Pediatrics

High fever in baby what to do?

Baby
Written by med

When the child has a high fever, parents anxious. What’s the matter, what to do?

Clearly and secretly

We always put a baby thermometer when I noticed the “disorder”: the baby suddenly became lethargic, cranky, complaining that something hurts, do not want to eat. What can “tell” a high fever? It depends on what symptoms accompany it. If it is:

Viral or bacterial infection

  • runny nose, cough, ear pain, throat;
  • diarrhea, nauseam or vomiting, stomach pain, burning when youurinate;
  • a rash on the skin.

A reaction to the vaccine

  • seal at the injection site;
  • allergic reactions.

Appendicitis and other acute States:

  • pain in the abdomen;
  • vomiting, diarrhea;
  • shortness of breath.

Sometimes the temperature can rise, and the symptoms are hidden — for example, with neurological and certain other diseases. Therefore, if the temperature of the child is held above 38.5° longer than two days, and he did not complain, be sure to show it to your doctor, to make tests of blood and urine testing.

IMPORTANT! I need to call the doctor if:

  • the temperature of the child rose to 40°C and above;
  • he has a deep cough, and before he was sick with pneumonia;
  • the increase in temperature is accompanied by severe vomiting and diarrhea;
  • there is a chronic disease of the heart, lungs, kidneys, nervous system or blood.

High fever — friend or foe?

High fever is fighting with the disease on two fronts. First, the body produces interferon – specific protein, which neutralizes the viruses. Second, at high temperatures, the pathogens cease to reproduce. Therefore, infectious diseases pediatricians often recommend not to reduce the temperature in the first days of the disease if it does not rise above 38.5-39 deg.

But no rules without exceptions. For some children, even 37 with a small tail – problem. For example, the child to give antipyretics, if he suffers from a neurological disease, otherwise it may lead to the so-called febrile convulsions.

However, they can begin in the case, if the temperature rises very fast and reaches 38-40 degrees. (children up to 6 years in older age it is rare), Attack develops rapidly: the child quickens the heartbeat, there is a “dog” breath (frequent and superficial breath), he stretches, starts, jerking of the body. Seizures can last from several seconds to 15 minutes and in most cases harmless to the baby. If seizures last longer, be sure to seek the advice of a neurologist.

IMPORTANT! When febrile convulsions:

  • make sure that the child did not bury my head in the pillow;
  • as soon as the attack stops, immediately give him an antipyretic;
  • will call an Ambulance.

Often the paramedics offered admission — do not give up, the attack could happen again. Cramps can sometimes be one of the manifestations of impaired brain function, so you need to make elektroentsefalogrammy or ultrasound of the brain.

What to do if the temperature, after all, need “down”?

Give the child fever:

  • before the year is best to give the drops;
  • after a year or suspensions or syrups. It is convenient to use candles — they have no effect on the intestinal mucosa;
  • children older than 8 years can be given antipyretics soluble effervescent tablets or normal.

IMPORTANT! Febrifuge Reuse is possible not earlier than after 4-5 hours after the previous reception.

Do not use as an antipyretic aspirin! When a viral infection (in children up to 12 years old) it can cause a dangerous complication — Reye”s syndrome that attacks the brain and the kidneys.

Do not coddle the child
To reduce the temperature needed to “release” and has already accumulated heat. So after you gave the child an antipyretic, put on his pajamas, remove a mask and cover with a light blanket. If he sweats, change your underwear.

Eat less and drink more
At high temperature most of the children refuse to eat. This is the normal function of digestive glands in diseases of reduced. Do not likening the child to eat anything, even a banana or an Apple can cause vomiting. But drinking plenty of fluids is necessary — at high temperatures, the body loses a lot of fluid. Suitable for water, weak tea with lemon, cranberry, even better cranberry juice (it has antibacterial action), compotes.

IMPORTANT! At high temperature it is not recommended to give juice, they can trigger diarrhea.

In the recovery period, take the time often to feed the child, even if it “cut out” a good appetite. On the first day when the temperature has become normal, it is best to give it a semi-liquid, light meal: soup, cereal, air, curd, etc. within 2-3 days return to familiar food.

Expert answers to frequently asked questions

How to measure the temperature of babies by introducing the thermometer into the anus?
Lubricate the tip of the thermometer with vaseline and insert it 3 inches into the anus of a baby. The child should lie on his stomach. Normal rectal temperature is considered an indicator within -37,7 36,6 degrees.

For the older children – it is better to use a conventional or digital thermometer? What metrics exactly?
The most accurate figures can be obtained by measuring temperature in the ear special infrared thermometer. 40 years ago it was proved that this is the most accurate method even compared to rectal. Normal temperature in the ear temperature is considered to be a 35.8 – 37.8 degrees.

Are the temperature, if you measure the temperature in the anus and under the mouse?
Yes, they are. Normal temperature in the measurement in the armpit is considered to be of 35.7 — 37.3 degrees rectally is 36.6 — 37.7 degrees.

What temperature is considered normal?
Considered normal body temperature from 35.5 to 37 degrees. In this minor deviation from these parameters by 0.5 degrees can also be considered the norm.

What time, it is better to measure it by controlling the condition of disease?
The temperature of the human body (not only sick, but healthy) changes during the day. Since accurate treatment of the doctor is not interested in the accuracy of the indicators themselves up to the degree, namely the daily fluctuations of temperature, to measure it is necessary several times a day. First time – in the morning, the second day, about 16-17 hours, and the third evening, about 20-21 hours.

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