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Child with recurrent fever, seizures, delayed development, and fluid in brain
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Nervous System Disorders
Question #18700
114 days ago
219

Child with recurrent fever, seizures, delayed development, and fluid in brain - #18700

Diaz aditya

Hello doctor, I want to ask about my younger sibling. He is 3 years old. He cannot walk, talk, or crawl yet. His development is very delayed. He often has recurrent fever. Usually he is fine for 2–3 days, then fever comes again. When the fever is high, he sometimes has seizures and needs hospital admission. In a big hospital before, doctors said there is fluid in his brain and surgery was recommended, but my family could not afford it, so we refused. At local hospitals, doctors only give fever medicine and seizure prevention, but no long-term solution. Sometimes he vomits, but not every time he eats. We live in a small village, far from a big hospital. My questions are: 1. What condition could cause fluid in the brain, recurrent fever, seizures, and severe developmental delay? 2. Is surgery always necessary, or are there other management options? 3. What should we do now to reduce seizures and protect his brain if surgery is not possible yet? Thank you very much.

Age: 20
Seizures fever brain fluid hydrocephalus child development delay neurology
300 INR (~3.53 USD)
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
113 days ago
5

Hello,

1. Mostly Hydrocephalus 2. Yes in most cases, surgery is necessary Medicines cannot remove brain fluid Without surgery, brain damage and seizures often worsen. Temporary medical management can reduce harm, but it is not a cure.

3. Take anti seizure medication Good nutrition and hydration Fever control and infection control

Seek government care or charity hospital , its economical

I trust this helps Thank you

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
113 days ago
5

Please visit neurologist best option .

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
113 days ago
5

Hello Aditya I’m really sorry to hear about your sibling’s situation. It sounds very challenging for your family. Let’s address your questions one by one. 1. Possible conditions: - Hydrocephalus: This is a condition where excess cerebrospinal fluid builds up in the brain, which can cause developmental delays, seizures, and recurrent fevers due to increased pressure. - Infections: Conditions like meningitis or encephalitis can also lead to fluid in the brain, fever, and seizures. - Genetic or metabolic disorders: These can cause developmental delays and may be associated with seizures. 2. Surgery and management options: - Surgery is often recommended for hydrocephalus to relieve pressure, but it may not be the only option. Some cases can be managed with medications to control symptoms, but this depends on the underlying cause. - Regular monitoring and follow-up with a pediatric neurologist or specialist are crucial. They can provide guidance on whether surgery is necessary or if other treatments can be effective. 3. Immediate steps to reduce seizures and protect his brain: - Medication: Ensure he is on appropriate anti-seizure medication as prescribed by a doctor. Regular follow-ups are essential to adjust dosages as needed. - Fever management: Keep track of his fever and use medications like paracetamol or ibuprofen (as advised by a doctor) to manage high temperatures. - Hydration and nutrition: Ensure he stays hydrated and receives proper nutrition, as vomiting can lead to dehydration. - Seek specialist care: If possible, try to visit a larger hospital or a specialist when you can. They may have resources or programs to assist families with financial difficulties.

Important: Given the complexity of his condition, it’s crucial to have a healthcare professional involved who can provide tailored advice and support. If you can, consider reaching out to local health organizations or charities that may help with medical costs or transportation to larger hospitals.

Thank you

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
114 days ago
5

Hello dear See as per clinical history it can be either hydrocephalus or meningitis There can be chances of brain abscess or neurocysticirosis or parasitic infection They may require urgent treatment These are answer of your questions The above clinical conditions match with your clinical condition but exactly diagnosis depend upon Ct scan MRI Brain USG Besides surgical procedures Like ventriculostomy Meningectomy Non surgical procedures include Medication probably antiepileptic Pantop D 40 for vomiting Paracetamol 500 mg for fever Urgency of surgery depends upon diagnosis from diagnostic tests. Please share the result with neurologist and proceed for further evaluation Prefer government medical colleges for economical treatment Regards

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Based on the symptoms you’ve desribed, it sounds like your sibling might be experiencing hydrocephalus, a condition where excess cerebrospinal fluid builds up in the cavities (ventricles) deep within the brain, which can cause increased pressure inside the skull. This can indeed lead to developmental delays, recurrent fevers, seizures, and vomiting. While surgery, typically the placement of a shunt to drain the excess fluid, is a common treatment, it’s understandable that logistical and financial challenges might complicate this option for your family.

First, it’s crucial to maintain close supervision under healthcare providers, even if they’re local, since seizures and increased cranial pressure are serious concerns. Anti-seizure medications can help manage and reduce seizures, but their dosage and choice should ideally be determined by a neurologist if possible. Regular check-ups to monitor his developmental progress and any changes in symptoms are important too. As for practical steps, keeping a detailed diary of his symptoms, including fevers, seizure episodes, and any triggers, might help the doctors to adjust treatments more effectively.

When surgery isn’t immediately accessible, addressing symptoms and complications is the next priority. This involves regular clinical assessments for any worsening signs that might indicate increased intracranial pressure—like persistent vomiting, irritability, or severe headaches if he shows discomfort. These signs are red flags that might need urgent intervention. Financial aid programs or charitable organizations may sometimes provide support for medical needs, and it might be worth exploring if such options exist. For non-surgical interventions, focusing on managing the symptoms and protecting his overall health with adequate nutrition, hydration, and seizure management is essential. Ultimately, coordinating care with a team that can guide through potential barriers in reaching larger hospitals might be necessary.

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