Friday, January 9, 2015

Febrile Seizures


Last month a nanny rushed frantically into the office holding a 9 month old who had suddenly started thrashing, his eyes had rolled up and he didn't appear to even recognize her. He then vomited (all over the poor nanny, but bless her, she didn't even seem to notice that at the time.) By the time they arrived in our office our little patient seemed okay, but very subdued. This was the first time this child had had something called a febrile seizure. If you don't know about them, they can be terrifying. Parents who had no idea what was happening during a first seizure tell me it was the most horrifying moment of their lives. Even if you know about them, they aren't fun but trust me, it takes a huge edge off of the situation. We are seeing lots of high fevers this month so it is important that all parents know about these.

The word febrile is one of those Latin words that has made it's way into routine medical lingo. It simply means having a fever. Someone who is afebrile is fever free.
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General statistics show that 4-5% of all children will have febrile seizures. We do have our share of patients in this practice who get them, but our actual percentage seems a bit lower than that. They can tend to run in a family. The symptoms may range from smaller tremors to large jerky movements. The eyes may roll back. It is common for kids to seem quite drowsy and "out of it" for a period of time right afterwards.

Most of the time the first episode happens between 6 months and 3 years. Most kids completely outgrown them by the time they are five. These seizures are NOT associated with epilepsy. The seizures themselves appear to be harmless but care needs to be taken to make sure the child doesn't sustain an injury or choke while they are seizing.

Febrile seizures usually come on when a fever is in the process of shooting up rapidly. It is rare to have them associated with a temperature under 102. If you see your child having a seizure your only job is to keep them safe. If your child is laying down, turn them on their side. Don't stick anything in their mouths. Make sure their airway remains open. Febrile seizures usually last less than 2 minutes. If you are able to stay calm enough, take a look at a clock, watch or phone to get a sense of the time. If a seizure is lasting longer than a minute (especially if it is the first time) it is perfectly appropriate to call 911. If the seizure is short and your child seems stable you don't need an ambulance, but you do need to get them some medical attention right away. One of the things we want to figure out is the source of the fever. It may be viral, but we will want to have the usual suspects ruled out (ears, throat, lungs, urine.)

With all the fevers we are seeing this season, please note that It is very common for kids who are in the process of spiking a fever to look quite pale and seem a bit trembly, that is NOT usually a seizure.

Once your child has had one or more febrile seizure, we are going to treat all future fevers with a little more care. Fevers are the bodies way of fighting an infection. As long as a fever is lower than the 101 range and the child seems happy I tend to leave the low grade temps alone and not treat. This is not the case with my seizure prone patients. Those little ones should have a plan in place to treat all fevers as soon as they are detected. This may include alternating Acetaminophen and Ibuprofen to make sure the protection doesn't wear off.

Check out the previous post on Dosages.







6 comments:

  1. My son recently started having grand Mal seizures at 16 years old. We were prescribed Kepler. We decided NOT to take the medicine and go with a Modified Atkins Diet that entails feeding our son 15 carbs a day with lots of healthy fat. He eats a lot of grass fed beef, free range eggs, organic low crab veggies and is doing fantastic! We could tell a difference in him by the 3rd day. This is not alternative or junk science. Dr. Lewis hill at Johns Hopkins has been championing this diet for years and has been really successful. Doctors are really resistant to this therapy but it works!. Read "Grain Brain" for why it works. He also takes taurine which helped stop the night time teeth grinding, jerking, and unrest in his sleep (also known to stop seizures). And he takes cur cumin as a brain protestant that raises seizures.one day came across Albert post thanking Dr Lewis hill for curing his son seizure problem, and i got the contact of Dr Lewis hill i quickly contacted him then he made me to know that the medication is 100% permanent cure, and that was how i got the medicine which i used for my son, after which i took my son for medical test It worked! Over a year now, my son have not show any symptoms of seizure and I believe my son is cure if you need his help email him on drlewishill247@gmail.com or call him on +1(323)244-4884

