A.C.
Leah - If your daughter is 2 and has had 4 seizures already, she will most likely have a few more. Febrile seizures usually resolve by 6 years old.
My middle son had his 6th and last febrile seizure when he was 5 1/2 years old. At that point, I had been a nurse for 19 years (an ER nurse for 10 of those years), had read everything I could get my hands on about febrile seizures, was pretty sure that my son had grown out of them, and I thought that I had a sophisticated understanding of them.
Well, my husband was camping out-of-state this particular night AND my pediatrician was out-of-town when my son had this last seizure at 1:00 AM. I called my brother, awakening him, yelling at him, and demanding that he come over (he lived several miles away) right now! And bring me a rectal Tylenol from the fridge before he comes upstairs. I called the ER staff doctor where I worked, and kept saying over and over to her, "I know it's OK, just keep telling me it's OK. I know it's OK, just keep telling me it's OK!" (She reassured me, stayed on the phone with me, and I suspect she was rolling her eyes. LOL)
My son has ADHD. I doubt if that's from his febrile seizures, though. I remember reading that about 2% of children with febrile seizures become epileptic as opposed to about 1% of the rest of the population. My numbers may not be exact, but you get the idea. It's double, but still insignificant.
The theory that I'll describe to you is from 15 years ago: I'm not 100% sure that medical "fact" hasn't changed since then because I haven't been reading about febrile seizures recently. (Check with your pediatrician for current theories) The seizure is from the change, the sudden increase in temperature, not from the height of the temperature. So, her routine febrile seizure is likely to be the first sign of an illness that you get!!
So, for instance, if your daughter's temperature suddenly jumps from 98.6 to 100.6 at the beginning of an illness, that's when she's more likely to seize. Once she's in the middle of the illness and has a 102.6 temperature, she's not as likely to seize. Also, I recall that for some reason, once they're in the middle of the illness, they're not likely to seize anyway, even if the fever goes up.
The medication Phenobarbitol raises the seizure threshold. Michael didn't have his seizures often enough for me to warrant putting him on it, although the suggestion was proposed several times by various doctors. I fed him Tylenol and/or ibuprofen whenever he looked at me "crosseyed", though. (LOL) Basically, if I felt a HINT of him getting sick, or coming down with anything, I started giving him Tylenol alternating with ibuprofen to try to prevent the temperature rise from occurring.
Seizures are terrifying to observe.
1) YOU have to RELAX and be in charge when they occur. Nobody else will be calm or in charge.
2) You have to keep her on her side so that her mouth can drain and she doesn't choke on food or saliva.
3) Make sure that the area around her is padded and safe.
4) Put NOTHING in her mouth during the seizure. No spoons or tongue blades.
5) If she turns blue, reposition her head to open up her airway better.
6) Call 911 if she remains blue or her seizure activity continues for several minutes. (Ask your own pediatrician. My pediatrician said 5 minutes.) Usually, they only last 1/2 minute (plus or minus).
6) It's normal to have a "post-ictal" phase after a seizure where the person is out-of-it and drowsy.
I'm familiar with some kids getting hive-type rashes with their fevers, by the way.
It's late at night now, so I'll add on to this note in the next few days. Feel free to write me. I'll try to look up more current information to give you.