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


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National Childhood Immunisation Schedule (NCIS) Singapore @ AMDA International Peace Clinic. Make your child's vaccination appointment at Tel: 6694 1661


Diarrhea Treatment, Learn what is Gastroenteritis, Management of Irritable Bowel Syndrome & Heartburn or GERD

Up to $400 per Medisave Account per year can be used for Vaccinations under the National Adult & Childhood Immunisation Schedule - Influenza, Pneumococcal (PCV13/PPSV), Human Papillomavirus (HPV2/HPV4), Hepatitis B, Tetanus, Diphtheria & Pertussis (Tdap), Measles, Mumps & Rubella (MMR) and Chickenpox (Varicella).

AIPC is part of MOH's Swab & Go Home programme. Our clinic can carry out the COVID-19 Swab test for anyone who meets the MOH medical criteria. From 1 Jul 20, all individuals aged 13 and above, diagnosed with ARI will be COVID Swab-tested. Cost of Swab test to be borne by Ministry of Health Singapore.

AIPC is 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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The information provided in this website is for knowledge purposes only. It does not constitute medical advice.

Should you encounter any medical problem that you are unsure of, always consult your doctor or health care provider for assistance and medical advice.

Dr Don V H LAU   Chairperson of AMDA Singapore

MBBS (Monash), B.Med.Sc.(Hons) (Monash), Grad.Dip.Derm.(Wales,UK)

AMDA International Peace Clinic is a part of AMDA (Association of Medical Doctors of Asia). We are part of the network of AMDA Peace Clinics & Friendship Hospitals around the world. We participate in AMDA's worldwide Emergency Disaster Aid Relief missions, Social Development projects and Vaccination programmes.

AMDA, founded in 1984 has carried out more than 200 medical missions, contributing medical expertise and supplies in 65 countries over the last 36 years. AMDA holds General Consultative Status with the United Nations Economic & Social Council (UN ECOSOC) since 1995.

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