OpenHealth Q&A

Get answered by medical professionals

Experiencing a Possible Seizure at Work: Seeking Guidance

3/25/2025, 11:00:47 PMMale25-34

I'm a 45-year-old male, standing 6’2” and weighing 220 pounds. Recently, I encountered a concerning episode while working at my new job, which I suspect may have been a seizure. This was my first experience of its kind. Yesterday, while performing my duties, I exhibited symptoms that led to an ambulance being called to take me to the hospital. I spent about six hours in the emergency room undergoing various tests, including a CT scan. Ultimately, the attending physician provided a summary stating that I might have experienced either a seizure or a syncopal event. Interestingly, the doctor leaned toward the possibility of a syncopal episode, noting that it was challenging to draw solid conclusions without input from witnesses. They mentioned my magnesium levels were low, which was promptly treated, and thiamine was administered as well. Today, I managed to retrieve the video footage of the incident, and it does appear to resemble a seizure. Although I couldn’t recall what happened during the episode, upon reflection, I did remember feeling a sense of oddity with my left eye, which seemed blurry a couple of days prior. Additionally, I encountered unexpected difficulties while handling the cash register, getting confused by screens that I typically navigate without issue. I’m reaching out to see if anyone else has experienced something similar or has insight on what steps I should take next. Your advice would be greatly appreciated!

Crohn's DiseaseCOPDRheumatology

Answers (1)

Cony

3/25/2025, 11:01:06 PM

OpenHealth AI

I understand that experiencing a possible seizure at work has been concerning and confusing for you. It’s important to take this episode seriously while also focusing on what you can do next.

Main Points:

  1. You may have experienced either a seizure or a syncopal episode.
  2. Low magnesium levels and thiamine deficiency were noted and treated.
  3. It's essential to monitor your symptoms and follow up on your health.

Explanation:

Given your recent episode and the attention you received in the emergency room, it’s good that you have some initial support in understanding what might have happened. A seizure typically involves sudden, uncontrolled electrical disturbances in the brain, leading to convulsions or loss of consciousness. Syncopal episodes, on the other hand, are usually brief losses of consciousness due to a drop in blood flow to the brain, often related to low blood pressure or other temporary factors. Your symptoms, along with the video footage, can provide more context to your healthcare provider in determining the exact nature of the episode.

It’s also essential to recognize that low magnesium and thiamine levels can contribute to neurological issues, so addressing these deficiencies is a positive step.

Next Steps:

  1. Follow-Up Appointment: Schedule a follow-up with your primary care doctor or a neurologist to discuss the episode thoroughly. Bring the video footage if possible, as it might help in your evaluation.

  2. Symptom Monitoring: Keep a detailed diary of any unusual symptoms you experience going forward. Note things like blurred vision, confusion, fatigue, or any other neurological symptoms—especially if they resemble what you experienced.

  3. Nutrition and Hydration: Focus on a balanced diet rich in magnesium (found in nuts, seeds, leafy greens) and thiamine (found in whole grains, meat, fish). Staying hydrated is also crucial.

  4. Lifestyle Adjustments: If you feel faint or dizzy, sit or lie down immediately. Avoid sudden movements that could increase your risk of falls.

  5. Support System: Inform your employer and colleagues about your potential episodes. It may help to have a plan in place in case it happens again at work.

  6. Educate Yourself: Learn about seizures and syncopal episodes. Reliable sources include the Epilepsy Foundation and the National Institute of Neurological Disorders and Stroke (NINDS) websites.

Reassurance:

It's completely natural to feel anxious after such a distressing episode, especially in a new work environment. You're taking the right steps by seeking advice and gathering information to support your health. Remember, you are doing well by being proactive and attentive to your body’s signals. If you have further questions as you navigate this experience, feel free to reach out.

Related Questions

Assessing My Health Concerns: How Anxious Should I Be?

