Which Seizure Trigger Is Your Hardest Battle?

For two years after my epilepsy diagnosis, I had no idea seizure triggers even existed. The doctors I saw never mentioned them. When I finally stumbled upon the concept of seizure precipitants, it felt like discovering a missing piece of my own puzzle.
That's when I turned into a detective of my own body. Armed with a daily journal, I started connecting the dots between my seizures and what came before them. Slowly, but surely, the culprits revealed themselves: gluten, low sodium, poor sleep, my menstrual cycle, stress, and anxiety. Each one a potential match that could light the fuse.
The physical triggers: poor sleep, gluten, menstrual cycle and low sodium? I've learned how to manage them better. Eliminating gluten alone slashed my seizures by 60%.
Anxiety and stress— They remain my most relentless opponents in this battle, despite my yoga practice and exercising.
Now I'm wondering: What's YOUR toughest trigger to tame?
Have you found strategies that actually work? Whether it's something you've mastered or something that still defeats you, I want to hear your story. Your experience might be exactly what someone else needs to hear today.
Share your trigger battles below—let's learn from each other!

Interested in more discussions like this? Go to the Epilepsy & Seizures Support Group.

Profile picture for royanthony @royanthony

@tkmoyer3 Update: I've tried to work with 3 coffee companies. They've all given the same answer and that is they'll take it up with their marketing group and thanked me. Never heard from them again. I typically am a person that doesn't quit, but at 72 years old I don't need the anxiety (and potential seizures). Now, at 72 years old and facing the loss of private insurance, I've learned that getting Brand name meds (Lamictal & Keppra) from this date to the end of this year via Medicare would cost me $22,000. That's no exaggeration. So, that's my immediate goal.... get the Brand names for less. I know for a fact that out of country, I can get 90 days of Keppra for less than $500. But, it's against the law for a citizen of the US to buy meds overseas. This has got to change. I hope your seizures are under control or at least feeling better, TK.

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@royanthony
Hi, I know decaf coffee has alittle caffeine in it but it doesn’t bother me. I’ve been fine but I drink 1/2 to a whole bottle of water to drink afterwards as well. Name brands are so expensive. I like the fact of having generic brands of meds. A lady who had seizures since the age of 2 weeks old eventually stopped over time then started back up as a teenager. This medicine helps her as well as myself. I still get feeling of seizure but don’t go into one. My doctor said I have a long road into recovery due to surgery. At least now I can sing. YAY! Medicare is awful for the cost that people have to deal with. I’m trying to get a job at the Air Force since they have better insurance instead of relying on Medicare but in the meantime I’m looking into the hospital as well. I don’t know how that’ll work since I’m still needing to rest. Private insurance is what I have right now. Paying $1000 a month and on top of it medical expenses due to surgery/ hospital stay a couple times. Thankfully I’m in a payment plan but $600 a month with that. Ugh…,😒

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For me, now it’s music and those advertisement on radio which can give me those aura.

Cheers,
Louis

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Mine. Telling people till I am blue in the face aka husband parents brother extreme unnecessary emotional distress. So I am blamed told I am weak etc for having this boundary. Seizure free over 12 years. Relationship ending or altering in all thesd relationships.

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Profile picture for sam2446 @sam2446

Hi guys I thought I should share what triggers my seizures but first off I have generalized epilepsy and I mostly have myoclonic jerks but every now and then tonics clonic. My main big one is sleep and it doesn’t help that I have insomnia and I know that Chris had directed me to this chat and also asked me if I had found anything that helped me fall back asleep and no not really i listen to what’s considered brown noise because white noise hurts my head and gives me pounding headaches, my second trigger is stress and my anxiety if I wasn’t on my medication currently I’m pretty sure I would have to be hospitalized currently with how severely stressed out I am with my work and personal life but I have been seeking help. I read from someone’s post on here I can’t remember her name but it wasn’t Chris but, she said she can still feel the seizure even then ones not happening or at least that’s how I took it do any of you guys feel the same way because with my jerks and when my meds are working sometimes I can still feel when some would happen if I wasn’t on meds even though they aren’t happening if that makes sense and I can’t explain the feeling/ sensation behind them it’s something that I would have to explain in the moment. I did just get an mri done and nothing came back for epilepsy the doctor said” No definite epileptogenic abnormality.”besides me having a arachnoid cyst it’s benign in the back of my brain they said it’s small but I normally have a decent amount of pressure in that part of my head and they where I hit my head when I head my first tonic clonic so yeah I would love to hear what you guys think I’m sorry if I rambled a lot but I’ve have a lot thrown at me about my health and I don’t know how to feel about it or what to do about it

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@sam2446
Hi Sam,
Thank you for sharing the triggers that are currently your hardest ones to manage.
Not being able to sleep well is terrible — I've been there myself, back when I was on Lamictal. It was a nightmare, and the doctor finally agreed to switch me to another AED.
I checked the side effects of Zonisamide, which is the medication you're currently on, and trouble sleeping is among the most common ones. Here's the link: https://www.mayoclinic.org/drugs-supplements/zonisamide-oral-route/description/drg-20066787
I also share here a yoga nidra practice that's been very helpful to me along my epilepsy treatment journey. It requires no previous experience: https://www.youtube.com/watch. See if it helps you. I usually practice it once, after lunch, since it shouldn't be practiced after 4 pm. On days when I haven't slept well, I practice it twice — once in the morning after breakfast, and again after lunch.
Do you feel that the sleep struggles you're currently facing have increased your daily stress and anxiety — other well-known seizure triggers? Have you had the chance to report your sleep problems with Zonisamide to your doctor? If so, what did he or she suggest?
Chris

