How long should you let your child have a fever

What to Do When Your Kid Has a Fever

Written by R. Morgan Griffin

In this Article

• What You Should Do
• What You Shouldn't Do
• When Should You Call the Doctor?
• Tips to Take Your Child's Temperature

If you're a parent, it's a scene that's all too familiar. You put your hand on your sick child's forehead and it feels warm. Then the thermometer confirms your suspicion: They've got a fever. But if you follow some simple rules you'll make them more comfortable and keep them safe.

Fever is a defense against infection. Your child's body is raising its temperature to kill the germs. In most cases it's harmless and goes away on its own in 3 days.

What You Should Do

Acetaminophen can lower your child's temperature. If they're older than 2, the dose will be listed on the label. If they're younger, ask your doctor how much to give them.

Another option is ibuprofen if your child is at least 6 months old.

There's a lot you can do to make them feel better. Put a cool compress on their head and keep their room at a moderate temperature -- not too hot and not too cold. Dress them in one layer of light clothing and offer a light blanket. You can also cool them off with a lukewarm sponge bath.

And don't forget -- make sure they drink a lot of fluids.

What You Shouldn't Do

Never give your child aspirin. It can cause a serious condition called Reye’s syndrome.

Avoid combination cold and flu remedies in young kids. They shouldn't be used in children under age 4. In older kids, it’s unclear how well they work.

If you decide to use a cold medicine, check with your pediatrician to be sure your child is old enough for the type of medicine you’re considering. According to the FDA, no child under the age of 2 should be given any kind of cough or cold product that contains a decongestant or antihistamine, and caution should be used even in children who are older than 2. In addition, no child under 4 years of age should be given a product that combines cough and cold medicines. The possible side-effects can be serious and even life-threatening.

If the doctor says it’s OK to use a cough or cold medicine, then read the label before you buy and pick the one that most closely matches your child’s symptoms. Don't switch back and forth between different medications without your pediatrician's OK.

Don't use an icy cold bath or rub your child's skin with alcohol. Either can actually drive a fever up.

And even if your child has the chills, don't bundle them up with thick blankets or clothes.

When Should You Call the Doctor?

Usually, you don't need to take your sick child to the doctor. But sometimes fever can be a serious warning sign. Call your pediatrician if your child:

• Has a temperature of 104 F or higher
• Is under 3 months old and has a temperature of 100.4 F or higher
• Has a fever that lasts for more than 72 hours (or more than 24 hours if your child is under age 2)
• Has a fever along with other symptoms such as a stiff neck, extremely sore throat, ear pain, rash, or severe headache
• Has a seizure
• Seems very sick, upset, or unresponsive

Tips to Take Your Child's Temperature

How often do you need to check? That depends on the situation. Ask your pediatrician. Usually, you don't need to take your child's temperature obsessively or wake them up if they're sleeping peacefully. But you should do it if their energy seems low or if your child has a history of seizures with fever.

Which thermometer is best for kids? Digital ones are best. They can be used in their mouth, rectally, or under the arm.

For young children, a rectal temperature is most accurate. If your kids are age 4 to 5 or older, you can probably get a good reading with a thermometer in the mouth. Under the arm is less reliable but it's easier to do. Remember to add a degree to an underarm reading to get a more accurate number.

Children's Health Guide

1. The Basics
2. Childhood Symptoms
3. Common Problems
4. Chronic Conditions

When to Worry — Children’s Fever Temperature Chart – Cleveland Clinic

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. Certainly, something must be done, right?  

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.  

We talked with Dr. Lim about how to spot a worrisome fever in children and what to do when your child has a fever.  

First thing first. To know if your child is running a fever, you’ll need to take their temperature. But a look at online stores or a trip down the pharmacy aisle can leave you wondering which of those thermometer gadgets you actually need.   

There’s a wide variety of thermometers available, from standard oral thermometers to temporal artery scanners.

“It is 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.” 

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. This fever chart can help you understand the results you’re seeing.

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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.  

When should you not worry about your child’s fever?  

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.  

The following fevers can be monitored at home. If needed, you can also treat them with:  

• Fever-reducing medication such as infant or children’s acetaminophen (Tylenol®). 
• Cool compresses. 
• Plenty of liquids to prevent dehydration. 
• Rest. 

In a child over 4 months, fevers of up to 104 F shouldn’t cause alarm. A mild fever that lasts up to five days is OK for most kids.

If your child’s behavior is relatively normal, you don’t need to be concerned. Monitor them and see if they continue to be playful and if they’re eating and drinking normally. A child with a fever may seem more tired than usual, but if they’re otherwise acting normal, there’s no reason to worry.

Now for the important question: When should you be worried about a fever? Call your doctor in these cases. 

Fevers may be your infant’s only response to a serious illness. Especially in newborns, a low temperature can also be a sign of serious illness. Call a healthcare provider if your baby has any fever or if their temperature drops below 97.7 F (36.5 C) rectally.  

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In babies and children over 3 months, call a healthcare provider if your child’s fever is higher than 104 F (40 C), or if the fever doesn’t come down with a fever-reducing medication.  

