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Fever in Children

WHAT YOU SHOULD KNOW

Fever is a symptom, not a disease. It is the body's normal reaction to an infection. The fever helps fight the infection. A fever does not cause long-term problems until it reaches 107 degrees F (41.7 degrees C). A high fever may sometimes cause convulsions (seizures). Your child has a fever if:
  • The mouth temperature is higher than 99.5 degrees F (38 degrees C).
  • The rectal temperature is higher than 100.4 degrees F (38 degrees C).
  • The armpit temperature is higher than 98.6 degrees F (37 degrees C).
Exercise, a hot bath, too much clothing, and hot weather can raise a child's temperature. Drinking or eating warm foods can also cause the temperature to rise. Wait 30 minutes and take the child's temperature again.

WHAT YOU SHOULD DO

  • If the child's temperature is higher than 101 degrees F (38.3 degrees C), restrict activity or put the child to bed.
  • Encourage the child to drink extra fluids.
  • Give acetaminophen for the fever. Do not give your child aspirin.
  • If the child's temperature remains higher than 104 degrees F (40 degrees C), it may be helpful to give the child a sponge bath. This should be done in a warm room with warm water. Using a damp wash cloth, gently rub the entire body. The child should be damp but not dripping wet. Do not use a fan or ice or cold water, and do not chill the child.
  • Take the child's temperature in the morning, at bedtime, and every 4 hours during the day, or more often if he or she looks ill.

Call Your Doctor If...

  • The child develops a temperature higher than 103 degrees F (39.4 degrees C).
  • The child's temperature is higher than 101 degrees F (37 degrees C) for more than 24 hours.
  • The child develops new symptoms.
  • The child has a marked change in behavior, level of consciousness, or level of activity.

Seek Care Immediately If...

  • The child develops a rectal temperature higher than 105 degrees F (40.6 degrees C).
  • Your child has a seizure, develops abnormal movements of the face, arms, or legs, or has difficulty breathing.



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