Fever in Children: What to do

Fever in Children: When your child is running a fever, it can be a worrying time for any parent. Feeling their warm forehead and confirming it with a thermometer can trigger concern, but there are simple steps you can take to help them feel more comfortable and ensure their safety.

Understanding that fever is the body’s way of fighting off infections is key. It’s a natural defense mechanism where the body raises its temperature to combat germs. In most cases, fevers are harmless and tend to resolve on their own within three days.

Here’s what you can do to help your child:

1. Medication: Acetaminophen can help lower your child’s temperature. For children over 2 years old, follow the dosage instructions on the label. If your child is younger, consult your doctor for the correct dosage. Ibuprofen is another option for children aged 6 months and older.
2. Comfort Measures: Keep your child comfortable by applying a cool compress to their forehead and maintaining a moderate room temperature. Dress them in light clothing and offer a light blanket. A lukewarm sponge bath can also help in cooling them down.
3. Hydration: Encourage your child to drink plenty of fluids to prevent dehydration.

Here’s what you should avoid:

1. Aspirin: Never give aspirin to a child as it can lead to a serious condition called Reye’s syndrome.
2. Combination Cold Medicines: Avoid using combination cold and flu remedies in young children, especially those under 4 years old. Consult your pediatrician before giving any cold medicine to ensure its safety and effectiveness.
3. Extreme Measures: Avoid using icy cold baths or rubbing alcohol on your child’s skin, as these methods can actually increase fever. Also, refrain from over-bundling your child with thick blankets or clothes, even if they have chills.

Knowing when to seek medical attention is crucial. Contact your pediatrician if:

• Your child’s temperature is 104 F or higher.
• Your child is under 3 months old and has a temperature of 100.4 F or higher.
• The fever lasts for more than 72 hours (or more than 24 hours for children under 2).
• Your child experiences additional symptoms such as a stiff neck, severe sore throat, ear pain, rash, or severe headache.
• Your child has a seizure or appears very sick, upset, or unresponsive.

When taking your child’s temperature, digital thermometers are the best option. For young children, a rectal temperature is most accurate, while older children can typically use an oral thermometer. Underarm readings are less reliable but easier to perform.

Remember, if you’re unsure about any aspect of your child’s fever or condition, don’t hesitate to reach out to your pediatrician for guidance and support.

Sources:

• Lisa M. Asta, MD, spokeswoman, American Academy of Pediatrics; associate clinical professor of pediatrics, University of California San Francisco.
• HealthyChildren.org: “When to Call the Pediatrician: Fever,” “Best Ways to Take a Temperature,” “How to Take a Child’s Temperature.”
• Children’s Physicians Network: “Fever.”
• Seattle Children’s: “Should Your Child See a Doctor? Fever.”