High fever in infants and children

High fever in infants and children

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Fever associated with infectious diseases is not a disease alone but a finding. Child Health and Diseases Specialist Contact Murat directly Ğinden Since there may be signs of underlying disease, the real cause of fever needs to be found, or he says.

Are infectious diseases common in infants?

Infectious diseases are most commonly seen in infants and children under 3 years of age who have not yet completed their immune system maturation. In this respect, it is important that parents know how fever occurs, how it is measured and evaluated, what signs and symptoms of severe bacterial infections that cause fever, when and how to treat them.

Why does fever occur in babies?

Fever occurs when the body identifies and battles different viruses, bacteria and other microorganisms. The most common cause of fever in infants is infections; Children in the first five to six years of their lives may very often experience febrile illness due to viral infection. If fever is suspected, your child's body temperature should be measured.

The body temperature felt by touching the forehead of the child is not reliable, thermometers are more sensitive than your hand and measure the actual body temperature. When body temperature rises above normal levels, it is called fever. The average normal body temperature for humans is 37 ° C. People control their internal body temperature very well. The hypothalamus in the brain balances body temperature by acting as a thermostat. When the hypothalamus sets the body temperature to a high temperature, fever occurs.

What is the reason of this?

Adjustment to a high degree is caused by small molecules called pyrogen in the blood. Pyrogens may come from external sources such as bacteria, viruses or toxins. In some cases, increased body temperature helps fight infection, but this is not always the case.

Fever in infants How many degrees should it be?

If your child's body temperature; above 38 ° C in the rectum, 37.8 ° C in the ear, and 37.2 ° C in the armpit.

How is fever treated in infants?

The treatment is wrongly applied by the families, which is very well known. Considerations for treatment include:

• All babies aged 3 months or younger must be medically evaluated.

• In order to prevent thirst, the body fluid should not be left incomplete. High fever, especially in young children, can cause dehydration by causing rapid water loss. Water, soup, fruit juices are good options. Drinks such as cola and tea containing caffeine should be prevented from drinking as it will cause water loss due to the diuretic effect.

• Children who do not want to eat should not be forced to eat. Acceptable amounts of what your child wants to eat should be allowed.

• Children who go to school should rest at home until the fever does not rise for 24 hours.

• Applying wet and warm compresses to the forehead, temples, armpits, groin and back of the legs is a very effective method to reduce fever. Cold water and alcohol should not be used, as this will cause tremors that may cause a further rise in fire. The applied compresses should be changed frequently.

• Excessive clothing may cause fever to rise, so children should be dressed very little, and clothes should be further reduced while sleeping. It should not be forgotten that fever can not be reduced by sweating method and it can be done more harm.

• Most feverish children with a body temperature of less than 38.9 ° C; if the child's general condition is good, he or she may not need medication. If fever above 38.9 ° C, antipyretics containing acetaminophen or ibuprofen may be given according to your child's age and weight. If you do not know the recommended dose according to your child's age and weight, you should consult your doctor.

Aspirin is not recommended as antipyretic in children aged 12 years or younger as it causes a disease with sudden liver and brain damage known as Reye's syndrome.

When should I call the doctor in case of fever in infants?

Fever that will activate you to call your doctor; it varies according to your child's age, current illness, and the presence of other symptoms associated with fever. In this respect, the best way to discuss your child's condition is to consult your doctor. However, in some cases it is necessary to call the doctor immediately. Emergencies include:

• If your baby's temperature is 38 ° C or higher from the rectum for 3 months or younger,

• A fever of 38.3 ° C and above in a 3-6 month old baby,

• 40 ° C fever is measured in a baby older than 6 months

• If your child has persistent crying with fever, persistence of fever despite falling fever, constant drowsiness, blurring of consciousness and delirium, redness in the body with fever,

• If the baby has signs of thirst (such as lack of tears when crying, collapse of the pinhole, lip and mouth dryness, decrease in urine volume),

• If he / she has had a previous or hot fever,

• If the fever persists for more than 72 hours,

• If you have fever with cough, ear pain, sore throat, stiff neck, frequent urination, change in urine color, abdominal pain, vomiting, diarrhea, redness of joints, limitation of joint movements and swelling, you should call your doctor.


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