{"id":9373,"date":"2020-04-09T09:00:27","date_gmt":"2020-04-09T13:00:27","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=9373"},"modified":"2020-09-16T14:45:09","modified_gmt":"2020-09-16T18:45:09","slug":"febrile-seizures","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/febrile-seizures\/","title":{"rendered":"How to treat febrile seizures"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">I was nursing my feverish 13-month-old, when he stopped eating and appeared to be staring intensely out the window. At first, I thought he saw something of interest, but then I noticed that I couldn\u2019t break his stare. He didn\u2019t respond to his name or to distraction. When he started making strange noises and drooling, I knew something was wrong.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Because I had worked in a daycare with several children who had a history of febrile seizures, I knew how to recognize one, and what to do. Having this information helped me stay calm during this very scary incident.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Fortunately, as frightening as they look, febrile seizures are rarely dangerous and usually, children outgrow them. My son is now 11 years old, seizure-free, and has no lasting effects from the febrile seizures he had as a child. Here\u2019s what you need to know about them.<\/span><\/p>\n<h2><b>What is a febrile seizure?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Febrile seizures (also called febrile convulsions) are the most common of early childhood seizures. In fact, <\/span><a href=\"https:\/\/www.chp.edu\/our-services\/brain\/neurology\/epilepsy\/types\/syndromes\/febrile-seizures\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">2% to 5%<\/span><\/a><span style=\"font-weight: 400;\"> of children aged 6 months to 5 years experience febrile seizures. They are usually short in duration, generally lasting <\/span><a href=\"https:\/\/www.cdc.gov\/vaccinesafety\/concerns\/febrile-seizures.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">less than one to two minutes<\/span><\/a><span style=\"font-weight: 400;\">, and rarely more than five minutes. There are two types of febrile seizures.\u00a0 <\/span><a href=\"https:\/\/www.chop.edu\/clinical-pathway\/febrile-seizure-without-neurological-disease-seizure-classification\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Simple febrile seizures<\/span><\/a><span style=\"font-weight: 400;\"> are the most common, and last less than 15 minutes. Complex febrile seizures are ones that last longer than 15 minutes, recur within a 24 hour period, or have concerning features like <\/span><a href=\"https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/epilepsy\/focal-seizures\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">focal onset<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<h2><b>What causes febrile seizures?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Febrile seizures occur when a child has a fever. While they can occur with a low-grade fever (100.4 degrees F), they usually happen when the child\u2019s temperature is higher than 102 degrees F. They can also be associated with a rapidly changing body temperature\u2014usually, one that is rising quickly, but occasionally when a child\u2019s fever is dropping.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Febrile seizures can occur with any illness and happen on the first day of a fever. Some illnesses commonly associated with febrile seizures include colds, the flu, roseola, pneumonia, and meningitis.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Why do fevers lead to seizures in some young children? \u201cIt is unknown,\u201d says Maryanne Tranter, Ph.D., APN, founder of <\/span><a href=\"http:\/\/www.healthychildconcierge.com\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">The Healthy Child Concierge<\/span><\/a><span style=\"font-weight: 400;\">. \u201cBut a fever alters brain functions and chemistry. This influences brain neuron firing and excitability, which leads to seizures. Genetics influences these pathways. Environmental triggers are also believed to be involved.\u201d Meaning, a family history of febrile seizures could indicate a higher risk.<\/span><\/p>\n<h2><b>Who is at risk for febrile seizures?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Any children between 6 months and 5 years of age can have febrile seizures, most frequently between 14 to 18 months of age. They occur more in boys than in girls and have a slight tendency to be hereditary.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">About one third of children who have had one febrile seizure will have at least one more during their childhood.<\/span><\/p>\n<h2><b>What are the symptoms of a febrile seizure?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Symptoms may include fever plus one or more of the following:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Staring<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Severe shaking<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Jerking on one or both sides<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Tightening of the muscles on one or both sides<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Limpness of the muscles on one or both sides<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Loss of consciousness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Breathing difficulty<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Foaming at the mouth<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pale or blue skin<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Eye rolling<\/span><\/li>\n<\/ul>\n<h2><b>How long do febrile seizures last?