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Understanding Febrile Convulsions: A Parent’s Guide

2024-12-24  

As we move into winter, it’s common to see more children with fever symptoms. While a fever itself is not necessarily dangerous, one of the most frequent concerns raised by parents is the effects caused by high temperatures, such as febrile convulsions. This guide is designed to help you understand febrile convulsions, why they happen, and how you can help your child.


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1. What is a Febrile Convulsion?

A febrile convulsion is a sudden seizure that occurs in young children when they have a fever, typically above 38°C. While it can be a frightening experience, it’s important to know that in most cases, febrile convulsions are not a sign of a serious health problem and do not cause permanent harm.


2. How Common Are Febrile Convulsions?

Febrile convulsions affect 2-5% of children aged between 6 months and 5 years. They are uncommon in children over the age of 6.


3Why Do Febrile Convulsions Happen

The exact cause of febrile convulsions is not fully understood. However, experts believe that a rapid rise in body temperature can trigger abnormal electrical activity in the brain, leading to a seizure.


4What Does a Febrile Convulsion Look Like?

During a febrile convulsion, your child may:

  • Stiffen: Their body might become rigid.

  • Twitch: Their arms and legs may jerk uncontrollably.

  • Lose Consciousness: They may become unresponsive.

  • Roll Their Eyes: Their eyes may roll back into their head.



What Should I Do If My Child Has a Febrile Convulsion?

  • Stay Calm: Although it’s natural to feel panicked, try to remain calm;

  • Time the Seizure: Note how long the convulsion lasts;

  • Protect Your Child: Gently guide your child to the floor and turn them onto their side to prevent choking;

  • Clear the Area: Remove any nearby objects that could harm your child;

  • Do Not Restrain: Avoid holding your child down, as this could cause injury.


Can Febrile Convulsions Be Prevented?

While febrile convulsions cannot always be prevented, you can reduce your child’s risk by:

  • Using fever-reducing medications such as acetaminophen or ibuprofen if they feel uncomfortable due to a fever.

  • Encouraging your child to drink plenty of fluids to prevent dehydration.

  • Keeping your child lightly dressed to avoid overheating.


When Should I Seek Medical Attention?

Most children recover quickly and fully after a febrile convulsion. However, you should seek medical care if:

  • It’s your child’s first seizure.

  • The seizure lasts longer than 15 minutes.

  • Your child has more than one seizure within 24 hours.

  • There are signs of a serious illness, such as stiff neck, severe headache or difficulty breathing.

If you have any concerns about your child’s fever or seizures, don’t hesitate to seek advice. Early evaluation and reassurance can make all the difference.


Article contributed by Dr. Hyunick Kim, General Practitioner of Parkway.


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