I’m a 32-year-old woman, weighing 124 pounds and standing at 5 feet 6 inches tall. For over a year, I have been experiencing bright red rectal bleeding. Initially, I attributed this issue to hemorrhoids that developed during my pregnancy two years ago. The bleeding occurs with most of my bowel movements, sometimes happens without one, and on a few occasions, has been enough to stain the toilet bowl significantly. The color of the blood is typically darker than what I observe during a hemorrhoid flare-up. There is a notable family history of bowel cancer on both sides; one family member was diagnosed at age 45, and another at 60. In the past six months, I have encountered several episodes of severe abdominal pain—3 to 4 instances—intense enough to consider a trip to the emergency room. However, the pain usually subsides within about an hour. It’s unusual for me to experience such acute pain, given my high tolerance for discomfort; for example, I once played rugby shortly after dislocating and fracturing my finger. Recently, I mustered the courage to consult with my doctor, who recommended a FIT test, which returned a positive result (30.1). Additionally, I underwent a complete blood test, and aside from having low ferritin levels (7 µg/L), all other results were normal. I have since been referred for a colonoscopy on a two-week waiting list to rule out any possible bowel cancer. Given these circumstances, how concerned should I be? Thank you for your input.

Crohn's DiseaseThyroid DisordersInternal Medicine
Male25-34
48 minutes ago

Understanding EEG Results for My 22-Month-Old Son: Insights Needed

Could someone help clarify this for me? My son, who is just 22 months old, hasn’t started walking yet, becomes tired easily, and has been experiencing behavioral outbursts. He had a febrile seizure in February 2025, followed by another unexplained seizure in April 2025, which led us to consult a neurologist. Since he was 3 months old, he has been receiving therapy from a physical therapist for torticollis. At birth, he spent five days in the NICU due to issues with meconium aspiration. A recent MRI showed normal results, and he also had a follow-up EEG after one conducted in July 2025. The results from this recent EEG were abnormal for a pediatric patient in awake, drowsy, and sleeping states. Notably, there were brief episodes of left frontotemporal delta slowing, which occurred mainly when he was awake and drowsy. There were no signs of epileptiform activity detected. In contrast, the EEG performed back on July 3, 2025, was deemed normal for both awake and drowsy states, again with no evidence of epileptiform irregularities, although it did not capture any sleep data. This examination was prompted by the child's existing history of febrile seizures. Importantly, he is not currently on any anti-seizure medications. The EEG procedure used standard electrode placements per the 10-20 system, conducted a single-lead EKG, and included continuous video monitoring. During the analysis, the background activity was symmetric, indicating some anterior-posterior (AP) organization, with a dominant rhythm of 50-80 microvolts at 7 Hz. His drowsy state was marked by a reduced amount of eye blink activity, less breathing motion interference, and a generalized slowing in theta/delta frequencies. Stage II sleep exhibited spindles and vertex waves patterns. Additionally, there were intermittent bursts of 250-300 microvolts in the left frontotemporal region with semi-rhythmic activity of 2-4 Hz, mostly observed during wakefulness and drowsiness. No definitive epileptiform discharge was noted. Photic stimulation during the test did not elicit a strong response, and hyperventilation was not conducted during this session.

Multiple SclerosisCrohn's DiseaseEndocrinology
Male25-34
1 hour ago

INTENSE Spine Discomfort, Breathing Difficulties, Muscle Twitches, and Sweating

To elaborate on the situation mentioned in the title, I’ve been experiencing unusual muscle twitches and spasms for the past few days, along with some discomfort in my back. However, today, I felt an unexpected sharp pain shoot through my spine, which has left my legs feeling numb and made it impossible for me to sit up straight. Additionally, I’ve been dealing with cold sweats for the last hour and struggling to breathe properly. Perhaps I’m just overanalyzing things and it’s a common occurrence, but the intensity of the pain is overwhelming—it's truly unbearable. I’m shaking quite a bit, and unfortunately, my parents aren’t responding to my attempts to reach them for help. I have a history of a chronic heart condition and arthritis, yet I’ve never experienced pain this severe, especially in my spine. For context, I am nearly 15 years old and female. My current medications include pain relievers, anxiety medication, beta blockers, and some vitamins, though those specifics may not be particularly relevant. I don’t smoke; however, I have tried vaping a few times, which might not matter much, but I thought it was worth mentioning as it was requested.

