Thursday, June 8, 2017

Epilepsy Blog Relay--What is Comorbidity?



This post is part of the Epilepsy Blog Relay™ which will run from June 1 through June 30. Follow along and add comments to posts that inspire you!

Comorbidities are a big issue for people with epilepsy because many have to deal with them every day.  So, what is a comorbidity? The Epilepsy Foundation website defines it as "the presence of one or more additional disorders that co-occur with the primary condition."

The NIH explains comorbidity this way:
"When two disorders or illnesses occur in the same person, simultaneously or sequentially, they are described as comorbid. Comorbidity also implies interactions between the illnesses that affect the course and prognosis of both."

This is just the scientific way of saying that you have more than one disease/disorder/health condition and the interactions between them are complicated.  Some of these include depression, anxiety, mood disorders, migraine, diabetes, autism spectrum disorder, and ADHD.

It is difficult to determine what causes comorbidities, but according to Michael Seidenberg, it is possible that treatment of one condition could lead to another health condition developing.  Also, another possibility is that there is a common bacteria causing both diseases. When it comes to treatment, many medications have side effects that mimic other medical disorders.  They therefore have a way of intensifying the effect, if the person already has the disorder. 

An example of this would be of Phenobarbital or Depakote having depressive effects.  It is important to be aware to avoid them if possible for someone who has depression. I myself have never been treated for a comorbidity, but I have friends who have other conditions besides epilepsy.  Despite not having another health issue myself, I know how it feels to be depressed for long periods of time and to be suicidal, although I was able to come back to myself, thanks to my supportive family.

Many people are not as lucky as I am. The ultimate goal is seizure freedom and a satisfying quality of life. However, if a person has comorbidities, the journey to recovery will be that much more difficult.


Definition from NIH drug abuse site


National Library of Medicine
Seidenberg, Michael. "Association of epilepsy and comorbid conditions." Future Neurology, September 2009. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2802344/

Epilepsy Foundation website


NEXT UP: Be sure to check out the next post tomorrow by Alyssa Jaden at livingwellwithepilepsy.com for more on epilepsy awareness. For the full schedule of bloggers visit http://livingwellwithepilepsy.com/epilepsy-blog-relay/ebr-june-2017-participants.
Don’t miss your chance to connect with bloggers on the #LivingWellChat on June 30 at 7PM ET.

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