How to Relieve Fever in Children

Father and Mother may be afraid when they find out that their child has a fever. Sometimes those try to low the temperature quickly in an inappropriate way. However, is fever always at risk? What is the right way to measure and treat fever?

When did Little One get a fever? Normal body temperature is in the range of 36.5- 37.5 ℃. Fever occurs when body temperature≥38℃. However, the results of measuring body temperature can vary slightly depending on the measurement method.

Comparison of temperature measurement methods

    1. Rectal

    Very accurately describes the body’s core temperature (core temperature)

    2. Mouth

    Accuracy approaches rectal temperature, except in children with fast breathing. Tried if the child is cooperative and can suck the thermometer well (4 years)

    3. Armpit

    Different 0.5℃- 1℃ with rectal temperature. It is recommended for toddlers and small children who have not been able to take measurements with their mouths

    4. Ears, forehead

    Low accuracy and need to be reconfirmed by other means.

    Mercury or digital thermometer?

    Digital thermometers are recommended because they are convenient, cheap, easy to find, and quite accurate in determining temperature. Mirror thermometers containing mercury are not recommended because of the risk of increasing exposure to mercury if the mirror is broken.

    What triggers a fever?

    Fever is an indication that often occurs in inflammation due to the body’s response to bacteria, viruses or germs. The most common inflammations in children include:

    Inflammation of the airways, eg colds (common colds), pneumonia (pneumonia)

    Ear inflammation

    Intestinal inflammation caused by diarrhea and vomiting

    Urinary inflammation

    In addition to inflammation, fever can occur due to drugs, autoimmune diseases, and cancer. Vaccination can also cause fever, but the time of onset of fever varies depending on the type of vaccination given.

    Notes: Teething does not cause fever although it can increase body temperature. The trigger for inflammation needs to be explored before reporting that the trigger for increased temperature is developing teeth.

    Tricks to reduce fever in children

    Make sure the room temperature is cool and comfortable

    Give lighter clothes

    Make sure the child drinks more (water, electrolyte fluids) so they don’t lack fluids

    Make sure the child is not overactive

    Warm compresses ( tepid sponging ) are not supported by solid scientific facts. However, if the child seems unsafe and fever-reducing drugs are not effective, warm compresses can be tried.

    Stay away from:

    Giving aspirin to reduce fever. Aspirin can cause side effects that are harmful to the liver and brain, namely Reye’s syndrome. Cold compresses because they cause changes in brain temperature regulation, body chills, and body temperatures that are higher. Alcohol compresses because it is dangerous if it is absorbed by the skin and inhaled when breathing.

    Does fever medicine need to be given?

    Fever is one of the body’s important responses to fight inflammation. The temperature at the time of fever is not always directly proportional to the severity of the disease. In addition, reducing the temperature after receiving the drug does not mean that the inflammation that occurs is experiencing revision. Therefore, reducing fever is not always recommended, especially in children with unless the child feels unsafe and has other signs of danger. The recommended fever medication options are paracetamol and ibuprofen.

    When should you go to the doctor?

    Fever is thought to require a doctor’s assessment if:

    Age less than 3 months regardless of the child’s general condition

    Age 3-36 months with fever for more than 3 days or there are signs of danger

    Age 3- 36 months with high fever(≥39°c)

    All ages with temperature 40°c

    All ages with febrile seizures

    All ages who have the umpteenth fever for more than 7 days even though the fever only lasts a few hours

    Children with chronic diseases, such as heart disease, cancer, lupus, and kidney disease

    A child with a fever accompanied by a rash

    Characteristics of danger in children with fever :

    Unresponsive or difficult to awaken or unable to move

    Difficulty breathing

    Lips, tongue and nails look bluish

    The fontanel appears bulging or concave

    There is stiffness in the neck

    Great headache

    Severe stomach pain or vomiting

    There is a rash or purplish-colored spots like bruises

    Does not want to eat or drink and seems too weak to drink

    Constant crying

    Restless child

    The position of the body leaning forward and unable to control saliva

    Urinate less or less