Hi, welcome to the ehealth forum and I am glad to help you.
You seem concerned how to soothe the tongue bite sore in your husband afflicted during a seizure. You also are doubtful if one becomes rebellious/violent when there are seizures.
The tongue actually heals very quickly all on its own, so most bitten tongues will be OK with some tender loving care. This includes using water to wash the area clean and apply some ice to reduce the swelling. You can apply pressure to the tongue simply by pressing the tongue against the roof of the mouth.
If the cut gapes open, has a bad smell, continues to bleed or has dirt or contaminants in it, then you might wish to visit the emergency room as quickly as possible. It's a myth that tongues never require stitches, so if the cut is more than inch long, the doctor might sew it up.
While it's healing, you may wish to watch what you eat and reduce spicy or irritating foods. For about 4-5 days, you can expect some soreness. If you get a fever, bad breath or the cut won't heal, contact the dentist or doctor for further treatment.
Postictal psychosis (PP) is a rare but serious complication following seizures, characterized by auditory and visual hallucinations, delusions, paranoia, affective change, and aggression. This aggression can make the patient violent or rebellious. Following the conclusion of the seizure, the patient feels the typical confusion and lethargy of the post ictal state, and then gradually recovers to a normal state. This is called the lucid phase. In patients who experience PP, the lucid phase usually lasts between 2 hours and a week (usually more than 6 hours) before psychosis sets in. In about 12-50% of seizure patients, the lucid phase is followed by a period of psychosis that can last for 12 hours to more than 3 months (mean, 9â10 days). This psychosis is treatable with standard antipsychotic drugs, and stops when the patient no longer experiences seizures.
Hope this helps. Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.
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