Has seizure, experiencing nose bleeds frequently. What could this be?
Patient: Daughter is 13 years old and about 6 months ago we returned from a holiday in Spain, all of us came home with a bug but my daughter appeared fine until she had her first absence seizure a week later.  She had a few more with a number of weeks/months.  She has been on anti-seizure medication but recently had another bad seizure and took 20 minutes to come around.  she has now experienced a number of nose bleeds over the past few days - what could this be Doctor: Hi,  Thank you for posting your query.  Seizures would get well controlled with anti-epileptic medications, if used at a good dose and on regular basis.   If she is on sodium valproate, then, the nose bleeds may be linked, as this drug can cause thrombocytopenia (low platelet count) resulting in increased chances of bleeding. Otherwise, her nose bleeds may not be connected to seizures. Please get back if you require any additional information.  Best wishes,  Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website:  http://bit.ly/Dr-Sudhir-kumar  My email: drsudhirkumar@yahoo.com