Do people with epilepsy harm others?

Patient's question:

I have epilepsy. When I have a seizure, I don't remember much, but after it, I always feel as if I've been in a fight with someone—like intense pain. I don't know what else happened during that time. My family is afraid I'm under too much psychological stress and doesn't tell me, so I wonder if epilepsy seizures can harm others?

Doctor's answer:

Generally speaking, epilepsy is not a mental illness. During an attack, the patient will only experience convulsions all over their body and will not have the ability to harm others. However, when an attack occurs, the patient may exhibit some premonitory symptoms, such as accelerated breathing and a return of blurred consciousness. In such cases, it is best to place a gauze pad between the patient's upper and lower molars before the recurrence to prevent tongue biting.
The daily treatment for epilepsy patients primarily focuses on symptomatic treatment. Patients can take various oral medications, supplement with many vitamins, and pay attention to self-care, including proper diet and avoiding cold foods. We hope that epilepsy patients can recover as soon as possible! Thank you!

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