When to Worry About a Fever: A Parent’s Guide

A mother checks her child's forehead for a fever.

What is a Fever?

A fever is simply a rise in body temperature, usually above 100.4°F (38°C). It’s a sign that your child’s immune system is hard at work fighting off something. While it might seem alarming, a fever is often the body’s way of keeping things in check.

Common Causes of Fever in Children

Fevers can come from a variety of sources, and knowing the common culprits can help you figure out what’s going on:

Viral Infections

Colds and the flu are frequent causes of fever. Viruses are common infections in children and can cause many of the common symptoms children experience- like runny nose, cough, and fever. At COPA, we can help you tell the difference between a virus and an infection that requires medication for treatment and can help you navigate that at-home remedies that will help support your child through their illness when medication isn’t indicated.

Bacterial Infections

Things like ear infections or strep throat might also cause fevers. If your child is experiencing fever and ear pain, or fever and sore throat, schedule a visit at COPA so we can help them feel better fast.

Immunizations

Sometimes, a fever pops up after vaccinations. This is a normal response to a vaccine. It is a sign that your immune system is doing its job and learning to recognize that germ. The fever typically resolves in a few days.

When to Monitor the Fever

Normal Fever Ranges

A fever is generally considered to be a temperature above 100.4°F (38°C). Keeping an eye on your child’s fever and their overall well-being is key.

How to Accurately Measure a Child’s Temperature

For the most accurate reading, use a digital thermometer. Rectal thermometers are best for infants, while oral thermometers work well for older kids.

Signs that a Fever May Be Serious

Age Considerations

  • Infants (Under 3 Months): If your little one is under three months old and has a fever, it’s best to get in touch with their doctor right away. We have 24hr nurse advice, and extended hours on evening and weekends to ensure we can get you in when you need to be seen.
  • Older Babies and Toddlers: A fever that lasts more than a couple of days or comes with other worrisome symptoms should be checked out.
  • School-Age Children: For kids in school, if the fever is at a high temperature or doesn’t go down with medication, it’s time for a doctor visit.
  • Teenagers: Teen fevers, especially when combined with other symptoms like headache, should be watched carefully. Schedule a visit if symptoms aren’t improving after 24hrs or sooner if any severe symptoms arise for you older child.

Accompanying Child’s Symptoms to Watch For

  • Persistent crying or irritability
  • Difficulty or trouble breathing
  • Rash or unexplained bruising
  • Lethargy or unresponsiveness

When to Seek Medical Attention

Emergency Situations

  • High fever over 104 degrees Fahrenheit
  • Fever lasting more than 3 days
  • Fever with a stiff neck, severe headache, or sensitivity to light
  • Signs of dehydration

Non-Emergency But Concerning Situations

  • If the child has a chronic medical condition
  • If the fever doesn’t respond to medication
  • If the child is not eating or drinking well

How to Manage a Fever at Home

Home Remedies and Care Tips

  • Keeping the Child Hydrated: Make sure they’re drinking plenty of fluids. It’s important for staying hydrated.
  • Light Clothing and Lukewarm Baths: Dress them in light clothing and consider a lukewarm bath to help bring down their temperature.
  • Proper Use of Fever-Reducing Medicines: Medications like acetaminophen or ibuprofen can help at the correct dose. Just avoid aspirin due to its risks.

What To Avoid

  • Cold Baths: Cold baths can make a child shiver, which might make the fever worse.
  • Overdressing the Child: Keep clothing light and breathable.
  • Using Aspirin in Children: Aspirin is not recommended for kids due to the risk of Reye’s Syndrome.

Preventing Future Fevers

Basic Hygiene Practices

  • Handwashing: Teach your child to wash their hands often to help prevent the spread of germs.
  • Avoiding Contact with Sick Individuals: Keeping your child away from others who are ill can help prevent them from getting sick.

Importance of Vaccinations

  • How vaccines can prevent fever-causing illness: Regular vaccinations can protect your child from many illnesses that could lead to fevers.

When in Doubt, Contact Your Pediatrician

If you’re ever unsure or just need some reassurance, don’t hesitate to reach out to us at COPA for medical advice. As healthcare providers, we’re always here to help with any questions or concerns you may have about your child’s health. We have 24 hour nurse advice and expanded evening and weekend same day sick visits. You can even easily schedule online via the MyHealth app to book an appointment today.

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