09/23/2024
Fever. Something that sounds so simple can cause a lot of worry for a parent. A fever is defined as a body temperature of 100.4 F or above. Our normal body temperature can fluctuate throughout the day even reaching 99 F at some points. A fever is usually the first sign that your body is fighting off an infection and the symptoms that your body develops gives us clues as to what that infection may be.
In young infants temperatures should be measured re**ally as this is the most accurate method. If your baby has not had their first round of immunizations and develops a re**al temperature of 100.4F or above, please do not give any medication and give our office a call. Fever in this age group is an urgent matter and you should call us after hours for it as well.
Most other fevers, in a typically healthy child over the age of 3 months old, are related to viral infections and can be managed with supportive care at home. There is no set temperature that a fever needs to be treated, but if your child is seemingly uncomfortable you should manage the fever with either Tylenol or Motrin (see dosage charts below). When your child is more comfortable, they will drink fluids better and help prevent dehydration. Motrin can only be used in children 6 months and older, while Tylenol can be used younger than 6 months of age. These two medications temporarily decrease body temperature by 1-2 degrees, likely your child's body temperature will increase when the medication wears off. Fever can last 3 to 5 days with most viral illnesses. If a fever is persisting 5 or more days, then your child should be evaluated to rule out a bacterial source or other source.
Fever is not the enemy, rather dehydration and respiratory distress are. If your feverish child is showing signs of either of these then they should be evaluated promptly. A commonly asked question is "What temperature is too high that I should bring my child to the ER?" Research has not shown that a fever caused by common viral illnesses will reach a temperature that will cause brain damage. Your child's hydration and respiratory statuses are more important than the number you measure.
We never like to see our children sick, but more often than not their body will do what it needs to fight it off. Of course, with some love and supportive care from you to help them out ❤️
