How to Know If a Child's Fever is Serious

A Parent's Guide to Treating High Temperature in Children

How high is too high? Should you give Tylenol, or wait to consult your Doctor?  Here are some tips for parents treating high temperature in children.

What Temperature is a High-Grade Fever in Children?

Normal body temperature is 98.6 F (37 C), but every child’s temperature naturally fluctuates during the day. The magic number for a low-grade fever is 100.4 F (38 C), or above.  A high temperature, or high-grade fever, is considered 102.5 F, or above.


When NOT to Worry About Fever in Children

1. Fevers that last SHORTER than five days…

A child maybe feverish for several days and it’s OK if they are tired.  If your child is behaving pretty much as normal otherwise — with regards to eating, playing, and drinking — parents do not need to worry.

2. If a child’s temperature is 102.5 degrees F or lower…

A low-grade temperature indicates that the body is acting normally to fight infection.

3. If your child was recently got a shot…

Immunizations help activate the bodies’ natural immune system, so a fever after a shot is quite normal.

When to Worry About a High Temperature, and Call Your Pediatrician

1. If your child is younger than 3 months old…

A fever of any degree is worrisome in an infant younger than 3 mos old, and warrants a call to your doctor for further advice.

2. If your child’s fever lasts LONGER than five days…

Fevers of prolonged duration may indicate a complex illness that requires further investigation by a pediatrician.

3. If a child’s temperature is over 104 degrees F…

High-grade fevers, that do not respond to medication within 2 hours, require immediate pediatric attention.

4. If your child is not acting normally…

When a child is not eating or drinking normally, or cannot be roused, or is excessively lethargic, these may be warning signs of a more serious illness requiring medical care.

5. If your child got a shot AND there fever lasts LONGER than 24 hours…

A pediatrician should be informed if a child has a prolonged fever after immunization.

6. If a parent is still worried about fever…

Parents should always consult with a physician anytime they have questions about their child’s health — if only for peace of min.

How to treat your child’s fever

  • Keep your child cool. Don’t use heavy blankets or overly warm clothing.
  • Prevent dehydration by offering your child plenty of clear liquids: water, juice, or Pedialyte.  Hint:  Frozen Pedialyte Popsicles work great!
  • Make sure your child gets plenty of Rest.
  • Use Acetaminophen (Tylenol) to treat fevers above 102 F in children who are older than 3 months.
  • Give a lukewarm (not cold) bath to help bring the temperature down.

Children can return to school when they have been symptom-free, without fever, for 24-hours, without the use of medication.

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