After a generalized motor seizure, your muscles may feel sore when you wake up. Some people bite their tongue during a seizure. Some lose control of their bladder or bowels (incontinence). You may be sweating and have changes in your skin color. If you have seizures in your sleep, you may only know because you feel sore when you wake up. Or you may find you had incontinence while asleep.
Seizures can affect your heart rate, blood pressure, or other vital signs. These changes are often short-term (temporary). They get better after the seizure stops. During a seizure, brain cells can be injured. This can often happen with longer seizures. For these reasons, it's important to have good control of seizures. People with epilepsy also face a rare but serious risk called sudden unexpected death in epilepsy (SUDEP). The risk is higher when seizures are not well controlled. Taking your seizure medicine every day as your doctor tells you is the best way to lower this risk. Talk to your doctor about your personal risk.
Seizures that affect your movements or awareness can pose a danger. When a seizure affects awareness, you may not be able to focus on what you're doing. You may lose control of a vehicle or heavy machinery.
Motor seizures (generalized or focal) can lead to injury. With a generalized motor seizure, you can fall and be injured. The motor movements with focal or generalized seizures can cause injury if you're near something dangerous, like a hot stove or a sharp object.
People with seizures that affect awareness or motor function need to take care to prevent injuries. Your ability to drive may be affected. Your driving may be limited. This is based on your doctor's advice and local laws. You may need not to swim or shower alone. This is because of the risk of drowning during a seizure. Being up high, such as on a ladder, can lead to serious injury if you have a seizure. Your doctor can help you learn what to do to stay safe.
If you have a seizure disorder, wear a medical alert bracelet or necklace. You may also want to carry a list of your seizure medicines. This could be on paper or in your cellphone. If your disorder is unstable, include the medical management used to treat emergencies.