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Caring for a Child with Fever | NHS

Understanding Fever in Children

Fever is a common response to infections and other illnesses, typically indicating that the body is fighting off an invader. While it can be concerning for parents, it's important to remember that fever itself is usually not harmful. In the UK, the NHS provides comprehensive guidelines on managing fever in children to ensure their safety and comfort.

Measuring Your Child's Temperature

To accurately assess your child's fever, use a digital thermometer. For infants under 5 years, measuring temperature under the arm (axillary) is recommended. For older children, you can also use ear (tympanic) thermometers. A fever is generally considered to be a temperature of 38°C (100.4°F) or higher. Always follow the manufacturer's instructions for proper usage.

Managing Fever at Home

Most fevers can be managed at home with simple care and monitoring. Here are some steps to follow:

  • Keep Them Hydrated: Ensure your child drinks plenty of fluids such as water, fruit juice, or oral rehydration solutions to prevent dehydration.
  • Dress Comfortably: Dress your child in lightweight clothing and avoid heavy blankets to help regulate body temperature.
  • Medication: You can use children's paracetamol or ibuprofen to alleviate discomfort and reduce fever. Ensure you follow the dosing instructions based on their age and weight.
  • Rest: Encourage your child to rest as much as possible to help their body fight off the infection.

When to Seek Medical Advice

While many fevers can be managed at home, certain symptoms may require professional medical attention. Contact your GP or NHS 111 if:

  • Your child is under 3 months old with a temperature of 38°C (100.4°F) or higher.
  • Your child is 3 to 6 months old with a temperature of 39°C (102.2°F) or higher.
  • Fever persists for more than 5 days.
  • Your child appears unusually drowsy, unresponsive, or irritable.
  • They have difficulty breathing, persistent vomiting, or a rash that doesn't fade when pressed (non-blanching rash).

Preventing the Spread of Infection

Good hygiene practices can help prevent the spread of infections that cause fever. Teach children to wash their hands regularly, cover their mouth and nose when sneezing or coughing, and avoid close contact with sick individuals. Maintaining a clean environment also plays a crucial role in prevention.

By following these guidelines, you can effectively care for your child during a fever and ensure their health and well-being. Always remember that the NHS is here to provide support and information when you need it.

Frequently Asked Questions

What is considered a fever in a child?

A fever is usually considered to be a temperature of 38°C (100.4°F) or higher.

How should I check my child's temperature?

You can check your child's temperature using a digital thermometer, armpit (axilla) thermometer, or ear (tympanic) thermometer. Avoid using mercury thermometers.

When should I be concerned about my child's fever?

If your child is under 3 months old and has a temperature of 38°C (100.4°F) or higher, or if your child is between 3 and 6 months old and has a temperature of 39°C (102.2°F) or higher, you should seek medical advice. Additionally, seek help if your child has other symptoms like a rash, difficulty breathing, or persistent vomiting.

What are some common causes of fever in children?

Common causes include infections such as colds, flu, ear infections, urinary tract infections, and other common childhood illnesses.

How can I help reduce my child's fever?

Ensure they rest, keep them hydrated, dress them in light clothing, and give them paracetamol or ibuprofen if they are distressed or unwell, following the dosage instructions.

Is it okay to give my child a cold bath to reduce fever?

No, do not give your child a cold bath as it can cause shivering, which may actually raise their body temperature further.

Can teething cause a fever?

Teething might cause a slight increase in temperature but it is unlikely to cause a significant fever of 38°C (100.4°F) or higher.

When should I seek immediate medical attention for my child’s fever?

Seek immediate medical attention if your child has a seizure, a purple or red rash, difficulty breathing, persistent vomiting, or signs of dehydration like crying without tears, a dry mouth, or fewer wet nappies than usual.

Should I use a fan to cool my child down?

Using a fan to gently circulate air can be comfortable, but do not aim it directly at your child to avoid making them too cold.

What should my child drink when they have a fever?

Encourage your child to drink plenty of fluids such as water, diluted juice, or oral rehydration solutions to prevent dehydration.

Can I alternate between paracetamol and ibuprofen to manage my child's fever?

It is generally best to stick to one medication, either paracetamol or ibuprofen, and follow the dosing guidelines. Consult with a healthcare professional before alternating medications.

What should I do if my child's fever doesn't go down with medication?

If your child's fever persists despite medication or they appear very unwell, seek medical advice from your GP or NHS 111.

How long will my child's fever last?

Most fevers caused by common infections will last 3-5 days. If the fever persists longer or if you are worried, contact your healthcare provider.

Should I keep my child away from school or nursery if they have a fever?

Yes, keep your child at home if they have a fever. They should return to school or nursery only once they are feeling better and have been fever-free for at least 24 hours.

Can vaccinations cause a fever?

Yes, it is common for children to develop a mild fever after vaccinations. This usually subsides within a couple of days. Follow your healthcare provider's advice on managing post-vaccination fever.

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