Patient's question:
Hello, my baby is 8 months old! On November 16th, he suddenly developed purple lips and blue face. I took him to the children's hospital for a check-up, where they took a series of X-rays. The doctor gave him an injection but was unsure if it was epilepsy. There were no more symptoms until November 23rd, when the symptoms reappeared 6-7 times that day. Is this really epilepsy?Additional question: What I mean is, if it's not epilepsy but acute ischemia-hypoxia, would taking epilepsy medication be treating the symptoms rather than the root cause? If it is acute ischemia-hypoxia, how should it be treated more effectively?
Additional question: My baby is 8 months old, and the doctor suspects epilepsy, so he prescribed epilepsy medication. I want to stop giving him the medication for a few days. If the symptoms reappear, can I give him the medication again?
Doctor's answer:
Hello! Based on your description, the baby's condition can currently only be suspected as epilepsy, but we cannot say for sure that it is 100% epilepsy. This requires an electroencephalogram (EEG) for differential diagnosis.Additionally, the baby's symptoms are "purple mouth and bluish face," which resemble acute ischemia and hypoxia. Further examinations are needed for the heart and brain.
Therefore, we recommend taking the baby to a formal hospital to see a pediatric neurology specialist for follow-up. An EEG is necessary. If the results of a routine EEG are normal, a dynamic EEG may be required if necessary. A cardiac ultrasound should also be performed to rule out the possibility of heart disease causing the symptoms. Then, based on the examination results, the next steps in diagnosis and treatment can be determined.