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Dr Ajay Gupta

Understanding Fever in Children: A Parent’s Guide.


Understanding Fever in Children: A Parent’s Guide
Understanding Fever in Children: A Parent’s Guide

Fever is a common symptom in children, and it often causes concern for parents. While it can be worrying, fever is usually a sign that the body is fighting an infection. Here’s a clear and easy-to-understand guide on what you should do if your child has a fever.


What is Fever?

  • Fever is defined as a body temperature of 100.4°F (38°C) or higher when measured rectally.

  • It is the body’s way of responding to infections, helping it fight viruses and bacteria.


How to Measure Temperature?

  1. Rectal (for infants and toddlers): The most accurate method, especially for babies under 3 months.

  2. Oral (for older children): Insert the thermometer under the child’s tongue.

  3. Axillary (under the armpit): Often used but less accurate.


When to Worry About Fever?

You should seek medical help immediately if:

  • Infants under 3 months have a fever of 100.4°F (38°C) or higher.

  • Children between 3 months and 3 years have a fever lasting more than 3 days.

  • Your child shows symptoms like difficulty breathing, persistent vomiting, or a rash.


Managing Fever in Children at Home

Here’s what you can do if your child has a fever:

  1. Keep Your Child Hydrated: Ensure your child drinks plenty of fluids to prevent dehydration.

  2. Light Clothing: Dress your child in light, comfortable clothing and ensure the room is not too hot.

  3. Use a Lukewarm Sponge Bath: If the fever is high and your child is uncomfortable, you can give them a lukewarm sponge bath.

  4. Medications: Paracetamol can be given to reduce fever. Avoid aspirin, as it can cause serious complications in children.

    Always consult your doctor before giving any medication, and follow dosage instructions carefully.


When to Use Medicines?

  • Fever medicine (like Paracetamol) should only be used if your child is uncomfortable or in pain. Fever itself is not harmful unless it is very high.

  • Meftal-P syrup can be used for children older than 6 months if prescribed by a doctor.

  • Avoid unnecessary antibiotics unless prescribed by your doctor for bacterial infections.


What NOT to Do

  • Don’t overdress your child, as it can make the fever worse.

  • Avoid cold baths or ice packs: These can make your child uncomfortable and cause shivering, raising body temperature.

  • Don’t force food: If your child isn’t hungry, it’s okay. Focus on fluids and keeping them hydrated.


How Long Does Fever Last?

  • Fever caused by viral infections usually lasts for 3 to 5 days.

  • If the fever persists beyond this, or if other concerning symptoms develop, consult your doctor.


When to Visit a Doctor

Here’s when you should definitely seek medical advice:

  1. High fever: If the fever is 104°F (40°C) or higher.

  2. Unusual symptoms: Like severe headache, persistent vomiting, or a stiff neck.

  3. Fever with rash: This can indicate serious infections like meningitis.

  4. Fever lasting more than 5 days: Any prolonged fever needs evaluation.


Takeaways for Parents

  • Fever is normal: It’s a sign that your child’s immune system is working.

  • Hydration and rest are key: Keep your child comfortable and ensure they drink enough fluids.

  • Watch for warning signs: Know when to call the doctor.


With these tips, you can confidently manage your child’s fever and ensure they get better soon. Remember, fever is usually not dangerous, but always be alert to changes in your child’s behaviour and symptoms.

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