Febrile Seizures in Children: Symptoms, Causes, Diagnosis, and Prevention

What Are Febrile Seizures?

Febrile seizures in children are convulsions that happen when a child has a fever. Usually, these seizures occur in children between 6 months and 5 years old. In the United States, about 2% to 5% of children experience febrile seizures. Although these seizures can be scary, most are not harmful and do not cause long-term problems. However, knowing what to do can help parents stay calm and act quickly.

Common Symptoms of Febrile Seizures

Febrile seizures often start suddenly. For example, your child may be playing one moment and then have a seizure the next. Watch for these signs:

  • Loss of consciousness (your child may not respond to you)
  • Jerking or shaking of arms and legs
  • Stiffening of the body
  • Rolling back of the eyes
  • Foaming at the mouth
  • Clenched teeth or jaw
  • Skin may look pale or bluish
  • Most febrile seizures last less than five minutes. Afterward, your child may be sleepy or confused for a short time. Still, it is important to watch your child closely during and after a seizure.

    Causes and Risk Factors

    Febrile seizures in children are usually caused by a sudden rise in body temperature. Often, this happens during common illnesses, such as ear infections, colds, or the flu. Sometimes, a child may have a seizure even before parents notice a fever. Although any child can have a febrile seizure, some factors increase the risk:

  • Family history of febrile seizures
  • Age between 6 months and 5 years
  • Rapid increase in body temperature
  • Recent viral or bacterial infection
  • According to the CDC, febrile seizures are not linked to epilepsy or long-term brain damage. However, children who have had one febrile seizure may have another, especially within the next year.

    How Febrile Seizures Are Diagnosed

    Doctors diagnose febrile seizures in children by asking about the child’s symptoms and medical history. They may also perform a physical exam. In most cases, no special tests are needed. However, if the seizure lasted longer than five minutes or if your child is younger than six months, the doctor may order tests. These can include:

  • Blood tests to check for infection
  • Urine tests to rule out urinary tract infections
  • Spinal tap (lumbar puncture) if meningitis is suspected
  • Brain scans in rare cases
  • Usually, doctors do not need to do brain scans or EEGs unless the seizure was unusual or repeated.

    Treatment and First Aid Steps

    Most febrile seizures in children stop on their own. Still, knowing how to handle febrile seizures is important. If your child has a seizure, follow these steps:

  • Stay calm and keep track of the time.
  • Lay your child on their side on a soft surface.
  • Remove any nearby objects to prevent injury.
  • Do not put anything in your child’s mouth.
  • Do not try to hold or stop their movements.
  • After the seizure, comfort your child and let them rest.
  • If the seizure lasts longer than five minutes, call emergency services right away. Also, seek help if your child has trouble breathing or does not wake up after the seizure.

    Prevention Tips for Parents

    While it is not always possible to prevent febrile seizures in children, you can lower the risk by managing fevers early. Here are some tips:

  • Monitor your child’s temperature during illness
  • Give fever-reducing medicine, such as acetaminophen or ibuprofen, as directed by your doctor
  • Keep your child hydrated with fluids
  • Dress your child in light clothing
  • Never use cold baths or ice packs to lower fever
  • Even with these steps, some children may still have febrile seizures. However, most children outgrow them by age five.

    When to Seek Medical Help

    Although most febrile seizures are not dangerous, you should seek medical help if:

  • The seizure lasts longer than five minutes
  • Your child has trouble breathing or turns blue
  • Your child does not wake up after the seizure
  • The seizure happens in a child younger than six months
  • Your child has repeated seizures in a short time
  • You are unsure if it was a febrile seizure
  • In any emergency, call 911 or your local emergency number right away.

    Conclusion

    Febrile seizures in children can be frightening, but most are not harmful. With the right knowledge, parents can act quickly and keep their child safe. If your child experiences a febrile seizure, consult a pediatrician for personalized advice.