Fever in children: when to watch at home, when to see a doctor
Fever is not an illness but the body's response to infection. In children it is usually the sign of a simple viral infection and passes within a few days. What the family should watch is not the number itself so much as the child's general condition.
How is fever measured?
Take the reading under the arm or with a thermometer suited to the child's age. 38 °C and above counts as fever. Measure while the child is calm; crying and heavy clothing can push the reading up a little.
What can be done at home?
- Dress the child lightly and air the room
- Give plenty of fluids
- Use fever medicine at the dose and interval your doctor advises
- Avoid cold showers and rubbing with alcohol
When to see a doctor without delay
- Any fever of 38 °C or above in a baby under 3 months
- Fever lasting more than three days
- Difficulty waking, excessive sleepiness or constant unsettledness
- Difficulty breathing or rapid breathing
- A rash that does not fade when pressed
- Inability to take fluids, a dry mouth, passing less urine
- A seizure
- Neck stiffness, severe headache
If any of these are present, an assessment is needed even when the temperature is low.
Coming to the appointment
Note when the fever started, the highest reading, the medicines you gave and any other symptoms. Bring the vaccination card with you.
This article is for general information and does not replace a medical examination. In an emergency, call 112.
