Frequently Asked Questions
An appointment with Dr. Vrajesh Udani can be obtained by contacting the following numbers depending on the days of availability mentioned.
P.D. Hinduja National Hospital, Mahim, Mumbai
Every Monday & Thursday - +91 (022) 39818181/ +91 (022) 67668181
(Saturday) - +91 (022) 24447216/ +91 (022) 24447206
Hinduja Healthcare Surgical, Khar West, Mumbai
Every Friday - +91 (022) 30918989/ +91 (022) 61548989
Saifee Hospital, Charni Road, Mumbai
Every Tuesday & Wednesday- +91 (022) 24447216/ +91 (022) 24447206
All urgent appointments
Call secretary on +91 (022) 24447216/ +91 (022) 24447206 from 9:30 am to 5:00 pm
From 5:00 pm to 10:00 pm call on 9833906980
There are a few simple precautions that can be taken daily that would help manage the treatment in the long term.As a parent please ensure that:
- Your child regularly takes the prescribed medicines on time.
- S/he sleeps for 8 hours at night regularly.
- Do not allow your child to cook/swim/ ride a cycle/ drive alone unless you are told by the doctor it is safe to do so.
- Always maintain diary to note down all the seizure attacks. The time, date, duration, a brief description of such attacks should be noted. This helps your doctor to judge if there is improvement in the child’s condition and prescribe medicines accordingly.
What should I do when my child gets a seizure even if I am giving the prescribed medicines regularly?
Please follow the steps below if your child gets a seizure even when being given prescribed medicines regularly
In the event of a seizure, follow these steps:
Step 1: Gently make your child lie down on a flat surface/ bed in a safe place. Place a soft cushion under his/her head.
Step 2: Loosen any tight clothing. If s/he is wearing glasses, please remove them.
Step 3: Turn him/her gently onto one side, as this will help the child to breathe.
Step 4: Note the time when the seizure starts and the length of time it lasts.
Step 5: As the seizure ends, try to comfort your child and let him/her rest.
At the time of a seizure:
- Try to keep calm. Record a video of the episode if possible.
- Do not try to forcefully hold the child down or stop his/her movements, as this may cause injury.
- Do not try to put anything in his/her mouth like your hand/spoon/pen, etc.
- Do not give the child anything to drink or eat until s/he is fully awake.
Medicines to be used in the event of a seizure:
Please follow the plan prescribed to you for giving medicines. You should continue to give medicines to your child as you were advised. If you were advised to increase the dose of the medicine in the event of a seizure, please give your child an increased dose according to the given prescription. If the seizure lasts for more than 3 minutes, administer the Midazolam nasal spray as instructed below.
Others Involved - Family, friends and at school
Family members, friends or teachers at school should be made aware of your child’s condition and informed about the steps mentioned above so that they can be of help in the event of a seizure.
In the event of a seizure, please follow the steps mentioned in the previous question. Note the time for which the seizure lasts.
If the seizure continues for more than 3 minutes, give your child puffs of Midazolam nasal spray. Your prescription will mention the dose/number of midazolam puffs to be given in case of a seizure.
Steps to follow while using midazolam nasal spray:
Step 1: Remove the cap.
Step 2: Hold the bottle upright with your thumb at the bottom and the nozzle between your first and second fingers.
Step 3: Gently shake the bottle and squeeze the pump just once to check mist spraying from the nozzle.
Step 4: Continue to hold the bottle upright and shake it again. Insert the nozzle in one nostril and then, squeeze the pump firmly once. Repeat the same to spray once in the other nostril. There is no need to tilt your child’s head or ask him/her to sniff.
Step 5: Spray only once at a time and swap nostrils to give the advised number of puffs in each nostril. Always hold the bottle upright while spraying. Shake the bottle before every puff.
Step 6: Place the cap back on the bottle. Check the expiry date on the bottle regularly.
If your child’s seizure does not stop after spraying midazolam for the first time, wait for 5 minutes and then spray midazolam for the second time as per the advised dose/number of puffs.
If the seizure continues even after giving midazolam puffs for the second time, please rush your child to the nearest hospital for emergency treatment as s/he may need injectable anti-seizure medication.
No. Scolding or stress does not cause seizures in children.
The only factors that can trigger a seizure attack are lack of sleep, poor drug compliance/ not taking the prescribed medicines regularly and fever (in some cases).
Make sure that your child receives his /her anti-seizure medicine on time and according to the advised dose.
When you realize that your child has missed his/her dose of anti-seizure medicine, you can administer the missed dose immediately on the same day if the time gap has been not more 3-4 hours. But, if your child has missed his/her dose for the entire day, then do not give him/her a double dose the following day. This can be dangerous. On the following day, continue to give your child the regular doses as advised. If you miss a dose due to any reason, please record it your seizure diary.
Anti-seizure medicines as generally prescribed as one, two or three daily doses.
Depending upon the medicine and its dose prescribed to your child, the time gap can be 24 hours, 12 hours or 8 hours. Please check your prescription carefully for the time of administering your medicine.
No. Please understand that anti-seizure medicines are not given as short-term courses or as courses only for a few months.
Most anti-seizure medicines have to be taken at least for a few years so that the seizures remain under control. Even if your prescription mentions a period of 3 months, it is expected that you follow-up after 3 months so that the doctor can advise further medication after evaluating your child’s condition. The dose, duration and number of anti-seizure medicines will be decided by your doctor. Please do not stop giving your child medicine unless your doctor has advised so. If your child cannot take a certain medicine because of side effects, please consult your doctor accordingly. Some medicines like steroids are different from other anti-seizure medicine and may be given in some conditions as a short course of few weeks.
It is advisable to follow-up after every three months.
This not only helps to check if there is improvement in the child’s condition, but also helps to know other important health related matters such as growth and development of the child. Once the seizures are under control and the child does not have any other problems, the follow-up visits can be less frequent or as advised by your doctor.
No. Please do not change the brand of your medicine without consulting the doctor first
The dose/formulation may not be same in different brands and it may not be suitable for your child’s health/condition.
No. There is no need to increase the dose of the anti-seizure medicines when your child’s weight increases.
Please do not change the dose of any medicine unless you have been advised so by the doctor.
Anti-seizure medicines need not be taken before or after food specifically.
Some anti-seizure medicines can cause a little drowsiness in some children.
Usually this effect is seen in the initial period after starting the medicine but is only temporary. If it persists, however, please consult with the doctor.
Some anti-seizure medicines can cause a skin rash.
In case your child develops a rash, please contact the doctor immediately.
It is alright to take anti-seizure medicines together.
Please follow your prescription and give your child doses at the times that have been advised by the doctor.