Patient's question:
Infantile febrile convulsions, doctor, is it due to diarrhea or poor digestion that caused the convulsions, or due to epilepsy? Weight: 10 kg, picky eating, alternating constipation, diarrhea; diarrhea for 4 consecutive days, convulsions twice every other day; hospital examination found: 1. Hemoglobin 105, red blood cell volume fraction 0.334, platelets 321, mean red blood cell volume 68.3, mean hemoglobin concentration 21.52; 2. Aspartate aminotransferase 40.2, total protein 56.4, globulin 16.4, albumin/globulin ratio 2.4, potassium 3.483; 3. pH 7.349, partial pressure of carbon dioxide 32.9, plasma bicarbonate 17.7, oxygen saturation 94%.Doctor's answer:
Analysis of the condition: Hello, the convulsions in the child are definitely related to electrolyte disorders caused by diarrhea. However, it cannot be ruled out that epilepsy is also a possibility. It will only be clear after an electroencephalogram (EEG) is performed in one week. From the perspective of blood tests, there is only a slight anemia, which is not very serious.Advice: It is recommended to perform an EEG one week after the convulsions to check for any abnormal brain activity and further rule out epilepsy. A blood calcium test should also be conducted, as the previous tests only indicated slightly low potassium levels. Currently, focus on treating the diarrhea and addressing dehydration.