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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat High Fever With Fits In An Infant?

respected sir,i am having 3yrs baby,she was suffered high fever with fits in 11 months age.now she was not able to walk&speak.i was take care of my baby under guidens of neuro physician,he was checked MRI(brain)&EEG.he was told to me there is no problem in the reports,he was priscribed to EPILEX SYRUP&NOOTROPIL 12OOMG SOUCHETS.PLZ give me some suggestions to me
Fri, 5 Jan 2018
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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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How To Treat High Fever With Fits In An Infant?

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