From 6 months to 5 years age, the commonest cause for convulsions is Febrile convulsions. If high fever accompanies the convulsions, then diagnosis is certain.
I. Reduce the fever fast.
Cold compresses. Syp. CROCIN 1-2 tsp stat. Inj. Novalgin ½ -1 tcc IM If convulsion is prolonged. Inj. Calmpose ½ -1 cc
II. Further care
In future, avoid high fever by instructing the mother to give syp. CROCIN and cold compresses at the onset of fever.
If febrile convulsions occur repeatedly. Tab. Gardenal 30mg ¼ to ½ HS x 1 year.
III. If convulsions have occurred without high fever:
Ofr if child is drowsy or irritable or has neck stiffness, or crying excessively, ask for K.P. and CSF examination to rule out meningitis.
IV. If meningitis and febrile convulsions are ruled out then treat epilepsy.
Sy. Dilantin tsp x 2-3 times (Phenytoin) or Syp. TEGRETOL tsp x tds (Carbamazepin) Tab. Gardenal 30 mg ¼ to ½ HS (Phenobarbiton)
