A febrile seizure can be a scary experience for any parent to witness. Fevers are common in children, and while most are harmless, a high fever can sometimes trigger seizures in young children. This is called a febrile seizure, and it’s important to know the signs and how to react.

What is a Febrile Seizure?

A febrile seizure is a convulsion caused by a rapid rise in body temperature, usually due to an ear infection, cold, or another childhood illness. These seizures are most common in children between the ages of 6 months and 5 years old, and thankfully, they typically don’t cause any lasting harm. There are two main types of febrile seizures:

  • Simple Febrile Seizure: This is the most common type. It lasts less than 15 minutes and only affects one side of the body.
  • Complex Febrile Seizure: This type is less common and is usually longer than 15 minutes or involves jerking movements in both sides of the body.

What to Do During a Febrile Seizure

The sight of your child having a seizure can be frightening, but staying calm is essential. Here’s what to do:

  • Stay Calm: Your child will pick up on your anxiety, so stay composed and reassuring.
  • Time the Seizure: Note the start time and how long it lasts.
  • Clear the Area: Remove any objects that could injure your child during the seizure.
  • Gently Lay Them Down: Place your child on a flat surface on their back.
  • Loosen Clothing: Loosen any tight clothing around their neck.
  • Don’t Restrain Them: Don’t try to hold your child down or force anything into their mouth.
  • Turn on Their Side (After Seizure): Once the seizure ends, gently turn your child on their side to prevent choking on any fluids.

When to Call 911

Seek immediate medical attention if:

  • The seizure lasts longer than 5 minutes.
  • Your child has trouble breathing or turning blue.
  • This is their first seizure and they are over 5 years old.
  • The seizure doesn’t stop after following the above steps.
  • Your child has a stiff neck or seems confused after the seizure.

Treatment

In most cases, treatment for the seizure itself isn’t necessary. The focus will be on lowering your child’s fever and identifying the cause of the illness. Medications like acetaminophen or ibuprofen can help reduce fever. For children with a high risk of recurrent complex seizures, medication may be prescribed to prevent future episodes.

Following Up with Your Doctor

A doctor’s visit after a febrile seizure is essential. They can determine the cause of the fever, assess your child’s risk of future seizures, and discuss a plan for managing any future febrile illnesses.

Remember: Febrile seizures are common and usually harmless. By staying informed and knowing how to react, you can help your child through this experience. If you have any concerns about your child’s seizures, always talk to your doctor.