Febrile Seizures: A Guide for Parents

Febrile seizures are seizures that occur in children in the context of a fever. They are relatively common in children between the ages of 6 months and 5 years and can sometimes run in families. While febrile convulsions can be frightening, they are usually brief and do not cause any long-term harm to the child. Very rarely, seizures that are prolonged or atypical require further investigations or monitoring.

What symptoms do you get?

During a seizure, your child may go stiff, jerky, shaky, twitchy or go floppy. Their eyes may roll or flicker. They may change colour going red, pale or blue. They may wet themselves. When someone has a seizure they may be unconscious and unaware of what is happening. After the seizure, your child may be drowsy or confused but will usually recover fully without any lasting effects.

How is it diagnosed?

Febrile convulsions are usually diagnosed based on the child’s symptoms and a description of the seizure provided by the parent or caregiver. Your healthcare provider may also conduct a physical examination to rule out other possible causes of the seizure. In some cases, additional tests such as blood tests may be done to investigate the underlying cause of the fever. It’s important to seek medical advice if your child has a febrile convulsion, especially if it is their first seizure or if they have other concerning symptoms.

What is the treatment?

In most cases, febrile convulsions do not require specific treatment beyond managing the fever and ensuring the child’s safety during the seizure.

If your child experiences a further febrile convulsion at home:

1. Gently lay them on their side to prevent choking and remove any nearby objects that could cause injury.
2. If you can, note the time at which the seizure started.
3. Don’t restrict your child’s movements.
4. Stay with your child and comfort them until the seizure ends.
5. If the seizure is still ongoing at 5 minutes, phone an ambulance, unless you have been given different instructions.

Remember, while febrile convulsions can be frightening to witness, they usually do not indicate a serious underlying medical condition. However, it’s essential to seek medical advice if your child experiences a febrile convulsion, especially if it is their first seizure or if they have other concerning symptoms.