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Simple febrile seizures usually last only a few minutes\u2014five minutes or less. Occasionally they last more than five minutes and rarely more than 15 minutes. Complex febrile seizures may last more than 15 minutes and can occur more than once in a 24-hour period.<\/span><\/p>\n<h2><b>How is a febrile seizure diagnosed?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">With simple febrile seizures, healthcare providers focus on the illness that is the cause of the fever. They may run blood tests, do X-rays, or use other diagnostic tools to identify the infection or virus responsible for making the child sick.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For complex febrile seizures, they may order an EEG for the child and\/or make a referral to a specialist such as a neurologist.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If someone else is present, it is helpful if they record the seizure, suggests Uchenna L. Umeh, MD, aka Dr. Lulu of <\/span><a href=\"https:\/\/youthhealthcenter.com\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Dr. Lulu\u2019s Health Center<\/span><\/a><span style=\"font-weight: 400;\"> in San Antonio, Texas. This footage allows the doctor to see the seizure and make a more accurate diagnosis than a verbal description.<\/span><\/p>\n<h2><b>What to do when a child is having a febrile seizure<\/b><\/h2>\n<h3><b>During the seizure\u00a0<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">First and foremost, it\u2019s important that you stay calm. Here\u2019s what else you should do to ensure your child stays safe.<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Lay the child on his or her side on the floor and remove any nearby objects.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Do NOT put anything in the child\u2019s mouth, including your fingers. It is impossible for a person having a seizure to swallow his or her tongue.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Do not try to restrain the child.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Remove any tight clothing, especially around the neck.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Time the duration of the seizure.<\/span><\/li>\n<\/ol>\n<h3><b>Call 911 if any of the following occurs:<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The seizure lasts longer than five minutes.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The seizure affects only one side.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The child is having breathing difficulties or turning blue.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The child has multiple seizures.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">There is vomiting accompanying the seizure.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The child has a stiff neck.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">If you feel it is necessary.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The child has extreme sleepiness<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you aren\u2019t sure if you should call, call\u2014particularly if this is the child\u2019s first febrile seizure.<\/span><\/p>\n<h3><b>After the seizure<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">When the seizure has passed, reassure, comfort, and monitor your child. He or she may feel drowsy or confused after the seizure, but should be acting normally within an hour.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Next, make an appointment with the pediatrician. This is important not only because of the seizure, but to diagnose and treat the illness that caused it.<\/span><b>\u00a0<\/b><\/p>\n<h3><b>Febrile seizure treatment<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Usually, febrile seizures don\u2019t require treatment other than for the underlying illness accompanying them. Sometimes <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/diastat-pediatric\"><span style=\"font-weight: 400;\">diazepam gel<\/span><\/a><span style=\"font-weight: 400;\"> is used to treat recurring febrile seizures.\u00a0 If the seizure is complex, a benzodiazepine such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/midazolam-hcl\"><span style=\"font-weight: 400;\">Midazolam<\/span><\/a><span style=\"font-weight: 400;\"> may be administered by the emergency room staff, but this is rare.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/news\/midazolam-nasal-spray-seizure-treatment-fda-approval\/\"><b>People with epilepsy now have a nasal spray option for fast-acting seizure treatment<\/b><\/a><\/p>\n<h2><b>Are febrile seizures dangerous?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Because they are scary-looking, parents often worry that febrile seizures could be immediately dangerous or cause lasting side effects, such a brain damage. The good news is that febrile seizures are almost always harmless.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Febrile seizures do not cause <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/epilepsy-treatments-and-medications\/\"><span style=\"font-weight: 400;\">epilepsy<\/span><\/a><span style=\"font-weight: 400;\">. After a febrile seizure, a child\u2019s risk for developing a seizure disorder rises to <\/span><a href=\"https:\/\/familydoctor.org\/condition\/febrile-seizures\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">2% to 4%<\/span><\/a><span style=\"font-weight: 400;\">, which is slightly higher than the average; but it is a correlation, not a cause.