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Most cases are mild and can be treated at home but some situations may require medical care or a trip to the ER
Your knee-jerk reaction when your child develops a fever may be to immediately start ringing the alarms. Fevers can be scary for parents, especially first-timers. You might wonder how high is too high or if you should call the doctor immediately if your child has one or head to the emergency room. Certainly, something must be done, right?
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Well, not always. It turns out that not all fevers are something to fret about. And knowing the difference between a fever that needs treatment and a fever that can be left to run its course can help your child get better faster — and with less stress on you.
“Every child will eventually experience a fever, no matter how careful you are,” says pediatrician Tracy Lim, MD.
And it’s important for parents to know what to do when this happens. Dr. Lim explains how to spot a worrisome fever in children and when to take a baby to the hospital for a fever.
A “normal” body temperature is 98.6 degrees Fahrenheit, or 37 degrees Celsius, but that doesn’t mean you have to hit the panic button if your child’s temperature inches above that.
Everyone’s temperature will vary a little throughout the day. It can also differ by age, activity level and other factors. The type of thermometer you use will change the definition of what’s actually a fever for your child. Different kinds of thermometers have different levels of accuracy.
“It’s most accurate to use a rectal thermometer for infants and young children, but if you feel uneasy doing this, use whichever device makes you most comfortable,” Dr. Lim says. “In older children, an oral temperature is most accurate, if the child is able to tolerate it.”
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Child’s age | Type of thermometer | What’s considered a fever? |
---|---|---|
0 to 5 years | Rectal | 100.4 F (38 C) |
0 to 5+ years | Armpit | 99 F (37.22 C) |
0 to 5+ years | Forehead | 100.4 F (38 C) |
2 to 5+ years | Ear | 100.4 F (38 C) |
5+ years | Mouth | 100 F (37.77 C) |
Child’s age | ||
0 to 5 years | ||
Type of thermometer | ||
Rectal | ||
What’s considered a fever? | ||
100.4 F (38 C) | ||
0 to 5+ years | ||
Type of thermometer | ||
Armpit | ||
What’s considered a fever? | ||
99 F (37.22 C) | ||
0 to 5+ years | ||
Type of thermometer | ||
Forehead | ||
What’s considered a fever? | ||
100.4 F (38 C) | ||
2 to 5+ years | ||
Type of thermometer | ||
Ear | ||
What’s considered a fever? | ||
100.4 F (38 C) | ||
5+ years | ||
Type of thermometer | ||
Mouth | ||
What’s considered a fever? | ||
100 F (37.77 C) |
A fever may be a sign that your child is fighting an infection from the common cold, flu, ear infection, stomach bug or a urinary tract infection (UTI).
It can be challenging to spot certain symptoms in your baby or child. But your child may also experience the following symptoms if they have a fever:
“If your child experiences any of these symptoms when the fever comes down, you should contact your pediatrician’s office,” says Dr. Lim.
It can be worrying to see your kid spike even a mild fever. We get it. But the truth is that a fever is actually a sign that your child is fighting off germs. It’s doing what it’s supposed to. And that’s a good thing.
Dr. Lim says doctors tend not to worry about a fever if it’s mild, lasts fewer than five days and doesn’t affect your kid’s day-to-day activities. Mild fevers can be monitored at home. If needed, you can also treat them or safely break a fever with:
Now for the important question: When should you be worried about your baby’s fever? Do you know when to take a toddler to the ER for a fever?
Call your doctor in these cases:
In certain cases, a fever can be present with other symptoms that may be a sign of a serious illness.
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Head to the ER or call 911, if your child has a fever and any of the following:
Seizures can be a very scary side effect of fevers in some children. Febrile seizures occur in 2% to 4% of all children under age 5. Not all seizures cause jerking movements in the body. Dr. Lim says some seizures look like “passing out.”
If your child develops a seizure:
If the seizure lasts fewer than five minutes, call your physician or seek immediate medical attention.
It can be scary when your child has a fever and it can be nerve-wrecking to know when to take a child to the ER for a fever.
While most fevers are considered mild and can be treated at home, Dr. Lim says if you’re concerned or have questions, don’t hesitate to call your child’s pediatrician to ask for guidance and advice.
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“Your pediatrician’s office can help determine if your child’s symptoms require evaluation in the office,” says Dr. Lim.
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