Fever in infants and children

One of the most feared situations for parents is the fever of their children. In fact, fever is a normal response of the body against bacteria and viruses that often enter the body. If carefully controlled, it is a useful defense mechanism.


How should fever be measured and what is normal?

In rectal measurements, it can be accepted as normal as 38.2C. Glass thermometers are no longer recommended due to the toxic effects of mercury in case of breakage in all measurements, whether rectal or armpit. For underarm measurements up to 37.2C, for rectal measurements up to 37.8C, values ​​up to 38.2C are considered normal. It should not be forgotten that ambient temperature and wearing thick also increase body temperature. In armpit measurements, care should be taken to ensure that the skin is dry and that the temperature touches the armpit for sufficient time. A measurement made from a humid armpit may give a false low result.


Why do children have a fever?

The most common causes of short-term fever lasting 3-5 days are upper and lower respiratory tract infections, infections with diarrhea and vomiting in the gastrointestinal system, and urinary tract infections, especially in girls. Apart from these, otitis media, pneumonia, meningitis, rheumatic diseases, malignant diseases can cause fever. Children may have a mild fever after some vaccinations and during teething periods.



In which situations should I go to the doctor?

  • All febrile children under 3 months should definitely be taken to a doctor.
  • If there is a rash on the skin with fever
  • If his restlessness continues despite his fever
    Is breathing hard and often
  • Cough, wheezing, ear pain, abdominal pain, sore throat, persistent vomiting, frequent
  • diarrhea, burning while urinating, change in urine color, feeding difficulty
  • If your fondant has a bump and swelling
  • If your child is less than 2 years old, has a fever for more than 24 hours, if over 2 years old for more than 3 days
  • If there are signs of fluid loss such as dryness in the mouth, absence of tears, drooping
  • of the eyeball and fontanel, decreased urine
  • A doctor should be consulted without delay.


How to reduce the fever?

It is normal for a child to chill when fever is rising. Thick clothes cause the child’s temperature to get higher. For this reason, the child should not be dressed in thick clothes and should not be covered on the grounds that it is cold. The temperature of the room where the feverish child is located should be kept between 21 and 22 degrees. Fever increases sweating and respiratory rate, leading to an increase in fluid loss. The child should be given plenty of fluids. If the fever is very high, you can dressing with warm water (29-32 degrees) or occasionally take a bath, but never wrap the child in a cold wet towel or linen, or put the child directly under a cold shower. In addition to these applications, it can be used in antipyretic syrups and suppositories at a dose suitable for the age and weight of the child. One of the points that should not be forgotten is that aspirin should not be used as an antipyretic in children.


What is febrile convulsion (fiery convulsion)?

At the time of febrile convulsion, up to 30% of families are unaware that their child has a fever. It is frequently seen in children between the ages of 6 months and 5 years. Fever is usually above 38C. Although hot referral is a very scary situation for families, it is not a stop that harms the child. Contrary to popular belief, febrile convulsion does not cause epilepsy, does not cripple it or cause death. In a child with febrile convulsions, spasm, splash, bruising, crossed eyes, loss of consciousness may develop. In this case, the first thing to do is to be calm. It is comforting to know that this situation will not cause any permanent damage to the child. In such a case, the child should be prevented from hitting left and right and falling and harming himself. You can hold your child in your lap and keep his back facing you, his head turned sideways and his head slightly down. Keeping the airway open is the right move to apply to the nearest health center. 90% of febrile convulsions stop spontaneously within 10 minutes.

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