Febrile Seizures in Children: Symptoms, Causes, Diagnosis & Treatment

Febrile Seizures in Children: Symptoms, Causes, Diagnosis & Treatment

Febrile seizures in children can be scary for parents. These seizures happen when a child has a fever, often during common illnesses. Although febrile seizures are usually harmless, they can cause worry. In this blog, you will learn about febrile seizures, their symptoms, causes, diagnosis, and treatment. We will also share tips for parents on how to manage febrile seizures in toddlers and young children.

What Are Febrile Seizures?

Febrile seizures are convulsions that happen in children with a fever. Usually, these seizures occur in children between 6 months and 5 years old. Most often, febrile seizures last only a few minutes. However, they can be frightening to watch. Unlike other seizures, febrile seizures are linked to a rise in body temperature, not to epilepsy or brain disorders. According to the CDC, about 2% to 5% of children will have at least one febrile seizure.

Common Symptoms of Febrile Seizures

Febrile seizures often start suddenly. For example, your child may be playing and then suddenly lose consciousness. The main symptoms include:

  • Loss of awareness or fainting
  • Jerking or shaking of arms and legs
  • Stiffening of the body
  • Rolling back of the eyes
  • Foaming at the mouth or drooling
  • Brief pause in breathing (for a few seconds)
  • Usually, these symptoms last less than five minutes. After the seizure, your child may feel sleepy or confused. But most children recover quickly.

    Causes and Risk Factors

    Febrile seizures are triggered by a sudden rise in body temperature. Often, this happens during common infections, such as:

  • Colds or flu
  • Ear infections
  • Throat infections
  • Other viral illnesses
  • Some children are more likely to have febrile seizures. For instance, risk factors include:

  • Family history of febrile seizures
  • Age between 6 months and 5 years
  • High fever (usually above 102°F or 39°C)
  • However, febrile seizures are not caused by epilepsy. They are also not linked to long-term brain problems.

    How Febrile Seizures Are Diagnosed

    Doctors diagnose febrile seizures based on your child’s symptoms and medical history. Usually, no special tests are needed. However, in some cases, doctors may order tests to rule out other causes. These may include:

  • Blood tests to check for infections
  • Urine tests
  • Lumbar puncture (spinal tap) if meningitis is suspected
  • EEG (brain wave test) if seizures are frequent or unusual
  • Most children do not need brain scans or long-term testing. Still, your doctor will decide what is best for your child.

    Treatment Options for Febrile Seizures

    Most febrile seizures stop on their own within a few minutes. Therefore, treatment during the seizure is usually not needed. However, you should:

  • Stay calm and keep your child safe
  • Lay your child on their side to prevent choking
  • Do not put anything in your child’s mouth
  • Do not try to hold or stop their movements
  • After the seizure, let your child rest. If the seizure lasts more than five minutes, seek medical help right away. Doctors may give medicine to stop long seizures. In most cases, children do not need daily seizure medicine.

    Home Care and When to Seek Medical Help

    After a febrile seizure, your child may feel tired. You can help by:

  • Letting your child rest in a safe place
  • Giving fever medicine, such as acetaminophen or ibuprofen, as advised by your doctor
  • Offering fluids to prevent dehydration
  • However, you should call your doctor or seek emergency care if:

  • The seizure lasts longer than five minutes
  • Your child has trouble breathing
  • Your child does not wake up after the seizure
  • The seizure happens without a fever
  • Your child is younger than 6 months
  • Always trust your instincts. If you are worried, it is best to get medical advice.

    Prevention Tips for Parents

    “While you cannot always prevent febrile seizures, you can lower the risk by:

  • Treating fevers early with medicine, as your doctor suggests
  • Keeping your child cool and comfortable during illness
  • Making sure your child drinks enough fluids
  • Watching for signs of high fever and acting quickly
  • Even though febrile seizures are scary, most children outgrow them by age five. They do not cause long-term problems in most cases.

    Consult a pediatrician at SHRI KRISHNA CLINIC for personalized advice if your child experiences febrile seizures.”