Epilepsy – Swimming Safety Advice — SCE Neurology MCQ
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Correct answer: E — Swimming is not absolutely contraindicated but requires safety measures: never swim alone, always swim with a competent companion who knows about the epilepsy, inform lifeguards, avoid open water swimming, and avoid swimming during medication changes or sleep deprivation — drowning risk is 15–19× higher in epilepsy
Drowning is a significant cause of mortality in epilepsy (15–19× higher risk than the general population). Swimming is not absolutely banned but requires strict safety measures: (1) never swim alone, (2) competent companion who knows about the epilepsy and can rescue, (3) inform lifeguards, (4) avoid open water/sea swimming, (5) avoid swimming when seizure risk is higher (medication changes, sleep deprivation, alcohol), (6) shower rather than bath (or use shallow bath water with someone nearby). NICE NG217 recommends personalised risk counselling. A: Significant risks exist. C: Not absolutely contraindicated with precautions. D: Open water is higher risk but not the only factor. E: Precautions are needed regardless of seizure frequency.
Reference: NICE NG217; Epilepsy Action Swimming Guidance