RLR
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Okay, I'm not capable of formally evaluating your husband to determine what I believe to be taking place with the episodes described and although it's a departure from what is intended to be discussed on this forum, here's my take on the matter;
First of all, isolated seizure activity can not carry the diagnosis of epilepsy, which more accurately must represent particularly kinds of seizures that vary in frequency and are confirmed by EEG and other diagnostic tests. Indeed, as much informal work as possible should be performed prior to making medical record entries that suggest the presence of a seizure disorder. The fact that the events you describe in your husband being isolated in time by as much as one year would not suggest epilepsy, but it does not rule it out either.
Having said that, I will now respond to the remainder of your posting.
Never once in more than 40 years of practice have I observed "shakes and gurgles" to be a normal consequence of hypotension and in fact, I've never once observed it to be the case. Also, urinating does not dramatically lower blood pressure to the threshold of conciousness, otherwise men everywhere would be walking around in bandages from crashing into the bathroom appliances and striking the floor. Yes, pain can cause fainting via an orthostatic episode, even more likely when jumping up from the bed at night, but to feel washed out for several days afterwards is without doubt uncommon in the presence of such occurrances.
My first thought if I were to see him in the emergency department would not be anything to do with his heart. The history of these incidents has to do with the onset of a left leg cramp that causes him to awaken in pain and only subsequently does he experience a syncopal episode or fainting. I would be more concerned about his electrolyte status and looking at potassium and calcium in particular. If he has altered his diet around the time of these incidents, then this would be highly suspect as the cause.
Electrolyte processing is altered during sleep and many people, mostly elderly, experience night leg cramps. The exact cause of night leg cramps is unknown. If your husband has any type of mild tremor in his hands, legs, neck, jaw, etc., then this might need to be evaluated further if it becomes more noticable. Also, if your husband has begun to notice any other unusual symptoms, regardless of how insignificant, that have been noticable either infrequently or otherwise, then they need to be brought to light to determine any possible significance.
If he has another occurrence, then my suggestion here is to have him evaluated, regardless of what anyone thinks pertinent regarding the entry into his medical records, and do the following:
Chem 21 lab panel (general health panel)
A sleep-deprived EEG
MRI with contrast
This would effectively confirm or rule out the presence of conditions that may be responsible for his symptoms. He'll be just fine and take a step-wise approach to the matter. I wouldn't give it much more attention until either another episode occurs or if there are other symptoms that he has failed to discuss because he doesn't think them to be relevant.
Best regards and Good Health
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Husband Ill - reality check for me! (Read 12038 times)
