Fever – children

Summary- A fever happens when the body's temperature is higher than normal because of an infection or virus. Fever in children is not usually serious, although it can sometimes cause fits or seizures, known as febrile convulsions.

A fever happens when the body’s temperature is higher than normal because of an infection. Normal body temperature is around 37°C. Fever is usually caused by a virus or bacteria. Fever is a way in which the body fights infection. It is not always dangerous and does not always indicate a serious illness.

Signs and symptoms of fever Fever causes an increase in the heart rate, breathing rate and blood circulation to the skin. This is how the body tries to reduce the heat caused by fever. The symptoms of fever can include: Feeling and/or looking unwell Feeling hot to touch Sweating or clammy skin Shivering Chattering teeth Flushed face. Using a thermometer If you suspect that your child has a fever, you can use a thermometer to measure their temperature. Remember, though, that body temperature is better used as a guide than a reliable indicator of illness for babies and young children - a child might have a mild temperature according to the thermometer (slightly over 37°C), but may seem happy and healthy. There are several types of reliable thermometers available, which come with instructions on how to use them. They are available from your chemist. If you are in doubt about which one to choose for your child, or have questions about how to use it, ask your pharmacist to explain. When to see your doctor Trust your own instincts, but seek medical help if your child: Is aged six months or less Has a rash Has a fever of 40°C or more Is still feverish after a day or so, despite four-hourly doses of baby paracetamol Vomits or has persistent diarrhoea Refuses food or drink Cries inconsolably Seems listless, floppy or just looks ill Convulses or twitches Has trouble breathing Is in pain If you feel at all worried or concerned at any stage, consult with your doctor. Treatment for a fever Dress your child in light clothing. Give drinks of clear fluid (like water). Keep your child cool. Give paracetamol in the correct dose for the child’s age (but not more than four doses in a 24-hour period). Do not give regular paracetamol medicine for more than 24 hours without seeking advice from your doctor. See your doctor if your child is three months or younger. Don't give your child a cold bath. Give a lukewarm bath or sponge. Cold water cools the skin but does not lower the body temperature. From Better health Channel.