Your pediatrician may need to investigate further for underlying causes.  

Infant and children’s versions of medications like acetaminophen can be used at home in babies and children if OK’d by their healthcare provider. The medications should work quickly to reduce your child’s fever. Contact a doctor if your child’s fever continues even after using a fever-reducing medication. 

If your child shows these signs of illness, it’s time to call a healthcare provider:  

• Difficult to arouse.  
• Not taking in enough liquids.  
• Babies who aren’t wetting at least four diapers per day.  
• Older children who aren’t urinating every eight to 12 hours.   

Sometimes, parents’ instincts are meaningful. If you’re uncomfortable with your child’s temperature or illness, call a healthcare provider to discuss it.

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:

• Put your child on their side.
• Do NOT put anything in your child’s mouth.
• Call 911 if the seizure lasts more than five minutes.  

If the seizure lasts fewer than five minutes, call your physician or seek immediate medical attention.  

Three types of parents who prevent their children from growing up

Modern 20-year-olds are accused of excessive infantilism. The reason for this largely lies in the overprotection and micromanagement of their parents. Doctor of Pedagogy and author of Teenager in the House: When You Don't Know What to Say and How to Act Rebecca Derlaine shares how to prepare your kids for adulthood

How to motivate your own children? Where is the line between parental love and total control and guardianship? How to communicate with teenagers? These questions and more are answered by Rebecca Derlaine, a 17-year high school teacher, in Teenager in the House: When You Don't Know What to Say or How to Act. The translation of the book is published by Alpina Publisher in October. Forbes Woman publishes an excerpt about the types of parents who, unwittingly, do not allow their children to grow up.

Finished reading here

Parents who pay for everything

I have taught in schools where parents of students could pay for almost everything in the world. These weren't just wealthy middle or upper class people who are willing to spoil their children - I'm talking about multimillionaires with private jets and five houses.

My student Krystal was from such a family. Her parents made sure that her hair was dyed every six weeks. Her nails were fixed every ten days. She used expensive cosmetics, wore expensive clothes and shoes. On holidays, she went to exotic places and did not know what it was like to fly economy class. She was not even sixteen yet, and she had already received a brand new BMW as a gift - it was waiting for her at the doorstep, decorated with a giant bow.

This was the $60,000 car she learned to drive in, so she crashed it two weeks after getting her license. You ask: and what did her parents do after that? Like what — bought her the next BMW! When the students teased Krystal for being a "caddy" behind the wheel and for having her wrecked car replaced immediately (after all, this is really ridiculous), she lightheartedly replied that she liked the color of the second car better, so everything turned around for the better.

Of course, Krystal did not put the slightest effort into her car, so she was not even upset when she broke it. First, she did nothing to earn money for this car. And since it was one of the many expensive gifts that the girl constantly received, she did not appreciate it at all. Secondly, having broken the car, she was not afraid of the consequences. Mom and dad always rushed to the rescue of Krystal, they had to rush this time too. And it doesn’t matter that she got into an accident because of her own inability: dad’s insurance will cover the damage, and in general, parents should be happy that their daughter was safe. Thirdly, Krystal knew that she would not suffer in any way as a result of her negligence.

The other car will be delivered before it experiences any inconvenience, so the problem will be solved for it. In short, she did not value the car, was not responsible for it, and was not afraid of the consequences. However, I can guarantee that the parents were proud of both the support they gave their daughter and the fact that they provided her with a luxurious life.

Is it any wonder that Krystal never worked anywhere and had no household chores. She was rarely scolded for poor performance. If she had problems with her studies, tutors instantly appeared. I don't know what happened to Krystal after graduation, but I can guess. After all, you probably yourself guess what happens to a child who has not been explained: every decision has consequences and sometimes these consequences hurt.

You may not be as rich and indulgent as Crystal's parents, but ask yourself a few questions. Do you pay for your children's every whim without requiring them to somehow earn their privileges and pleasures? Do you allow your teens to think that after they graduate from college or get a job, they will live the same life that you provide them today? Do they have the responsibility and common sense to work to provide for themselves? Do they understand that they will not always be able to afford everything they want? Are they grateful for what you give them, and do they value their things?

Remember, you don't have to be rich to spoil your kids. If you do not teach them gratitude and the right attitude to work, they may end up being spoiled, regardless of the size of the family income.

Parents who treat their teenagers like children

Parents can show this attitude in a variety of ways. As a rule, at the same time they want to show their love for children by doing something nice for them. I am not saying that this is bad, but it is important to understand that doing everything for children is not really love. This situation harms the child and depresses his self-esteem. High school gives you four years to gradually loosen and remove parental control over children, to give them responsibility for their lives. You will always have the opportunity to demonstrate love for children. But doing everything for them is not the right way, and you should not abuse it.

Andre loved his parents, especially his mother, who carefully controlled his every step in high school. She packed a bag of food for him to school every day, washed his clothes, cleaned his room, and made his bed for him while he was at school. Mom collected and sorted out her son's portfolio, kept his school diary and remembered the deadline for submitting all his works.

