Patient's question:
Medical Description: My grandson got sick last Friday. First, he screamed, then his legs straightened, and he started grabbing wildly. It lasted only a few seconds. A few minutes later, it happened again, this time he vomited, and the duration was longer. He was treated at Yuhuangding Hospital. Previous Treatment and Effect: He was treated at Yuhuangding Hospital and is now better. What kind of help do you need: I want to know what caused it and how to prevent it in the future. Should we check with a neurologist?Doctor's answer:
For preventing the recurrence of high fever convulsions, it mainly includes two aspects, the most important of which is that parents need to provide children with appropriate exercise and sufficient nutrition, and to minimize or avoid acute febrile diseases during the infant stage. If the child shows signs of fever, early identification and active use of antipyretic drugs or physical cooling methods to prevent the body temperature from rising above 38°C is particularly important. The second aspect is that parents should be aware of the condition and take anticonvulsant drugs intermittently or long-term to prevent the recurrence of febrile convulsions. Intermittent short-term preventive treatment includes the timely use of diazepam (including oral or rectal administration) in the early stage of fever (when the body temperature is at 37.5°C), along with timely antipyresis and treatment of the underlying disease. Anticonvulsant drugs should be discontinued once the body temperature returns to normal. If the child has complex febrile convulsions, frequent febrile convulsions (more than five times a year), or febrile convulsions in a persistent state, and intermittent short-term treatment is ineffective, long-term oral antiepileptic drugs can be used to control seizures and achieve the goal of preventing febrile convulsions. Phenobarbital or sodium valproate can be chosen, with the course of treatment generally lasting until the child is 3 to 5 years old. Attention should also be paid to potential adverse reactions of the drugs.