Fever in Children
What are Febrile Convulsions?

Febrile convulsions are fits or seizures that occur in young children when they have high fever. A convulsion is a sudden event when the child is not quite with it starts to jerk or twitch and may have difficulty in breathing.

WHAT CAUSES FEBRILE CONVULSIONS?

They only occur when the child has a high temperature. The growing brains of little children are more sensitive to fever than are more mature brains, and when the normal brain activity is upset, a fit can occur.

The fever is caused by an infection, which is usually a viral infection and often is not obvious. A simple viral infection that would give an adult a heavy cold is the type often responsible. Sometimes an infected ear or throat or bladder may be found by the doctor.

WHO GETS FEBRILE SEIZURES?

They are common and can affect any normal child. About 5 in every 100 children will have a fit from a fever. They tend to run in families.

They usually occur in children from 6 months to 3 years of age, the commonest age range being from 9 months to 20 months; they usually stop by 6 years of age.

WHAT ARE THE RISKS OF FEBRILE CONVULSIONS?

Febrile convulsions (whether one or several) in normal children do not usually cause brain damage, mental retardation or epilepsy. Most children are absolutely normal later on.

HOW DO YOU MANAGE A CONVULSION OR SEIZURE IN CHILDREN?

1. Place the child on his or her side, chest down, with the head turned to one side. Never lie a fitting child on his or her back. Do not force anything into the child’s mouth.
2. Obtain medical help as soon as possible. Ring or go to your local doctor or to your nearest hospital. Even if the fits stops, have your child checked.

HOW DO YOU HELP PREVENT ANOTHER EPISODE?

Because some children have further febrile convulsions, it is important to manage any fever as soon as it is noticed. Undress the child down to singlet and underpants, keep the child cool, and give fluids and paracetamol mixture.

KEY POINTS

Febrile convulsions may occur again
They usually occur from 6 months to 3 years of age
They cause no long-term problems
They do not cause death, brain damage or epilepsy
They stop by 6 years of age

Other Possible Causes of Fever in Children

Ear, Nose & Throat Problems

Allergic Rhinitis

Nose Bleed

Snoring

Vertigo

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Part of the National Influenza Sentinel Surveillance programme with MOH. If you have a fever of > 38 degrees with a cough, our clinic is able to test for COVID-19. For children below 12 years old with clinical diagnosis of HFMD (eg fever, oral ulcers, rash), our clinic can test for Hand Foot & Mouth Disease (The tests are for surveillance purposes only).

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Back in Medical School we were told that we were given a certain number of brain cells and that was it for life. However, this idea that humans do not grow new brain cells is now fully demonstrated to be wrong. How exciting it is that we possess the ability to re-grow new brain cells, a process called neurogenesis. Not only that, but we retain this ability throughout our entire lifetimes. So you might be wondering: What can I do to increase neurogenesis? In this video we will explore at least one way to make this happen.

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