What Do You Know About Fever?
One minute you're hot; the next, you're chilled and your teeth chatter.
You've got a fever. See how much you know about fever, what causes it, and the best
ways to
treat it.
2. A child’s body temperature will show as the same number, no matter if it’s measured
by mouth, in the armpit, or in the rectum.
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A person’s temperature
varies depending on how it’s taken. Check with your child’s healthcare provider to
find
out what temperature they consider a fever. Some providers say that a child is
considered to have a fever if their temperature is 99.5°F (37.5°C) or higher by mouth,
99°F (37.2°C) or higher in the armpit, or 100.4°F (38°C) or higher in the rectum.
If you
use a thermometer that's put in the ear (tympanic) or held near the forehead (temporal),
ask your provider what temperature means a fever on that device. Ask your child's
provider for a handout so you'll remember the temperature numbers when your child
is
ill.
5. A baby 8 weeks old or younger who has a rectal temperature of
100.4°F (38°C) or higher should see a healthcare provider right away.
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A fever of this temperature is considered urgent and could mean a medical emergency.
Take your baby to their healthcare provider or to the emergency room right away.
Don’t give your child any fever-reducing medicine unless your provider tells you
to
do so. These medicines can mask symptoms that your provider wants to see to help with
a diagnosis.
If your baby is younger than 3 months and has a fever of more than 100.4°F (38°C),
you should see your provider right away. Follow your provider's instructions for
treating fever or being seen at an emergency room.
If your child has any of these symptoms, seek care for them right away:
- Fever of 104°F (40°C) or higher
- Lethargy. This means your child is limp or unresponsive, or won’t make eye
contact or interact with you.
- Irritableness. This goes beyond fussiness. It means that your child can’t be
comforted and cries for extended periods of time.
- Stiff neck or pain in the back of the neck along with a high fever. This may
mean meningitis. Other symptoms of meningitis include vomiting, headache, and
sensitivity to bright lights and loud noises.
6. A person with a fever and chills should dress in warm clothes or stay in bed under
lots of warm blankets.
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These things can raise a person’s body temperature by trapping body heat. Lightweight
clothing and lightweight bed coverings are best. These allow body heat to escape and
help to not raise a person’s temperature. If a person’s body temperature gets too
high, it can cause serious problems. In a child, it may cause a febrile seizure. In
children and adults, it can cause damage to the brain and other organs.
7. There are no medicines that can reduce a fever. You just have to wait for a fever
to go away on its own.
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Acetaminophen and
ibuprofen can lower a fever in both children and adults. These medicines won’t make
an
illness that causes fever to go away, but they can help lessen the discomfort of a
fever. Talk with your child’s healthcare provider before giving any medicine. You
should never give aspirin to a child.
8. Eating or drinking just before taking your temperature doesn’t affect the reading
of an oral thermometer.
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Hot or cold food and drinks can affect the temperature reading in a person’s mouth.
You should take your oral temperature at least 20 minutes after you eat or drink anything.
9. A person under age 19 with a fever should never be given aspirin.
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When someone under age
19 with a fever is given aspirin, it can lead to a rare but very serious disease called
Reye syndrome. Reye syndrome is a condition that causes pressure in the brain and
fat to
build up quickly in the liver and other organs. It only follows a viral infection,
such
a cold, the flu, or chickenpox. Taking aspirin can trigger it. Symptoms include
vomiting, lethargy, confusion, convulsions, and loss of consciousness. It can cause
coma
and even death. Make sure to read all medicine labels to see if they contain aspirin.
Look for the words acetylsalicylic acid or salicylate.
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