Fever is one of the most common reasons parents take their children to the Emergency Room. For most children, a temperature of 100°F and above is considered a fever. While it can be scary, fever is usually a normal response that helps the body fight infection. Many beliefs about fever are based on myths rather than facts. Understanding how to manage a fever and when to seek medical care can help parents care for their children when they are sick.
Common Fever Myths vs. Facts
Myth: Fever is dangerous.
Fact: Fever is a symptom, not an illness, and is usually part of the body's normal immune response when there is an infection.
Myth: High fever means a serious illness.
Fact: A child's behavior and overall condition are more important than the temperature alone.
Myth: Every fever needs medicine.
Fact: You should consult your child’s medical provider when deciding whether or not to treat the fever with medicine.
Myth: Fever causes brain damage.
Fact: Fever from infection rarely causes brain damage.
Myth: Teething causes fever.
Fact: Teething may slightly raise a baby's temperature, but does not cause a true fever which is 100.4°F or higher.
Myth: Antibiotics treat all fevers.
Fact: Most childhood fevers are caused by viruses, so antibiotics which are used to treat bacterial infections, are usually not needed.
Fever Management
- Encourage fluids and rest. Sometimes kids do not want to eat so you can encourage popsicles, pedialyte or other hydrating snacks and drinks.
- Dress your child in lightweight clothing.
- Use acetaminophen or ibuprofen (for children over 6 months) if they are uncomfortable or have pain. Consult your child’s medical provider before giving medication.
- Never give aspirin to children.
- Avoid cold baths.
- Watch how your child is acting, eating, drinking, and breathing.
When to Seek Medical Care
- A baby younger than 3 months has a fever of 100.4°F or higher.
- Your child has difficulty breathing, is difficult to wake, has a seizure, or shows signs of dehydration.
- Fever lasts more than 3 days or you are concerned about your child's condition.
- For most children, a temperature of 100°F and above is considered a fever. It is important to monitor concerning symptoms associated with fever which can include:
- Difficulty breathing
- Confusion or difficulty waking up
- Severe headache with a stiff neck
- Seizures
- Persistent chest pain
- Fever lasting more than 3 days or recurring without an obvious cause
If your child is experiencing any of the above symptoms accompanied by a fever, please seek medical attention.
Most fevers in children are not harmful and can be safely taken care of at home. Focus on keeping your child comfortable, hydrated, and monitoring how they are feeling rather than just the number on the thermometer. Knowing the facts about fever can help reduce anxiety.
Resources
- American Academy of Pediatrics. Fever and Your Child.
- Centers for Disease Control and Prevention (CDC). Fever in Children.