When children get a fever, it’s usually their bodies’ way of trying to fight something off by raising their body temperature to a level that kills off germs. Caring for babies and wondering what to do when they’re too young for medicine can be very trying for parents, but there is information that can help.
Knowing what warrants a call to the doctor or a trip to the hospital will leave you prepared in case your baby does get a fever, and if your baby does have one, you’ll know how to help make your baby comfortable and try to bring the fever down naturally. That will make you both feel better.
A true fever is a temperature of 100.4 degrees Fahrenheit (38.0 degrees Celsius) or higher taken by ear, forehead, or rectum or an armpit temperature of 99 degrees Fahrenheit (37.2 degrees Celsius) or higher. (Note that ear temperatures are not accurate before six months old.)
Fevers are usually caused by new infections, mostly viruses like colds and flu. Viruses cause 10 times more infections than bacteria. Your child may have other symptoms that go along with their virus, like vomiting, coughing, and congestion. Fever often comes on first and is followed by other symptoms that last several days longer.
A fever does not typically cause crying on its own. If a child is crying often with a fever, this is probably caused by pain and not the fever, according to Seattle Children’s Hospital.
Fevers last fewer than five days. If your child’s fever lasts longer than five days, call a doctor. However, in young babies, fevers can be very serious and you should contact your doctor much earlier than the five-day mark, potentially immediately.
If the fever is a reaction to a recent vaccination shot, it usually lasts two to three days.
Throughout the time the fever lasts, keep your baby hydrated and rested. Your child is likely contagious during the time of the fever if it’s from a virus and should stay away from others as much as possible.
It depends on your baby’s age. If your baby is under three months old, a fever can be a serious cause for concern and you should call the doctor right away. If your little one is 3 to 6 months old, call the doctor within 24 hours. If your baby is 6 to 12 months old, call the doctor if the fever lasts more than 24 hours.
According to Cleveland Clinic, these are the situations when you should go to the ER or the doctor:
- An infant younger than 3 months of age develops a fever.
- Your child’s fever lasts more than five days.
- Your child’s fever is higher than 104 degrees Fahrenheit (40 degrees Celsius).
- Your child’s fever doesn’t come down with fever reducers.
- Your child is not acting like himself, is difficult to arouse, isn’t wetting at least four diapers per day, isn’t taking in enough liquids, or you are concerned.
- Your child was recently immunized and has a temperature above 102 degrees Fahrenheit (38 degrees Celsius) or a fever for more than 48 hours.
Do not give your baby any medicine without consulting with a doctor first.
In many cases, your baby will be fussy for a few days and then back to normal. It can be concerning to see him upset, but remember that you also are unhappy when you have a fever and that it will pass.
To make your baby feel better when she has a fever, here are three things you can do:
- Put a cool compress on her head.
- Give her a lukewarm bath or cool sponge bath.
- Give her a popsicle to eat. If she’s a baby, she can have a breastmilk or formula popsicle. If older, she can have a Pedialyte popsicle for hydration.
However, do not give your baby an icy cold bath. That can drive up the fever, not to mention be painful.
Fevers give us a clue that something is wrong, but we don’t always know what. All we can do is treat the symptom for a while and watch and see … and keep the pediatrician informed and follow expert advice. If your baby is under a year old and especially if he’s under six months old or spiking a high fever, call right away.
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