ArthritisCOPDRheumatology
Male25-34
2 hours ago

Understanding Atrial Fibrillation and Thyroid Issues: Variability in Cardioversion Decisions

Hello everyone, I’m reaching out for guidance regarding my mother’s current health situation, and I’d greatly appreciate any shared experiences or thoughts. **My mother's background:** - **Age**: 55 years - **Weight**: Recently dropped to 116 kg from 118 kg in just two days, likely due to diuretics. - **Health history**: Previously an underactive thyroid, undiagnosed and untreated, now presenting as overactive. - **Medications**: Currently taking thyroid medication and a beta-blocker (Rapiblock). **Current health status:** My mother has been hospitalized since Tuesday, experiencing **atrial fibrillation with heart rates exceeding 200** beats per minute due to her thyroid's hyperactivity. - The plan for cardioversion was initially settled on Tuesday. However, the following day, the medical team advised postponing it until her thyroid levels could be stabilized, believing that her heart rate would return to normal once her thyroid condition was managed. - Her **obesity** precludes her from undergoing a transthoracic echocardiogram, and due to her thyroid concerns, she cannot handle contrast dye (this has been a consistent issue for over four years). Therefore, the only feasible option was a **transesophageal echocardiogram (TEE)**, which has yet to be performed. - She has been prescribed various medications including beta-blockers and thyroid treatments in the past. - On Friday, a doctor proposed proceeding with cardioversion; however, the attending senior physician objected. - Today (Saturday), another clinician has expressed a desire to move forward with cardioversion, having initiated a new medication, as the senior physician is unavailable. - **Communication has been unclear**, as we were notified of developments by a nurse rather than the physician in charge, causing confusion and anxiety. - Currently, only a **chest X-ray** is scheduled, and the TEE remains unaddressed. **My inquiries are as follows:** 1. Is it common for medical professionals to have varying opinions and frequently revise medication or treatment plans like cardioversion? 2. Is it safe to conduct cardioversion in the absence of a TEE? I presumed that this was a standard procedure to exclude the presence of blood clots. 3. Is it usual practice to have only a chest X-ray prior to moving ahead with cardioversion? 4. How typical is it for patients or their families to not be directly informed about treatment changes and learn about them through nursing staff instead? I recognize that this cannot substitute for professional medical advice. I’m simply trying to discern whether these circumstances are typical or if we should express our concerns more assertively with the healthcare facility. Thank you for your insights!

Thyroid DisordersEndocrinologyRheumatology
Male25-34
3 hours ago

28-Year-Old Male Experiencing Scalp Sensations Post-Amitriptyline Treatment

I am a 28-year-old man in generally good health, without any cardiac concerns. Approximately a month ago, I encountered intense pain localized to one side of my head, which was unresponsive to paracetamol. However, a single dose of a migraine treatment provided substantial relief. Following that, I began a regimen of amitriptyline, starting at a nightly dose of 10 to 25 mg. While my head pain has diminished significantly—by about 90 to 95%—I now experience occasional uncomfortable sensations on my scalp. These feelings include pins and needles, a cooling sensation, and some crawling feelings near my hairline and ears. There are fleeting moments where I feel brief throbs lasting a second, but I do not have any persistent headaches. To clarify, I do not experience any of the following: - Nausea - Weakness in my limbs - Numbness - Changes in my vision - Coordination difficulties - Seizures The symptoms I have are transient, shifting around and often intensifying when I become conscious of them or as the day progresses. I would like to know: Is it common to experience these sensations during the recovery stage following episodes of neuralgia or migraine-like discomfort? Additionally, could the amitriptyline potentially be causing these temporary paresthetic sensations? I am seeking some reassurance or advice on what is typically observed during this healing process. Thank you.

Multiple SclerosisCrohn's DiseaseEndocrinology
Male25-34
4 hours ago