Parents took Andre to the cinema, to figure skating classes, to friends - in general, wherever he needed. Their plans depended on André's schedule, but father and mother were fine with that. Andre, you know, too.

What didn't suit him was that his parents treated him like a child in other areas of his life. They spoke to him as if he needed a long explanation of every little thing. They didn't ask for his opinion, but simply told him what he should think, based on long family traditions. They always wanted to know where he was and with whom, and called him almost hourly. Andre had to call his parents every time he got out of somewhere and headed for another place: once when he got out, another when he successfully got there. If he had problems at school, his parents intervened immediately and insisted on meeting with the teacher before Andre tried to deal with the situation on his own. In short, the parents completely suppressed the teenager: sometimes out of concern for him or because they always resolved issues in this way. But the main reason was that since Andre's early childhood, they had not loosened the reins.

I had students who needed to contact their parents during the day. What for? I have not the foggiest idea. But imagine the picture: in the middle of the lesson, the phone rings. I go to the student to take the device from him, and whose name do I see on the screen? MOTHER. There was no way in the world I could have guessed why parents would need to tug at their child during lessons. I know mothers who are ready to drop everything and run to school to bring their child a forgotten breakfast. I've seen them pick up kids from school and wait in cars for an hour instead of letting their fourteen-year-old kids get on the school bus and drive home in ten minutes. The level of overprotection is amazing, and children perceive it very painfully.

They love to be taken care of, it's nice to know that their parents care about them, but they hate to be treated like babies. Prepare your kids' favorite meal for dinner, sign them up for driving classes, support their social circles, and keep your home open to their friends.

But please don't take care of them like babies. By doing this, you are doing them a disservice, depriving them of the opportunity to grow up and make decisions on their own.

Parents who do not prepare their children for the future

This group is the easiest to get into, because the time you are destined to spend with your children flies by instantly. It is easiest to do what you have always done, because it takes a lot of effort to think and plan for change. It is unlikely that in your diaries there is an entry like: “Sit down and calmly analyze whether I am coping with my parental responsibilities.” And even more so, it is unlikely that such a record is repeated in it monthly or weekly. I encourage you to reflect regularly on how you are helping your children prepare for an independent future when you can no longer be around to give advice and guidance.

I interviewed more than a hundred of my students, current and former. I asked them one question: in what area do they not feel independent. The most common answer was: "Finance". Did you know that most high school students don't know how to write a check? If their parents set up bank accounts for them, then the children, as a rule, cannot say anything about these accounts. That is, they do not know the amount on the account, they do not know if any fee is charged for servicing these accounts, they are not interested in how much interest has accrued. Most teens don't have their own credit cards, which I understand, because parents are terribly afraid that their children will make expensive purchases, run into debt or fail to top up their account on time and run into huge penalties. This is a real cause for concern, but there is a relatively simple solution to such a problem: before handing a credit card to a child, teach him everything necessary. Start with the main thing - choose a card with a low credit limit for it.

There are credit cards designed specifically for schoolchildren, they have a low credit limit, additional protection against hacking and preferential terms for newcomers who forget to pay off their debt on time. Explain to the children how and when to use this card. Treat this explanation as a learning task - that is, every word should be extremely clear.

The same applies to the checkbook and debit card. And don't assume, as I once did, that your kids understand the difference between a debit card and a credit card. Probably not. Again, explain to them when to use each of them and when not to. Today's kids love to shop online, and they're bound to use debit cards to do so until you give them all the reasons why they shouldn't. Once in college, most of them will order textbooks online. They need to know how to use a credit card responsibly and how to recognize reliable websites and merchants. In general, kids need to be taught how to handle money properly. This means that they must keep their checks, credit cards, and debit cards in a safe place; review monthly bank statements for errors; save and view receipts for purchases; know the rules and restrictions of your cards and your bank; be able to fill in and out bank orders, etc. It is necessary to discuss with the children where the money comes from and where it goes. Then your children, having entered independent life, will be quite competent in basic financial matters.

If you have not yet explained the "money matter" to them, you should do so as soon as possible. Suppose your children are working, then convince them to set aside a certain amount of each salary, at least five dollars. Explain to them as early and convincingly as possible that this is necessary. There has always been a rule in our family: money must be spent responsibly. However, the child could always spend the donated money as he wanted, unless the donor specified some specific purpose for this money. Your children, like adults, should have the right to receive cash gifts, so give them money from time to time. The main thing is to treat teenagers in financial matters as adults. Let them listen to you and benefit from your experience. Constantly remind them how important it is to handle money properly, but do not deprive them of the opportunity to enjoy unexpected luck. This will teach them that money is a necessity, but it can also bring joy. They must understand that they must first secure what they need, then set aside some amount for the future, and only then spend money on a whim. Imagine how much better our economy would feel if every parent taught this lesson to their children.

An added bonus here is that when you trust teenagers with some financial responsibility and freedom, they appreciate your belief in their abilities and try to act like adults.

• “Children have always been marginal family members.” Marina Melia about the problems of education
• Is it possible to succeed in life if you were not loved in childhood
• The generation of anxious parents. How not to take away the taste for life from your child

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