Managing Fevers in Children

As parents, few things can trigger our anxiety quite like our children running a fever. The sight of a flushed face, the warmth of a tiny forehead, and the worry that something might be seriously wrong can send our hearts racing. However, it's important to remember that a fever is not always the enemy. In fact, it's often a natural response that indicates your child's immune system is doing its job.

What is a Fever?

In children, a fever is defined as a body temperature above 100.4°F (38°C). A fever is not an illness in itself but rather a symptom of an underlying infection or illness.

If I Don't Have a Thermometer, How Can I Tell if my Child Has a Fever?

Don't panic when you can't find your thermometer or it is not working but you think something is off with your child.  Is your child having an increase in heart rate, breathing faster, warm to the touch or have chills?  If so, it is likely they have a fever.  At this time it is okay to give fever reducing medication.  If your child perks up and seems to get better, they probably had a fever.

How High is Too High?

The number one question we receive is "how high is too high for a fever?" The answer is simple.  If your child has had an appropriate dose of fever-reducing medication and their temperature remains 106 or higher they should be taken to the Emergency Room.

For children under 1 year of age, taking a rectal temperature is the GOLD STANDARD way to take a temperature. If your child is 2 months or younger, and has a rectal temperature of 100.4 or greater, it is considered a medical emergency and they should be seen immediately in the ER.

How to Reduce a Fever

Fever-reducing medications Tylenol (Acetaminophen) and Motrin (Ibuprofen) are both great medication options for a child with a fever.  As a reminder, Motrin CANNOT be given under 6 months of age.  Genexa is an option for those looking for a "cleaner" medication. 

Additional ways to help your child cool down include:

• Remove layers of clothing and blankets
• Offer cold drinks
• Give your child a lukewarm bath
• Place cool packs behind the neck, knees, armpits and groin.

Most importantly, if your child has a fever and is doing well, medication may not be needed. 

Fevers in children can be distressing, but they are often a sign that your child's immune system is doing its job. By understanding what a fever is, when to be concerned, and how to manage it safely, you can provide the best care for your child. If you are concerned  about your child's fever, don't hesitate to reach out. We can book a telemedicine visit and answer any questions you may have.