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What to Do if You Have Pre Seizure Symptoms?

Sandeep Dhanyamraju MD
Medically reviewed by Sandeep Dhanyamraju
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Sandeep Dhanyamraju MD
Medically reviewed by Sandeep Dhanyamraju

Millions of people worldwide are affected by seizures, a neurological disorder. You may have experienced pre-seizure symptoms such as confusion, dizziness, or lightheadedness. And you understand how disturbing and confusing they can be. These signs are warning signs of a possible attack. They can also vary in strength and duration.

It is extremely important to take action when pre-seizure symptoms appear. This is because they may indicate an imminent attack. Knowing these warning signs will help you manage your condition effectively.

This article will discuss the actions to take when detecting feeling before a seizure. We will also give an idea of what happens before an attack. Below you can find recommendations for reducing the likelihood of seizures.

Promode Stage Overview

The initial phase of seizure activity calls the promode stage. It is also called the aura or pre-seizure phase. At this stage, various symptoms may occur that signal the onset of a seizure. They can vary depending on the specific condition of the person and the type of seizure. These pre-seizure symptoms can include:

  • Lightheadedness or dizziness;
  • Nausea or stomach discomfort;
  • Sensory changes, such as numbness or tingling in the limbs or face;
  • Visual changes, such as distorted images or flashes of light;
  • Emotional changes, such as fear or anxiety;
  • Confusion or disorientation.

It is extremely important to keep in mind that not everyone with seizures will have a promode stage. Some people may have very brief or subtle warning signs before the onset of a seizure.

For people with seizures, recognizing the first stage can be important. Because it may allow them to take steps to improve their well-being. This may include taking your medications as prescribed, finding a safe place, or notifying your caregiver or health care provider.

Warning signs of a seizure

The warning signs a seizure is coming can vary greatly from person to person. Also, an important factor is the particular type of seizure they are experiencing. Some common warning signs of a seizure include:

  1. Sensory changes. These may include tingling or numbness in the hands, feet, or face, changes in vision such as blurred vision or flashing lights, or a sudden sense of taste or smell.
  2. Emotional changes. Some people may experience mood swings, anxiety, fear, or a sense of impending doom.
  3. Physical changes. These may include muscle stiffness, dizziness or lightheadedness, nausea or vomiting, and changes in breathing or heart rate, deterioration in the normal functioning of the brain.
  4. Behavioral changes. Some people may exhibit unusual behavior or movements. For example, smack your lips, stare or repeat movements.

It is important to note that not all people will experience warning signs of a seizure. Some people may experience very subtle or short-term symptoms that are difficult to recognize. It is also possible for seizures to occur suddenly without any warning signs.

You need to work closely with your healthcare provider. Ongoing follow-up with a physician is necessary to develop a treatment plan.  This is especially important for those who have been diagnosed with seizures. The doctor will be able to include strategies to respond to warning signs of seizures. With the right treatment, many people with seizures can lead full and active lives.

signs a seizure is coming

What to do if you feel a seizure coming on?

If you feel signs a seizure is coming, there are several steps you can take to help manage the situation:

Step #1 Alert Those Around You

If you are with other people, let them know that you are about to have a seizure, so they can help you and keep you safe.

Step #2 Try to Find a Safe Place

If possible, move to a safe location away from any hazards, sharp objects, or hard surfaces that may cause injury.

Step #3 Get in a Comfortable Position

If you are sitting or standing, try to get into a comfortable position on the ground. If you are driving or operating heavy machinery, stop immediately and seek help.

 Step #4 Protect your Head

Use a pillow, jacket, or any soft object to cushion your head and prevent injury.

Step #5 Loosen any Tight Clothing

Remove any tight clothing or accessories that may restrict your breathing or circulation.

Step #6 Stay Calm

Try to remain calm and focus on your breathing to help manage your pre-seizure symptoms.

Step #7 Take your Medication

If you are taking medication to treat seizures, take them as directed by your doctor.

How to know if someone is having a seizure?

