What are the reasons for a child's vacant stare?

Patient's question:

A 6-year-old child experienced waking up twice at night over 7 years with a bluish complexion and a vacant stare, where their name did not register. They only responded after being pinched on 10 fingers. Afterwards, they had diarrhea. The two episodes were separated by a 2-year interval, and during the day, everything was normal.

Doctor's answer:

Based on the child's description, there is a possibility of an epileptic seizure. It is recommended that during a seizure, a long-term video EEG should be conducted to identify the presence of epileptic spikes. Since the child has experienced two episodes with a long interval between them, oral antiepileptic medication is not advised. If any abnormalities are observed, the medication should be adjusted accordingly. In daily life, the child should avoid overexertion, be cautious of catching colds, consume more fruits and vegetables, and avoid spicy and irritating foods. A regular diet and a healthy lifestyle are essential.

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