via your monthly bleed. Yet, with restrictions around what you can eat, they may be hard to replenish, so supplementation may be best.
Post-Bariatric Surgery Medications
Post-bariatric surgery medications may include:
- Omeprazole. This prevents ulcers from developing. It is usually recommended to take within the first six months post-surgery.
- Ursodiol. This helps stop the production of gallstones, which commonly occur after this type of surgery. This medication is also typically taken for at least six months after bariatric surgery.
- Multivitamins. While technically not a medication, almost every person post-bariatric surgery will be recommended a multivitamin to take in order to prevent nutrient deficiencies, as the initial bariatric diet is quite restrictive.
At the end of the day, it is important to follow your doctor’s orders and advice since they know you and your situation best.
