What Happens During a Tonic-Clonic Seizure, and How Can It Be Managed?

Question

A few weeks ago, I witnessed my cousin have a tonic-clonic seizure, and it was one of the scariest things I’ve ever seen. It happened so suddenly—he fell to the ground, his body stiffened, and then he started shaking uncontrollably. I had no idea what to do, and I felt completely helpless. Now I’m trying to understand more about tonic-clonic seizures and how to handle them if they happen again.

From what I’ve read, a tonic-clonic seizure has two phases: first, the body stiffens (tonic phase), and then it starts shaking violently (clonic phase). But what actually causes these seizures? Are they always linked to epilepsy, or can they happen due to other conditions like high fever, low blood sugar, or brain injuries?

One thing that worries me is whether a person can sense when a tonic-clonic seizure is about to happen. Are there any warning signs or auras before the seizure starts? If so, is there anything that can be done to prevent it or lessen its intensity?

I also want to know the best way to help someone having a tonic-clonic seizure. Should I try to hold them down to stop them from injuring themselves, or is that dangerous? I’ve heard that you shouldn’t put anything in their mouth—why is that?

Since I prefer natural approaches, I also looked into Ayurveda’s perspective on neurological health. Are there Ayurvedic treatments, herbs, or dietary changes that can help manage tonic-clonic seizures or reduce their frequency? I read about Brahmi, Ashwagandha, and Vacha being used for brain health—do these actually work?

For those who have experienced tonic-clonic seizures, what has helped you manage them? Do medications work well, or have you found alternative treatments that help? I want to be prepared if I ever witness another one and understand what can be done long-term for prevention.

Dr. Harsha Joy · Accepted Answer

Tonic-clonic seizures, also known as grand mal seizures, are often associated with epilepsy but can also be triggered by various factors such as high fever (especially in children), low blood sugar, head injuries, or other medical conditions affecting the brain. These seizures typically involve two phases: the tonic phase, where the body stiffens, and the clonic phase, where uncontrollable shaking occurs. While some people experience warning signs or "auras" before a seizure, not everyone does. If you witness a tonic-clonic seizure, it’s crucial to keep the person safe by gently guiding them away from dangerous objects, cushioning their head, and not trying to hold them down or put anything in their mouth, as this can cause injury or block their airway. Once the seizure is over, stay with the person to offer comfort as they regain consciousness. Regarding Ayurvedic remedies, herbs like Brahmi, Ashwagandha, and Vacha are often recommended for brain health and neurological support, though their effectiveness in preventing or managing seizures may vary. While medications are typically the most reliable treatment for seizures, natural approaches can sometimes be used alongside medical care to help manage stress, improve overall health, and support brain function. For those with seizures, finding the right balance between medical treatment and natural methods, under the guidance of a healthcare professional, is essential for effective management and prevention.

What Happens During a Tonic-Clonic Seizure, and How Can It Be Managed? - #15659

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