Seizures are often unpredictable, but some people have triggers that can induce them, such as fatigue, stress, and missing medications. Being aware of potential triggers may help avoid seizures.
Seizures refer to abnormal electrical discharges in the brain that can cause sudden, temporary changes in movement, behavior, sensation, or states of awareness. Seizure symptoms vary and may also appear differently, depending on the areas and amount of the brain involved.
The International League Against Epilepsy (ILAE)
Seizures have many possible causes, including genetics, brain injury, or underlying conditions.
Some common triggers include:
- missing medications
- flashing lights
- nutritional factors and deficiencies
- illness and infection
- weather changes
- medication use
Being familiar with potential triggers may help prevent seizures from occurring.
This article looks at some common seizure triggers, the difference between causes and triggers, and how to identify potential triggers.
Some people with epilepsy or who have recurrent seizures may notice that they occur in patterns or in certain situations. These factors, or seizure triggers, may make seizures more likely. However, some people who have epilepsy may not have any triggers. Some potential seizure triggers
Regularly taking anti-epileptic drugs ensures a steady level of the medication in a person’s body. Missing a dose may increase a person’s risk of seizures and cause seizures to be more intense or occur more often.
Not taking them as prescribed may lead to
Sleep deprivation and tiredness
Stress is a commonly reported trigger for seizures. However, the exact relationship between the two is unknown. Everyone experiences stress differently, and stress presents in various forms. A person could experience stress due to major life events or a buildup of daily hassles.
Stress can take a physical toll on the body and may cause a lack of sleep, changes in eating habits, and alcohol or substance misuse — all of which can trigger seizures.
Consuming alcohol in small amounts is unlikely to cause seizures. However, drinking an excessive amount of alcohol over a short period may trigger a seizure, even for people who do not have epilepsy.
Alcohol-related seizures are more common when the effects of alcohol on the body are wearing off. They can occur 6–72 hours after drinking. Consuming alcohol can also disrupt sleep or affect medications, increasing the risk of a seizure.
In individuals with photosensitive epilepsy, flashing lights or contrasting patterns can trigger a seizure. This type of epilepsy is rare, and only about 3% of people with epilepsy experience photosensitive seizures. Evidence also suggests that this type is more common among females and younger people.
Nutrition and deficiencies
If a person with diabetes experiences severe hypoglycemia, which may occur from skipping meals, their extremely low blood sugar levels could trigger a seizure.
Sometimes, vitamin and mineral deficiencies may also trigger seizures. Vitamin B6 deficiency may trigger seizures in babies but is
Illness and infection
Illness can also trigger seizures in some people. This may be due to the physical stress the illness puts on the body, lack of sleep, poor eating habits, certain medications, or dehydration.
Viral infection of the central nervous system
Some people may experience catamenial epilepsy, which refers to seizures that become worse or more frequent during certain times of the menstrual cycle. This is very rare, and evidence suggests this occurs due to changes in levels of the hormones progesterone and estrogen.
A 2018 study from Lisbon, Portugal, notes that more seizures happen during winter. However, a 2020 survey by the Epilepsy Society found that very hot weather may cause breakthrough episodes in well-controlled seizures and may cause uncontrolled seizures to be more severe and intense. This indicates that extremes in temperature may cause changes in the body that trigger seizures.
Some over-the-counter medications may potentially trigger seizures. A
The cause of epilepsy is unknown in
While a trigger can result in a seizure, seizure triggers are not the same as seizure causes. For example, a stressful situation can trigger a seizure, but the underlying cause could be structural damage to the brain.
As seizures can be unpredictable, it can be difficult to determine why they occur. Some people may assume that triggers, such as tiredness, are the cause. However, it is more likely that the individual was already susceptible, and the trigger induced the seizure.
Seizures are often unpredictable and may occur spontaneously. While some people can identify triggers, others may have non-specific triggers, such as stress or tiredness.
It can be difficult and may take some time for an individual to identify their personal seizure triggers. A person can keep a seizure diary to note their activities or situations preceding a seizure. A pattern may emerge over time, revealing possible seizure triggers.
While attempting to identify possible triggers, a person should try to manage their condition and avoid or reduce exposure to potential triggers. Tips people can try
- taking medication as their doctor prescribes
- getting enough and regular sleep
- lowering stress
Here are some questions people often ask about seizure triggers.
What causes a seizure all of a sudden?
Seizures can happen suddenly and unexpectedly for various reasons. They
Are seizures the same as epilepsy?
When a person has
What foods can trigger a seizure?
Foods cannot usually trigger a seizure, but some people have eating epilepsy, a rare condition in which consuming food triggers a reflex seizure.
In a 2020 systematic review, foods that triggered seizures in some individuals were rice-based meals, spicy foods, meat, fish, oily foods, milk, hot foods, cold foods, apples, pears, bread, porridge, and strawberry syrup.
However, it is worth noting that out of 216 participants, fewer than 10 had seizures with most of these foods, while 67 had them after eating rice.
Seizure triggers refer to stimuli that may induce a seizure in certain people. Triggers can vary among individuals, but common triggers include illness, tiredness, alcohol, and missing medication.
Triggers are different from causes. Underlying conditions often cause seizures, while triggers induce seizures in people already predisposed to them.
It can be difficult for people to identify their own personal triggers, but keeping a diary of potential triggers and trying to avoid certain stimuli may help prevent a seizure from occurring.