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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedies For Fever And Convulsions In A Child

My 16 month daughter became unwell at just dinner time today she woke up after her nap with a temperature she s had calpol but she could be laid there and all of a sudden she ll tense and hold her arms up as if someone has startled her but hasn t. Only happened today should I take her to hospital
Fri, 7 Apr 2017
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Pediatrician, Pulmonology 's  Response
Hi...febrile seizures are seizures which occur during high fever in some kids. They usually occur form 6 months to 6 years of age and usually are self limiting after 6 years of age. They usually do not leave any focal neurological deficits also. Rather than the height of the temperature the rapidity of rise of temperature is more important.
In general, antiepileptic therapy, continuous or intermittent, is not recommended for children with 1 or more simple febrile seizures. Parents should be counseled about the relative risks of recurrence of febrile seizures and recurrence of epilepsy, educated on how to handle a seizure acutely, and given emotional support.
If the seizure lasts for longer than 5 min, buccal or intranasal midazolam (Available as Midacip Nasal spray) may be used and is often preferred by parents.
If the parents are very anxious concerning their child’s seizures, intermittent oral diazepam (0.33 mg/kg every 8 hr during fever) or intermittent rectal diazepam (0.5 mg/kg administered as a rectal suppository every 8 hr), can be given during febrile illnesses. Such therapies help reduce, but do not eliminate, the risks of recurrence of febrile seizures.
Regards – Dr. Sumanth
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Suggest Remedies For Fever And Convulsions In A Child

Hi...febrile seizures are seizures which occur during high fever in some kids. They usually occur form 6 months to 6 years of age and usually are self limiting after 6 years of age. They usually do not leave any focal neurological deficits also. Rather than the height of the temperature the rapidity of rise of temperature is more important. In general, antiepileptic therapy, continuous or intermittent, is not recommended for children with 1 or more simple febrile seizures. Parents should be counseled about the relative risks of recurrence of febrile seizures and recurrence of epilepsy, educated on how to handle a seizure acutely, and given emotional support. If the seizure lasts for longer than 5 min, buccal or intranasal midazolam (Available as Midacip Nasal spray) may be used and is often preferred by parents. If the parents are very anxious concerning their child’s seizures, intermittent oral diazepam (0.33 mg/kg every 8 hr during fever) or intermittent rectal diazepam (0.5 mg/kg administered as a rectal suppository every 8 hr), can be given during febrile illnesses. Such therapies help reduce, but do not eliminate, the risks of recurrence of febrile seizures. Regards – Dr. Sumanth