A common symptom that prompts a call to your child’s healthcare provider (as well as one that keeps parents up at night) is fever. Especially this time of year, when children are catching cold and other ailments. The high fever at 2 a.m. brings on a lot of anxiety and questions.
- What is a fever? Fever is a symptom, not an illness itself. A fever is defined as a temperature greater than 100.4 Fahrenheit. Some amount of fever is usually ok for children. It can actually help their body fight off whatever bug is causing the fever.
- How do I take a temperature? There are lots of ways to take a temperature. A rectal temperature is the most accurate method for infants, especially those under two months of age. Ear thermometers may be convenient but can be somewhat temperamental. I personally feel a good axillary thermometer works well.
- How do I treat my child’s fever? If your child is uncomfortable with a fever, I recommend giving acetaminophen dosing at the appropriate weight dose. Ibuprofen may be used for babies older than six months old. Suppose your baby is younger than three months old and has a fever higher than 100.4. In that case, it is crucial to call your healthcare provider right away or go to the emergency room.
- Should I worry about fever? Despite what you may have heard, high fevers cannot cause brain damage. That said, hyperthermia from situations such as being confined in a hot car can be life-threatening. Parents often ask me, “At what temperature should I rush to the ER?” I tell them there is no such temperature. Instead of focusing on the number on the thermometer, I am more concerned about how your child is acting. Fevers may cause your child’s heartbeat to beat faster, and they may be breathing faster too. Unless they have serious respiratory distress or are unresponsive, it is reasonable to contact your healthcare provider for further instruction. You can also make sure your child is drinking plenty of fluids.
5. What should I NOT do if my child has a fever? Cold baths or rubbing alcohol are NOT recommended. This can cause shivering, which can actually increase the body temperature. Rubbing your child down with rubbing alcohol can be dangerous because it is absorbed by the skin or inhaled and can make your child very sick. Bathing your child in tepid water is ok, as long as your child is comfortable and not shivering.
I would want to see a child in the office if they have had a fever longer than 3 days or more. Also, if your child has any other concerning symptoms, such as signs of dehydration or ear pain, they should be checked out as well.
So, the next time your child has a fever, remain calm and remember that the fever is one of the body’s ways of fighting infection. Keep your thermometers handy, and remember you can always call us with any concerns!
Nicole Turnbo CPNP-PC
Certified Pediatric Nurse Practitioner
