diff --git a/mrk/09/18.md b/mrk/09/18.md
index 6aa9bf06c3..c70c91284a 100644
--- a/mrk/09/18.md
+++ b/mrk/09/18.md
@@ -1,6 +1,6 @@
-# he foams at the mouth
+# down and he foams at the mouth, grinds his teeth
 
-A convulsion, or seizure, can cause a person to have trouble breathing or swallowing. This causes white foam to come out of the mouth. If your language has a way to describe that, you could use it. Alternate translation: "bubbles come out of his mouth"
+A convulsion, or seizure, can cause a person to have trouble breathing or swallowing. This causes white foam to come out of the mouth. If your language has a way to describe that, you could use it. Alternate translation: "down, and he has bubbles come out of his mouth and grinds his teeth"
 
 # he becomes rigid