Can febrile convulsions in children cause epilepsy?

Question 1: My son is one year and ten months old. He had two febrile convulsions some time ago. The doctor said that his throat was inflamed and his stomach was bloated. When I returned home from the hospital after having a second febrile convulsion, I noticed that the child’s hands and legs were shaking when he slept at night. I was so scared when I heard people say that febrile convulsions can induce epilepsy. There was more than forty days between the two times. The first febrile seizure passed. The second time my eyes rolled up and trembled, it probably took a minute or two. I\’m so scared that his hands and legs are shaking at night. Ask how to do? Doctor Yang Yafeng answered: First of all, don’t worry. The convulsions are because the baby is still young and the nervous system is not yet fully developed. The baby\’s body temperature suddenly rises steadily and may cause convulsions. The baby\’s convulsions are short-lived and should be classified as simple convulsions. For this type of convulsion, it generally does not transform into an epileptic state, and brain cells are not damaged when the convulsion occurs. For complex convulsions, each convulsion lasts for more than 15 minutes and the number of seizures exceeds 5 times per year. Intervention and treatment and daily anticonvulsant drugs are required. At present, the baby is mild, so there is no need to worry about anxiety. As the baby grows older and the nervous system gradually improves, it usually heals on its own. Usually, pay attention to the fact that when the baby\’s body temperature rises steadily, for example, you can take antipyretic medicine when it reaches 38 degrees, and you don\’t have to wait until it is above 38.5 degrees. The baby\’s nervous system is not yet fully developed, and it is normal for the baby\’s limbs to twitch occasionally, especially at night when the sympathetic nerves are excited. The best way to do this is to prevent the baby\’s body temperature from rising so high quickly, that is, when he has a fever, he should take antipyretics early and do physical cooling, etc. Such babies generally rarely have convulsions after the age of 3. Convulsions are not that scary. Brief convulsions have no impact on the growth and development of the baby. Question 2: My baby is 21 months old. I don’t know if he has accumulated some food in the past two days. He doesn’t drink milk well every time, and he doesn’t eat well either. He insists on eating from adults’ bowls. Ask how to do? Dr. Luo Zhen answered: First of all, babies of this age should have normal meals, three meals a day, and 400 to 500ml of milk per day. Because the baby is now very interested in adult meals, if you don\’t let him eat, he will psychologically resist meals cooked for him alone. It is okay for children to eat adult meals, but the taste must be bland. Eat a normal meal before going to bed at night, and then try not to drink milk again. The habit needs to be corrected gradually. You can drink some milk when you wake up in the morning. Don\’t coax, chase, or force your children to eat. If they don\’t want to eat, they won\’t eat. They will be taken away after the meal, and there will be no snacks at other times. Question 3: My child has a lot of small bumps on his arms and legs. After scratching them with his hands, the bumps are more obvious. I have applied medicine for a long time, but they are not getting better. What should I do? Dr. Cui Lixia’s answer: This is sandy soil dermatitis. Be careful to avoid rubbing the affected area. Avoid children playing with sand and plasticine. Apply desonide cream to your child to see the effect. Rub it in while applying it, 3-4 times a day, and apply it for 2-3 days to see the effect.

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