• Febrile means fever( temperature >37.5 C) and the fit is abnormal activity.
• They are relatively common and occur between 6 months and  5 years of age.
• It occurs in 3- 10% of children( means in 100 children, 3-10 might have a fit )
• The trigger is always fever secondary to  Viral infections – Tonsillitis/ chicken pox/ Ear infections etc..

• The child’s body can become stiff, limp, up-rolling of eyes, drowsy or lose consciousness.
• Children generally recover quickly( < 10 min ) from it.
• After the seizure, they appear sleepy but come back to their normal self.
• No permanent damage is done
• It rarely (< 1% )  leads to Epilepsy(Seizure disorder)

• Do not panic. Febrile fits are generally not life-threatening
• Place them in the recovery position.( Lay them on their side with their face turned to one side)
• Do not put anything into their mouth ( until instructed by your doctor)

• If seizure lasts > 5 min then call an ambulance to nearest hospital
• If the seizure lasts< 5 min and child is ok, then call the doctor for an update.

• When a child is prone to fever/ fit give him regular Ibuprofen( 8 hourly ) or Paracetamol ( 6 hourly) during illness
• Wiping the whole body with room temperature water to bring down the body temperature helps marginally.

INVESTIGATIONS FOR A TYPICAL FEBRILE FIT

• Generally, the doctor may ask for a blood test ( to rule out other causes)
• There is no need for any scans

• Long lasting seizure
• Bleeding spots on body
• Change in colour/ Pale/ Blue
• Seizure involving one part of body ( not generalised)
• Seizure not at the peak of temperature
• Vomiting/ decreased responsiveness/ Drowsy( Difficult to arose)