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A prolonged seizure that lasts longer than five to 15 minutes may result in\u00a0 an increased risk of epilepsy, but that is very rare. \u201cAny kind of convulsive episode is potentially dangerous,\u201d says Dr. Umeh. \u201cThe longer it lasts, the more dangerous. But febrile seizures generally don&#8217;t last too long.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Children almost always outgrow febrile seizures by age 5 or 6.<\/span><\/p>\n<h2><b>Can febrile seizures be prevented?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">While doctors sometimes suggest using fever reducers such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ibuprofen\"><span style=\"font-weight: 400;\">ibuprofen<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/acetaminophen\"><span style=\"font-weight: 400;\">acetaminophen<\/span><\/a><span style=\"font-weight: 400;\"> as preventative measures for febrile seizures, there is little scientific evidence to show they are effective for that purpose. \u201cUsing medicines such as acetaminophen or ibuprofen for fevers has repeatedly been shown that they do not prevent febrile seizures,\u201d says Dr. Tranter. They are effective at <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/7767417\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">reducing fevers<\/span><\/a><span style=\"font-weight: 400;\">, which may help your child feel more comfortable. Following the treatment plan from your child\u2019s doctor will help with recovery, reducing the risk of another seizure with the current illness.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The best way to prevent febrile seizures is to <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/how-to-keep-your-kids-healthy-all-year-long\/\"><span style=\"font-weight: 400;\">prevent illnesses in the first place<\/span><\/a><span style=\"font-weight: 400;\">. \u201cHandwashing, covering mouths with coughs, getting enough sleep to keep immune function strong, and getting a flu vaccine, which can <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/how-to-prevent-the-flu\/\"><span style=\"font-weight: 400;\">prevent the flu<\/span><\/a><span style=\"font-weight: 400;\"> or decrease the severity of symptoms if you do get the flu\u201d are some measures Dr. Tranter suggests to reduce catching and <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/news\/why-kids-get-sick-at-school\/\"><span style=\"font-weight: 400;\">spreading illnesses<\/span><\/a><span style=\"font-weight: 400;\"> that could lead to febrile seizures.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It never hurts to be prepared. Knowing the signs of a febrile seizure and what to do if your child has one won\u2019t prevent one. But, first aid training helps keep parents calm and promotes a quick and accurate response.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cCaregivers can take a cardiopulmonary resuscitation class, which may help decrease their fear and anxiety if it happens again,\u201d says Dr. Tranter.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Febrile seizures look scary\u2014but if your child has one, try not to worry. They are almost always harmless, and resolve on their own.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>I was nursing my feverish 13-month-old, when he stopped eating and appeared to be staring intensely out the window. At first, I thought he saw something of interest, but then I noticed that I couldn\u2019t break his stare. He didn\u2019t respond to his name or to distraction. When he started making strange noises and drooling, [&hellip;]<\/p>\n","protected":false},"author":93,"featured_media":10069,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[],"coauthors":[8622],"class_list":["post-9373","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>How to treat a febrile seizure<\/title>\n<meta name=\"description\" content=\"Although scary, febrile seizures are not dangerous. Up to 5% of children under 6 will experience one. Here&#039;s how to prevent and treat febrile seizures.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.singlecare.com\/blog\/febrile-seizures\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How to treat a febrile seizure\" \/>\n<meta property=\"og:description\" content=\"Up to 5% of children under 6 will experience one\u2014here&#039;s what to do\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.singlecare.com\/blog\/febrile-seizures\/\" \/>\n<meta property=\"og:site_name\" content=\"The Checkup\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/singlecare\" \/>\n<meta property=\"article:published_time\" content=\"2020-04-09T13:00:27+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-09-16T18:45:09+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2020\/03\/Blog_040920_Treat_Febrile_Seizure.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Heather M. Jones\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:title\" content=\"How to treat a febrile seizure\" \/>\n<meta name=\"twitter:description\" content=\"Up to 5% of children under 6 will experience one\u2014here&#039;s what to do\" \/>\n<meta name=\"twitter:creator\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:site\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Heather M. 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