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Fast Fact
Some children have seizures or convulsions when they have fevers. Febrile seizures occur in 3% to 5% of otherwise healthy children between the ages of 6 months and 5 years. Toddlers are the most commonly affected.
The seizure begins with the sudden sustained contraction of muscles on both sides of a child's body -- usually the muscles of the face, the trunk, the arms and the legs. Often a haunting, involuntary cry or moan emerges from the child, from the force of the muscle contraction.
The child will fall, if standing, and may pass urine. He may vomit. He may bite his tongue. The child will not be breathing, and may begin to turn blue. Finally, the sustained contraction is broken by repeated brief moments of relaxation -- the child's body begins to jerk rhythmically.
Febrile seizures are brought on by the sudden stimulation of many brain cells at once. Experts argue over whether febrile seizures are triggered by the height of the fever or by the rate of rise. I suspect that both play a role.
Most febrile seizures occur well within the first 24 hours of an illness, not necessarily when the fever is highest. Often the seizure is the first sign of a fever, making febrile seizures hard to prevent.
A simple febrile seizure stops by itself within a few seconds to 10 minutes, sometimes followed by a brief period of drowsiness or confusion. Anticonvulsant medicines are generally not needed.
A complex febrile seizure is one that lasts longer than 15 minutes, occurs in an isolated part of the body, or recurs during the same illness.
During the seizure leave your child on the floor, although you may want to slide a blanket under him if the floor is hard. Move him only if he is in a dangerous location. Loosen any tight clothing, especially around the neck. If possible, open or remove clothes from the waist up. If he vomits, or if saliva and mucus build up in the mouth, turn him on his side or stomach.
Don't try to restrain your child, or stop the seizure movements.
Don't try to force anything into his mouth to prevent him from biting his tongue, as this increases the risk of injury.
Focus your attention on bringing the fever down. Inserting rectal acetaminophen (Tylenol) is a great first step -- if you happen to have some.
Don't try to give him anything by mouth.
Apply cool washcloths to the forehead and neck. Sponge the rest of his body with lukewarm (not cold) water. (Cold water or alcohol may make him shiver and make the fever worse).
After the seizure is over and your child is awake, give him the normal dose of ibuprofen (Motrin or Advil) or acetaminophen (Tylenol).
Children should see a doctor as soon as possible after their first febrile seizure. If the seizure ends quickly, drive him to an emergency room when it is over. If the seizure is lasting several minutes, call 911 to have an ambulance bring him to the hospital.
Most febrile seizures are brought on by fevers arising from viral upper respiratory infections, ear infections, or roseola. Meningitis causes less than 0.1% of febrile seizures but should always be considered, especially in children less than one year old or who still look ill when the fever drops.
About one third of the children who have had a febrile seizure will have another one with a subsequent fever (about 2/3 won't). Of those who do, about half will have a third seizure.
Sometimes febrile seizures run in families. If there is a family history, if the first seizure happened before 12 months of age, or if the seizure happened with a fever of <102, a child is more likely to fall in the group that has more than one febrile seizure.
To prevent future febrile seizures, give acetaminophen (Tylenol) and/or ibuprofen (Motrin or Advil) at the first sign of a fever (you may want to keep acetaminophen suppositories on hand). Then sponge your child with lukewarm water. Also give him cool liquids to drink -- both to lower the temperature and to keep him well hydrated.
There is no evidence that febrile seizures cause death, brain damage, epilepsy, mental retardation, a decrease in IQ, or learning difficulties.
A small number of children who have had a febrile seizure do go on to develop epilepsy, but not because of the febrile seizures.
Mosquitoes are known to pass blood-born illnesses from one victim to another. They are a major health hazard and are responsible for the transmission of yellow fever, malaria, dengue fever, encephalitis, and many other serious diseases. In parts of the world where mosquito-transmitted diseases are not common, it is the bite itself that presents the greatest difficulty. More infants and children are bitten by mosquitoes than by any other insect.
Mosquitoes are attracted to things that remind them of nectar or mammal flesh. When outdoors, wear light clothing that covers most of the body, keeping as much skin and hair covered as practical. Avoid bright, floral colors. Khaki, beige, and olive have no particular attraction for mosquitoes.
They are also attracted by some body odors, and for this reason they choose some individuals over others in a crowd. Avoid fragrances in soaps, shampoos, and lotions.
Many species of mosquito prefer biting from dusk until dawn. The problem is worse when the weather is hot or humid. Avoid playing outdoors during the peak biting times in your area.
Citronella candles may be useful when your children are playing outside.
Try to stay away from still water.
People who are highly allergic should avoid vacationing in the Everglades.
The Centers for Disease Control and Prevention (CDC) recommends using an insect repellent on exposed areas of skin. The most effective compound is DEET (N,N-diethyl meta-toluamide), an ingredient in most insect repellents. However, insect repellents containing DEET should be used sparingly on children. DEET-containing products should not be used on children under 2 months of age.
Don't apply insect repellent under clothes, or too much of the toxic substance may be absorbed. Also, avoid applying repellent to portions of the hands that are likely to come in contact with the eyes and mouth.
Pediatric insect repellents with only 6-10% DEET are available (products containing 10% DEET are effective for approximately 2 hours). 30% is the maximum concentration of DEET recommended for infants and children.
DEET should not be applied more than once a day.
DEET should not be used in a product that combines an insect repellent and a sunscreen (so that the sunscreen can be reapplied as needed).
For greater protection, clothing and mosquito nets can be soaked in or sprayed with permethrin, which is an insect repellent licensed for use on clothing. If applied according to the directions, permethrin will repel insects from clothing for several weeks.
Skedaddle and Avon's Skin So Soft both work well for some kids. Neither these nor the stronger repellents stop mosquitoes from landing -- only from biting.
Some studies suggest that taking thiamine (vitamin B1) 25mg to 50 mg three times per day is effective in reducing mosquito bites. This safe vitamin apparently produces a skin odor that is not detectable by humans, but is disagreeable to pregnant mosquitoes (Pediatric Clinics of North America, 16:191, 1969). It seems to be especially effective for those people with large allergic reactions. Thiamine takes about 2 weeks before the odor fully saturates the skin.
Garlic may work in the same way (except, of course, the odor is detectable by humans), but I have seen no scientific studies supporting this.
Whenever a parent and a young child have to be separated for an extended period, it is difficult for both parent and child. Click here for tips on helping young children deal with temporary separations.
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