Fever is a common concern for parents and often the reason for late-night calls to the doctor. While a fever can be alarming, it’s also a natural response of the body fighting off infections. Dr. Ashish Vora, Pediatrician and Neonatologist at Unique Children’s Clinic in Karvenagar, Pune, shares guidance on what to do when your child has a fever and signs that it may be time to consult a doctor.
What Causes Fever in Children?
Fever indicates that the body is fighting an infection, often caused by viruses or bacteria. It’s a protective response, signaling that the immune system is at work. However, other factors, like vaccinations, teething, or overheating, can trigger a mild fever.
What to Do When Your Child Has a Fever
1. Monitor the Temperature
- Use a digital thermometer to check your child’s temperature accurately.
- A fever is considered serious for infants under 3 months if it exceeds 100.4°F (38°C).
- In older children, a fever of 101-102°F (38.3-38.9°C) is common during mild infections and generally not cause for alarm.
2. Ensure Hydration
- Fevers can cause dehydration, so encourage small, frequent sips of water, oral rehydration solutions, or clear broths.
- Infants should continue breastfeeding or bottle-feeding to maintain hydration.
3. Dress Comfortably
- Dress your child in light clothing and keep the room comfortably cool. Avoid heavy blankets, as they can trap heat.
4. Offer Fever-Reducing Medication if Needed
- For children over 6 months, you may use acetaminophen or ibuprofen (dosage based on age and weight) to make them more comfortable. Avoid aspirin, as it can lead to serious side effects in children.
5. Encourage Rest
- Rest helps the immune system fight infections. Allow your child to sleep as much as they need, and limit activity until the fever subsides.
When to Worry: Signs It’s Time to See the Doctor
While most fevers resolve on their own, certain symptoms may indicate a more serious condition requiring medical attention:
Infants Under 3 Months
If a newborn has a fever of 100.4°F (38°C) or higher, consult a pediatrician immediately. Young babies are at a higher risk of serious infections.
High Fever Persisting Beyond 3 Days
A fever lasting longer than three days in children over 6 months may need evaluation to rule out bacterial infections.
Very High Fever
Fevers above 104°F (40°C) warrant immediate attention, especially if accompanied by other symptoms.
Signs of Dehydration
Dry mouth, no tears when crying, and fewer wet diapers in infants or lack of urination in older children could indicate dehydration.
Rash, Stiff Neck, or Severe Headache
These could be signs of serious infections, such as meningitis. Seek immediate medical help if any of these symptoms are present.
Persistent Vomiting or Diarrhea
Continuous vomiting or diarrhea can quickly lead to dehydration and may indicate an infection that needs medical treatment.
Unusual Drowsiness or Irritability
If your child is difficult to wake, extremely irritable, or doesn’t respond as usual, it’s best to get them checked by a doctor.
A fever is often a sign that the body is fighting an infection, but it’s important to know when a fever might require medical attention. For more guidance and personalized care, schedule an appointment with Dr. Ashish Vora at Unique Children’s Clinic in Karvenagar, Pune. Dr. Vora is dedicated to providing compassionate and expert pediatric care for all your child’s health needs.
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