It’s important to be able to recognize the signs of a seizure to ensure that the person gets the necessary help. Here are some common feelings before a seizure of a seizure:

  1. Loss of consciousness. The person may lose consciousness or briefly lose awareness during the seizure.
  2. Convulsions. Uncontrollable movements such as jerking of the limbs or falling to the ground may occur.
  3. Staring spells. Some seizures may cause the person to stare off into space and not respond to their surroundings.
  4. Confusion. After the seizure, the person may feel confused or disoriented.
  5. Changes in behavior. During the seizure, the person may become aggressive, irritable, or anxious.

It’s crucial to remain calm and not panic during a seizure, as this can help the person feel more comfortable.

What NOT to do when someone has a seizure?

When someone has pre-seizure symptoms, there are certain things you should avoid. They are worth knowing to ensure their safety and well-being. Here are the main features:

  • Don’t restrain the person

It is important to let the person’s body move freely during the seizure. Trying to hold them down or restrict their movements can cause injury to them or you.

  • Don’t put anything in the person’s mouth

There is some misconception about the state of a person during a seizure. It’s said that a person can now swallow the tongue. But this is not possible. Don’t try to put anything in their mouth, as it can cause choking and lead to injury.

  • Don’t try to move the person

If the person is in a dangerous location, gently guide them to a safe area. Do not try to move them any further, as this can cause more harm than good.

  • Don’t give the person anything to eat or drink until they are fully alert

During warning signs of a seizure, a person may lose control of their muscles. This is especially true for those who control swallowing. Giving them food/drinks during or immediately after an attack may result in choking or aspiration.

  • Don’t panic 

Although seizures can be scary to witness, it’s important to stay calm and focused. Remember that most seizures only last a few minutes, and the person will recover with time.

If you have the first signs hurry up to contact a specialist. Don’t hesitate and care about your health on time. 


  • How do you prevent a seizure when you feel it coming?

It is not always possible to completely prevent a seizure. But there are steps you can take when you feel it coming. This way, you can reduce the duration of the seizure or potentially prevent it entirely. Here are some strategies you can try:

  • Take prescribed medication as directed;
  • Get enough sleep;
  • Manage stress;
  • Avoid triggers;
  • Seek a safe location;
  • Wear a medical alert bracelet.
  • What strange behavior happens before a seizure?

The bizarre behavior that occurs before a seizure can vary widely depending on the type of seizure and the individual’s specific condition. Some common symptoms include blurred vision or hearing, feeling restless, tingling, numbness, difficulty remembering or concentrating involuntary movements or twitches, or you may feel the urge to move in a certain way. It is important to note that not everyone with seizures has a prodromal period. Every person’s symptoms can manifest themselves in completely different ways. 

  • What are the 3 signs of a seizure?

The symptoms of a seizure can vary depending on the type of seizure. The individual characteristics of each person are also taken into account. But, three general signs may indicate the onset of a seizure:

  1. Aura or prodrome. This is the pre-seizure phase. It includes unusual sensations or behaviors that signal the onset of a seizure. 
  2. Seizure activity. This is the main phase of the seizure and may include various symptoms. These include seizures, muscle spasms, loss of consciousness, or altered consciousness.
  3. Post-ictal phase. This is the post-attack period. During this time, the person may experience fatigue, confusion, or other symptoms. This is because the brain is recovering after an attack.

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Edward Medina
15:34 30 Jun 22
Just such an amazing staff that makes you feel like part of their family. I’ve been going there for over 5 years now... and each visit I get the very best care and treatments that I have ever received in the 20+ years that I’ve been dealing with severe debilitating migraines. Since i started seeing them the number of my migraines has dropped from 15-20 a month to 2-3 every 3 month. I highly recommend them …they will change your life!read more
Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
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It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going more
Isabel Ivy
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21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my more
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17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
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  1. 15/01/2024

    I found that helpful

  2. 10/03/2024

    Excellent, helped me so much, thank you!

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    That explains alot. Thanks for sharing detailed information.

  4. 27/03/2024

    Thanks for the information, very helpful to try to take back control of my life!

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