Pediatrician tips on fevers in children | | Patient Education (2024)

What is a fever?

A fever:

  • is 100.4 or greater.
  • is your child’s body responding to fight off infection.
  • is not dangerous.
  • can be treated with medication, but it is not required.
  • can contribute to dehydration, so fluids are encouraged.
  • can warrant a trip to the pediatrician when certain criteria are met.

As is the case with any health concern for your child, please call your pediatrician if you have questions or need advice on this topic.

Fevers in children are common. So are the fever-related concerns of parents and caregivers … especially during COVID-19.

After an increase in pediatrician visits due to fever, UC Davis chief of pediatric infectious diseases Dean Blumberg and UC Davis pediatrician Lena van der List are revisiting some long-held myths and questions that are keeping kids and parents up at night. Here they outline what normal body temperature is and does, what to look for when your child has a fever and when to take it more seriously.

Normal body temperature is not always 98.6.

According to van der List, it is normal to have some fluctuation in body temperature from one degree below 98.6 to one above. Lower body temperatures usually occur early in the day and higher temperatures occur in the afternoon.

Fever is not a bad thing and it’s not necessarily dangerous.

Considered to be 100.4 Fahrenheit or higher, a fever is the body’s way of mounting a defense so conditions are less favorable for viruses or bacteria. Pyrogens - which are biochemical substances - float by the hypothalamus area of the brain and trigger the body to say, “something is off.”

“You might think of the hypothalamus as the body’s thermostat,” Lena van der List said. “It’s not a bad thing to have a fever when you’re sick.”

Kids get more frequent and higher fevers than adults.

Because their immune systems are still developing, kids may create pyrogens for each new infection they come in contact with. Alternatively, adults may have already created immunity to those infections.

If you don’t treat a fever, it will NOT automatically increase.

“There is a common myth that if you don’t treat the fever, it will keep going higher. This is not true either,” Blumberg said.

Pediatrician tips on fevers in children | | Patient Education (2024)

FAQs

What is the patient education for a fever? ›

Drink lots of water, juice, or broth to replace fluids lost from the fever. Dress in lightweight clothes. Use a sheet or light blanket if you are cold. Take medicine like acetaminophen (sample brand name: Tylenol) or ibuprofen (sample brand names: Advil, Motrin) to help bring down your fever.

What are the guidelines for treating fever in children? ›

Management of an infant or child with fever should include advice to parents/carers:
  • On the use of antipyretic drug treatment such as paracetamol or ibuprofen if the child is uncomfortable or distressed.
  • To stop antipyretic drug treatment once the child is comfortable.

What do pediatricians do for fever? ›

Acetaminophen (Tylenol) or ibuprofen (Motrin) are two of the most common. Tylenol is safe to give at any age, but Motrin should not be used in children under six months of age. Give appropriate doses of these medications based on weight.

What precautions should be taken during fever in children? ›

Treating Your Child's Fever

Try one layer of lightweight clothing, and one lightweight blanket for sleep. The room should be comfortable, not too hot or too cool. If the room is hot or stuffy, a fan may help.

What is the general advice for fever? ›

Rest and drink plenty of fluids. Medication isn't needed. Call the doctor if the fever is accompanied by a severe headache, stiff neck, shortness of breath, or other unusual signs or symptoms. If you're uncomfortable, take acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or aspirin.

What are the interventions for a patient with a fever? ›

Encourage sleep/rest to minimize oxygen and metabolic demand. Provide comfort measures; adjust environment to minimize body temperature (e.g., offer cool cloths, encourage lightweight clothing and covers, reduce room temperature, increase air circulation, decrease stimulation).

What is the fever rule for children? ›

Infants younger than 3 months of age whose temperature reaches 100.4°F (38°C) or higher should be evaluated by a doctor because fevers in infants can indicate a serious illness. In kids between 3 months and 3 years of age, a fever of 102.2°F (39°C) or higher requires a call to your pediatrician.

What are the new pediatric guidelines for fever? ›

The guidelines cover the assessment and treatment of well-appearing term infants aged 8-60 days who have a fever of at least 100.4°F (38°C). Urinalysis, blood culture, and analysis of cerebrospinal fluid (CSF) are strongly recommended for infants in this age group.

How do you treat a child with a fever? ›

What Can I Do About a Fever?
  1. Offer plenty of liquids to avoid dehydration.
  2. Give acetaminophen or ibuprofen based on the doctor's recommendations. ...
  3. Never use rubbing alcohol or cold baths to bring the fever down.
  4. Dress your child in lightweight clothing and cover with a light sheet or blanket.

What is the management of childhood fever? ›

How Do You Treat a Fever at Home?
  • Dress your child in light clothing. Over dressing them can trap the body's heat and make the temperature go higher. ...
  • Give extra fluids. ...
  • Your child may not want to eat much. ...
  • Give sponge baths or let your child soak in a tub. ...
  • Over-the-counter medicines can help lower a fever.

How to reduce fever in a child naturally? ›

8 ways to bring a fever down naturally
  1. Drinking plenty of water. Increased temperature in the body results in dehydration. ...
  2. Sponging. ...
  3. Lukewarm baths. ...
  4. Vitamin C. ...
  5. Nutritious food. ...
  6. Soups. ...
  7. Fruit juices. ...
  8. Comfortable clothing.

How to help bring down a fever? ›

Suggestions to treat fever include: Take paracetamol or ibuprofen in appropriate doses to help bring your temperature down. Drink plenty of fluids, particularly water. Avoid alcohol, tea and coffee as these drinks can cause slight dehydration.

What is the health education for fever? ›

Rest. You need rest to recover, and activity can raise your body temperature. Stay cool. If you aren't shivering, dress in light clothing, keep the room temperature cool, and sleep with only a sheet or light blanket.

What not to do when your child has a temperature? ›

Don't
  1. do not undress your child or sponge them down to cool them – a high temperature is a natural and healthy response to infection.
  2. do not cover them up in too many clothes or bedclothes.
  3. do not give aspirin to children under 16 years of age.
  4. do not combine ibuprofen and paracetamol, unless a GP tells you to.

What are the safety measures of a fever? ›

To treat a fever:
  • Drink plenty of fluids.
  • Dress in light clothing.
  • Use a light blanket if you feel chilled, until the chills end.
  • Take acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others). Follow the directions on the label.
Jun 25, 2024

What are the guidelines for fever? ›

If your fever is mild — less than 101 degrees F (38.3 degrees C) — you usually don't need treatment with medication. Make sure you drink plenty of fluids and get plenty of rest. Taking a lukewarm bath — about 98 degrees F (36.7 degrees C) — may also help bring your body's temperature down.

How will you manage a patient suffering from fever? ›

Suggestions to treat fever include:
  1. Take paracetamol or ibuprofen in appropriate doses to help bring your temperature down.
  2. Drink plenty of fluids, particularly water.
  3. Avoid alcohol, tea and coffee as these drinks can cause slight dehydration.
  4. Sponge exposed skin with tepid water. ...
  5. Avoid taking cold baths or showers.

What is the approach to the patient with a fever? ›

To evaluate a fever, your care provider may:
  1. Ask questions about your symptoms and medical history.
  2. Perform a physical exam.
  3. Take nasal or throat samples to test for respiratory infections.
  4. Order tests, such as blood tests or a chest X-ray, as needed, based on your medical history and physical exam.

How do hospitals manage fevers? ›

Common treatment methods
  • Medications: In most cases, antipyretic medications like acetaminophen or ibuprofen will be administered to lower the fever.
  • Fluids: Hydration is important in fever management, so intravenous fluids may be given to maintain the person's fluid balance.
Aug 14, 2023

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