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Profile picture for royanthony @royanthony

@tkmoyer3 Update: I've tried to work with 3 coffee companies. They've all given the same answer and that is they'll take it up with their marketing group and thanked me. Never heard from them again. I typically am a person that doesn't quit, but at 72 years old I don't need the anxiety (and potential seizures). Now, at 72 years old and facing the loss of private insurance, I've learned that getting Brand name meds (Lamictal & Keppra) from this date to the end of this year via Medicare would cost me $22,000. That's no exaggeration. So, that's my immediate goal.... get the Brand names for less. I know for a fact that out of country, I can get 90 days of Keppra for less than $500. But, it's against the law for a citizen of the US to buy meds overseas. This has got to change. I hope your seizures are under control or at least feeling better, TK.

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@royanthony
Hi Roy,
Thank you for the update. I'm sorry to hear that three companies gave you the same non-answer — it's exhausting to keep pushing and get nowhere.
You said it yourself — you're not someone who quits, but you don't need the extra anxiety and potential seizures that come with this fight. I think that's the right call. Chasing a response that may never come could become its own trigger. Stepping back isn't giving up, it's protecting yourself.
As I mentioned before, Starbucks could be a good decaf alternative in the meantime. Have you had the chance to check out their decaf options?
Chris

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Profile picture for kb2014 @kb2014

Mine. Telling people till I am blue in the face aka husband parents brother extreme unnecessary emotional distress. So I am blamed told I am weak etc for having this boundary. Seizure free over 12 years. Relationship ending or altering in all thesd relationships.

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Hi @kb2014a
Thank you for sharing something so difficult. What you're describing sounds incredibly painful — having to set a boundary to protect your health, and being met with blame instead of understanding, from the very people closest to you.
It's a hard trade-off: you've been seizure-free for over 12 years, and it sounds like this boundary may be part of what's kept you well. But that same protection has come at the cost of relationships changing or ending. That's a heavy thing to carry, even when you know you're doing what's right for your health.
Has setting this boundary gotten any easier over time, or does the pushback from your family still weigh on you the same way it did at the start?
Chris

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Profile picture for louissc @louissc

For me, now it’s music and those advertisement on radio which can give me those aura.

Cheers,
Louis

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@louissc
Hi Louis,
Nice to hear from you again! Thank you for sharing your hardest triggers to manage currently: music and radio advertisements.
I can relate in a way — too much noise in certain places (restaurants, hairdressers, supermarkets) is uncomfortable for me too, and it can lead to stress, which is actually my hardest trigger to manage. I try to handle it by choosing calmer restaurants and going at hours when these places aren't as crowded.
How have you been managing these triggers? Have you stopped listening to music and turning on the radio altogether? Does the same happen when you're watching TV and ads pop up?
Chris

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Profile picture for gregd1956 @gregd1956

Dear @santosha
4 years ago, my doctor added or changed my anti-seizure meds. That was great, but still I take 3-times-a-day for that anti-seizure. One time, mths ago, I for got my med that morning and had a seizure hiures after before did not that my meds. No more - 3 times a day. I hate taking those anti-meds but it’s there - For now, 🙂…
Thx,
Greg D. @greg1956

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@gregd1956
Hi Greg,
Reading back through this discussion, I wondered if you'd had the chance to check out the discussion "How do you guys remember to take your medication?" since you mentioned forgetting to take your medications once. Members there have shared some good solutions — worth a look, if you haven't already.
Here's the link:
How do you guys remember to take your medication?
https://connect.mayoclinic.org/discussion/how-do-you-guys-remember-to-take-your-medication/
Chris

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Hi All
I just came across this article again — it can be helpful for managing our triggers.
10 Common Epileptic Seizure Triggers and Tips To Avoid Them
https://www.myepilepsyteam.com/resources/triggers-and-epilepsy
Chris

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Profile picture for Chris Gautier, Volunteer Mentor @santosha

Hi @kb2014a
Thank you for sharing something so difficult. What you're describing sounds incredibly painful — having to set a boundary to protect your health, and being met with blame instead of understanding, from the very people closest to you.
It's a hard trade-off: you've been seizure-free for over 12 years, and it sounds like this boundary may be part of what's kept you well. But that same protection has come at the cost of relationships changing or ending. That's a heavy thing to carry, even when you know you're doing what's right for your health.
Has setting this boundary gotten any easier over time, or does the pushback from your family still weigh on you the same way it did at the start?
Chris

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@santosha yes this is a tough one. I have had trauma recovery domestic violence treatment. Yes it still bothers me. People in my life have controlling behaviors. Not ok. I had cranitomy to remive abcess left temporal lobe from bacterial meningitis of my brain. It was a catastrophic illness. I went into cardiopulmonary arrest. I look at it this way. It was an opportunity for my family to learn about what happened to me. No that did not happen. Controlling behaviors continued. Unnecessary emotional distress is a seizure precipitant. You can tell someone till you are blue in the face your behavior is not ok..does not always work. Actually can reinforce the negative behavior.

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