Febrile Seizure

A febrile seizure is a type of seizure that happens in a child who has a fever greater than 101°F. These seizures typically affect children ages 3 months to 6 years old. But they can sometimes affect children as young as 1 month old. The seizure causes:

• The child's muscles to stiffen
• The child's arms and legs to shake
• The child not to respond
• Eyes roll back in head

Your child may be drowsy and confused for up to 30 minutes afterward. The seizure often starts as the fever is beginning. It can be the first sign the child is ill. About 1 in 3 children who have had a febrile seizure may have another. Febrile seizures rarely cause any long-term problems. They usually stop by age 6.

Febrile seizures occur when a child has a fever from an illness, such as an ear infection or a viral illness. The seizure is a symptom of the fever. However, sometimes infections of the brain or spinal fluid can cause fevers. In these cases, the seizure is a sign of a more serious infection. Because of this, when a child has a fever and a seizure, it's important to see a doctor so they can figure out the cause of the fever and make sure there is no serious infection.

Follow these tips when caring for your child at home:

• Watch how your child is acting and feeling. If they are active and alert, and are eating and drinking, you don't need to give fever medicine. Fever medicine doesn't stop febrile seizures from happening.
• If your child is quite fussy and uncomfortable because of the fever, you may give acetaminophen, unless another medicine was prescribed.
• Don't give ibuprofen to children younger than 6 months old. Don't give aspirin (or medicine that contains aspirin) to a child younger than age 19 unless directed by your child's doctor. Taking aspirin can put your child at risk for Reye syndrome. This is a rare but very serious disorder that may result in liver or brain damage.
• If an antibiotic was prescribed to treat an infection, give it as directed until it is finished, even if your child is feeling better.
• Until your child gets older and stops having febrile seizures, be careful to:
  • Not leave your child alone in a bathtub. If your child is old enough, use a shower instead.
  • Not let your child swim alone.
  • Follow other measures as given to you by your child's doctor.
• If a seizure occurs, turn your child onto their side. This will let any saliva or vomit drain out of the mouth and not into the lungs. Protect your child from injury. Don't try to force anything into your child's mouth.
• Febrile seizures usually stop within 1 to 2 minutes. If your child is having a seizure that lasts longer than 5 minutes, call 911.

Follow up with your child's doctor, or as advised. Call your child's doctor right away if your child has another febrile seizure.

Contact your child's doctor or get medical care right away if any of the following occur:

• Fever does not get better in 3 days after giving fever medicine
• Fever that lasts more than 5 days
• Abnormal fussiness, drowsiness, or confusion
• Stiff or painful neck
• Headache that gets worse
• Rash or purple spots