[32F] Experiencing intense auras with sensory disturbances post-seizure

What might be happening

Based on the symptoms and history you've provided, here are some possible explanations:

1. Seizure Auras and Temporal Lobe Epilepsy

• Rationale: The déjà vu feeling, odd smell (olfactory hallucinations), and hot flashes you experience are common symptoms of seizure auras, particularly those originating in the temporal lobe. These auras can occur without a full-blown seizure and can be very distressing.
• Typical Treatments/Testing: Management usually involves anti-seizure medications like Keppra, which you are already taking. If your current medication isn't fully controlling your symptoms, your doctor might consider adjusting the dosage or trying a different medication. Further neurological evaluation might be necessary.

2. Anxiety and Depression

• Rationale: Anxiety and depression can exacerbate the perception of physical symptoms and may contribute to your decreased appetite and altered taste. The stress from these conditions can also trigger or worsen seizure auras.
• Typical Treatments/Testing: Treatment often includes a combination of medication (such as antidepressants or anti-anxiety medications) and therapy (like cognitive-behavioral therapy). It's important to discuss these symptoms with your healthcare provider to develop a comprehensive treatment plan.

3. Nutritional Deficiencies

• Rationale: Low levels of magnesium, iron, vitamin D, and vitamin B can contribute to a variety of symptoms, including fatigue, mood changes, and possibly even neurological symptoms.
• Typical Treatments/Testing: Supplementation and dietary changes are usually recommended to address these deficiencies. Regular monitoring of your levels through blood tests can help ensure they are within the normal range.

What you can do

Seizure Auras and Temporal Lobe Epilepsy

• Medication Management: Continue taking Keppra as prescribed. If your symptoms persist, consult your neurologist about the possibility of adjusting your dosage or trying a different medication.
• Symptom Tracking: Use MDandMe to journal your symptoms, track progress, and share longitudinal medical notes with your provider. This can help in fine-tuning your treatment plan.

Anxiety and Depression

• Seek Professional Help: Consult a mental health professional to discuss your anxiety and depression. They can recommend appropriate treatments, such as medication or therapy.
• Self-Care: Engage in activities that promote relaxation and well-being, such as exercise, meditation, or hobbies you enjoy.

Nutritional Deficiencies

• Diet and Supplements: Ensure you are taking any prescribed supplements for your low magnesium, iron, vitamin D, and vitamin B levels. Incorporate nutrient-rich foods into your diet.
• Regular Monitoring: Schedule regular blood tests to monitor your nutrient levels and adjust your supplementation as needed.

What you should look out for

Given the complexity of your symptoms, it's important to seek medical care to ensure you receive a comprehensive evaluation and appropriate treatment. Reasons to seek care more urgently include:

• Worsening Seizure Activity: If you experience more frequent or severe seizures, seek immediate medical attention.
• Severe Mood Changes: If your depression or anxiety worsens, or if you have thoughts of self-harm, seek help immediately.
• New or Worsening Symptoms: Any new or worsening neurological symptoms, such as significant changes in vision, memory, or cognitive function, should be evaluated by a healthcare provider.

Remember, while I can provide information and suggestions, it's crucial to consult with real health professionals to receive a formal diagnosis and treatment plan. If you have more questions or need further assistance, feel free to continue the conversation.