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  2. I had my first seizure. I was in high school and didn't want anyone to know that I had epilepsy. I had seizures on two occasions. I was so ashamed and didn't want people to think that something was wrong with me. I finally got to the point where I told people that I had epilepsy. I came to the place that I realized that I had to own my epilepsy or it would control me. Epilepsy hadn't really affected my life until about 9 years ago after my first child was born... I am a wife and mother of two beautiful children. I have lived with epilepsy for 20 years Yet, my life has been dramatically impacted by epilepsy. I had search for cure online without no hope. I met a Man called DR Lewis hill, i contact him I made an order of his medicine and I do not experience seizure anymore i was cured form it. So if you are in the same situation as mine contact him on this email drlewishill247@gmail.com

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  3. I myself have epilepsy. Not to this extreme with grand mail seizures daily, but it still affects me in other ways daily. I am on medicine, which has slowly stopped working and I notice my twitches, blank stares, and memory loss (even in the midst of a sentence) starting to return. The side effects of this drug is noticeable and painful to deal with. It is so strong that if a normal person were to take my dose, they will die of an overdose.when i was going through the internet i come across Owens post thanking Dr Lewis hill for curing his seizure problem, and i got the contact of Dr Lewis hill and i quickly contacted him then he made me to know that the medication is 100% cure, and that was how i got the medicine which i used, after which i went for medical test It worked! Over a year now, i have not show any symptoms of seizure and I believe that am cure permanently if you need his help email him on drlewishill247@gmail.com

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  4. I am Sophie from Canada, I once suffered from a terrible and Chronic epilepsy ,since i was bone , the doctor told me there was no permanent cure i was given medications to slow down its progress, i constantly felt my health was deteriorating as i constantly go out of breath,and this illness was really terrible especially when am going out with my friends, i have this constant disorder for about 31 years, this was really a terrible illness ,on thin one day that i was going through the internet,and i came across a post of Mrs Kate on how his son was been cured from epilepsy through the help of Dr Williams herbal product, I contacted this herbal doctor via his email and explain everything to him and make purchase of his product,few days later he sent me the herbal medicine through courier service, when i received the herbal medicine i used it for 4 weeks as prescribed and i was totally cured of epilepsy within those week of usage,on thin now i have not experience any sign of seizure.if you need his help you can Contact this herbal doctor via his email drwilliams098675@gmail.com for help

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  5. WOW ALL THANKS TO DR WILLIAMS I HAVE NEVER BELIEVE IN HERBAL REMEDIES.
    my son have been a patient of epilepsy . I had tried a lot of anti viral med prescribed to me by doctors over how many years now but I could not see any improvements in my son symptoms. One day when going through the internet , i got to know about this great Herbal Dr who uses his herbal remedies in curing people from epilepsy,quickly i contacted him and he prepared a herbal medication for my son which i received and he used it as instructed by dr williams. After few weeks the improvement were very visible. the sleepiness and the abnormal behavior stooped ,on thing now he is so full of life. I would recommend this to all my friends,families,around the globe suffering from epilepsy.you can contact him through his email on drwilliams098675@gmail.com.for advice and for his product THANKS TO YOU ONCE AGAIN DR WILLIAMS

    ReplyDelete
  6. WOW ALL THANKS TO DR WILLIAMS I HAVE NEVER BELIEVE IN HERBAL REMEDIES.
    my son have been a patient of epilepsy . I had tried a lot of anti viral med prescribed to me by doctors over how many years now but I could not see any improvements in my son symptoms. One day when going through the internet , i got to know about this great Herbal Dr who uses his herbal remedies in curing people from epilepsy,quickly i contacted him and he prepared a herbal medication for my son which i received and he used it as instructed by dr williams. After few weeks the improvement were very visible. the sleepiness and the abnormal behavior stooped ,on thing now he is so full of life. I would recommend this to all my friends,families,around the globe suffering from epilepsy.you can contact him through his email on drwilliams098675@gmail.com.for advice and for his product THANKS TO YOU ONCE AGAIN DR WILLIAMS

    ReplyDelete