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What are the 3 signs and symptoms of a febrile convulsion?

  • Infections: If a child has a bacterial or viral infection. she may get a high temperature. 
  • Roseola, also known as the sixth disease, is often a culprit because it causes a fever to spike quickly.
  • Vaccinations: Fever may occur in some immunizations -- mainly, measles, mumps, and rubella (MMR). the child may get a high temperature 8 to 14 days after the immunization.
  • Family history: it may be caused by family history.

Types of febrile seizures :

There is tentative evidence that children have a slightly increased risk of epilepsy at 2%. Febrile seizures affect two to five percent of children before the age of five. They are more common in boys than in girls. After a single febrile seizure, there is a 15 to 70% chance of another one.

There are three types of febrile seizures.

  • A simple febrile seizure: It is the shorter duration ( less than 15 minutes), no focal features (Shaking is general rather than restricted to a part of the body such as an arm or leg), and if they do occur in series, the total duration is less than 15 minutes.
  • A complex febrile seizure: It is the seizure that lasts longer than 15 minutes or multiple times occurs within 24 hours and generally does have focal features.
  • A febrile status epilepticus: A febrile seizure that lasts for longer than 30 minutes. It can occur in up to 5% of febrile seizure cases.
  • A sudden fall.
  • drooling or frothing at the mouth.
  • Noisy breathing.
  • Breathing stops temporarily.
  • Uncontrolled urination and stool.
  • Up-rolling of eyes.
  • Teeth clenching.
  • Confusion after the jerking episode.

Causes of febrile seizure :

The causes of febrile seizures are, the child has a temperature and is under the age of 6, a febrile seizure is possible. These are the most common reasons for a fever.

Symptoms: The child displays the 2 components of a febrile fit  (call a doctor). A fever (rectal temperature > 38-degree c (100.4-degree f).

Fits :
most commonly, the victim will lose consciousness suddenly. there will be a jerking movement of the body lasting for a few minutes and the episode will subside on its own. The action was taken before the medical seek arrives.

  • Gently turn the child's head to prevent choking.
  • Sponge the child with normal water.
  • Attempt to decrease the child's temperature with paracetamol if the child is conscious.
  • Do not attempt to restrain the child during the fit.
  • Do not attempt to put anything into the child's mouth during the fit. this includes a spoon, medicine, or even water.
  • Do not put a child in a tub of water during the fit.
  • Do not give aspirin to the child .aspirin not safe for young children.


It is important that parents remain calm, take first-aid measures, and carefully observe the child. If a child is having a febrile seizure, parents should do the following.

  • Measure the start time of the seizure. If the seizure lasts longer than 5 minutes, call an ambulance. The child should be taken immediately to the nearest medical facility for diagnosis and treatment.
  • Call an ambulance if the seizure is less than 5 minutes but the child does not seem to be recovering quickly.
  • Gradually place the child on a protected surface such as the floor or ground to prevent accidental injury. Do not restrain or hold a child during a convulsion.
  • Position the child on his or her side or stomach to prevent choking. When possible, gently remove any objects from the child’s mouth. Nothing should ever be placed in the child's mouth during a convulsion. These objects can obstruct the child's airway and make breathing difficult.
  • Seek immediate medical attention if this is the child’s first febrile seizure and take the child to the doctor once the seizure has ended to check for the cause of the fever. This is especially urgent if the child shows symptoms of a stiff neck, extreme lethargy, or abundant vomiting, which may be signs of meningitis, an infection over the brain surface.

Most children will stop having febrile fits by the age of 5 years. however,  some children may have fits without a fever. they may have fits due to other reasons, or they may have epilepsy which is a long-term condition and needs to be treated by a doctor.

Q 2- is there anything I can do to avoid febrile fits?
Ans - The best prevention is to avoid fever. if your child has a fever give paracetamol suspension. if your child has had febrile fits before, your doctor may prescribe medicine.

Q 3-if one of my children has fits, will my other children also have a febrile fit?
Ans -The risk of your other children having febrile fits is higher if one child or either parent has suffered from febrile fits before. is a seizure associated with a high body temperature but without any serious underlying health is most commonly occurs in children between the ages of 6 months to 5 years. Most seizures are less than four-five minutes in duration and the child is completely back to normal, within an hour of the event.

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