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Symptoms of Febrile convulsions

Febrile convulsions usually last less than a minute, but they can continue for up to 5 minutes. They usually happen on the first day of an illness and do not always happen when the child’s temperature is hottest. In fact, a febrile convulsion is sometimes the first sign that the child is ill. 

  • At first the child looks hot and flushed, because of their temperature. 
  • They become dazed or confused and black out (lose consciousness). At this point they may fall down if they have been sitting or standing. 
  • The child’s muscles tighten and this may cause them to moan or cry out. 
  • They may stop breathing (usually for around 30 seconds) and their skin may turn a little blue. 
  • Muscles in the arms, legs and face, and other parts of the body, twitch and shake. 
  • The child’s eyes may roll backwards.
  • Many children also lose control of their bladder or bowel.
  • They often fall into a deep sleep afterwards.

If the fit goes on for more than 5 minutes, it is important to get medical help by calling 999 for an ambulance. However, they are usually fairly short, and the child makes a full recovery. Febrile convulsions can be worrying for parents because they look similar to an epileptic fit.

Most children only ever have one febrile convulsion, but around 3 in 10 have a second convulsion in a later, separate, illness. Children are more likely to have further fits if the first was when they were very young, or if the child has a close relative (such as a parent or sibling) who had febrile convulsions.