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Fevers

Taking Care of Your Child's Fever: A Guide for Parents Having a child is exciting, and as parents, we want to make sure they stay healthy and happy. Fevers can be a bit scary, but they're actually the body's way of fighting off germs. This guide will help you understand fevers and how to take care of your child when they're not feeling well. Click the read more button for guidance

 

Common Reasons for Fevers

  • Viruses: Often, fevers happen when our bodies are fighting off viruses, like when we catch a cold or the flu.

  • Bacterial Infections: Sometimes, fevers are a sign of infections, like ear infections or strep throat.

  • Teething Debate: While some parents think teething causes fevers, scientists aren't sure about it yet.

  • Post-Vaccination Reactions: After getting shots to stay healthy, some kids might get a mild fever. This is okay and means their body is building protection.

What is a Fever?

A fever indicates an elevated body temperature.  In children, a temperature of 100.4°F (38°C) or higher is considered a fever.  Using a thermometer is the best way to measure this.  Current guidelines suggest taking the thermometer's reading as is, without adjusting for measurement location.  If in doubt, recheck the temperature after a few minutes.

Special Note for Infants less than 2 months of age:

For infants aged 2 months or younger, a temperature of 100.4°F or higher warrants immediate medical attention.  Contact your pediatrician or visit the emergency room.

Accurate Temperature Measurement Techniques

  • Under the Arm: Place the thermometer under the arm for a simple reading. 

  • Oral Measurement: Older children can hold a thermometer under their tongue.

  • Ear Method: Insert the thermometer gently in the ear, adhering to the instructions.

  • Forehead Thermometers: Convenient for quick scans across the forehead.

  • Rectal Measurement: For children under 2 years, this method offers the highest accuracy.  Use a bit of lubricant, such as Vaseline, on the thermometer tip and go no further than the silver tip.  Remember to label this thermometer for exclusive rectal use. 

When to Seek Medical Assistance

  • High Fever Alert: Temperatures reaching 104°F (40°C) necessitate contacting your doctor. 

  • Persistent Fever: A fever lasting over two days, regardless of intensity, should be evaluated by a doctor. 

  • Flu Season Advisory: If flu symptoms, such as fevers, cough or congestion, appear during the months of Oct-March, see a doctor within 48 hours for potential treatment. 

  • Additional Symptoms: Difficulty breat

hing, excessive vomiting, or extreme fatigue are signs to seek immediate medical help. 

Home Care Strategies

  • Drink Fluids: Offer water or electrolyte solutions like Pedialyte or Gatorade. Avoid high-sugar or sugar-free drinks, especially if diarrhea is present.

  • Comfy Clothes: Dress your child in comfortable attire, using blankets judiciously to maintain an appropriate temperature. 

  • Room Environment: Keep the room comfortably warm or cool, using fans or air conditioning as necessary. 

Fever Medications

  • Acetaminophen (Tylenol): Note that Infants' and Children's Acetaminophen/Tylenol have the same concentration.  Dosages should be based on weight, available in our Medicine Dosage Library. 

  • Ibuprofen (Advil, Motrin): Be aware that Infant's Ibuprofen is more concentrated than Children's Ibuprofen. Confirm the type of ibuprofen before dosing.  Again, refer to our Medicine Dosage Library for weight-based dosages.

Fevers function as the body's natural defense mechanism against infections.  By ensuring adequate fluid intake, comfortable clothing, and appropriate medication use under medical guidance, parents can effectively support their children.  If you're ever in doubt, especially with high fevers or unusual symptoms, don't hesitate to consult your doctor.

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