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Wednesday, May 14, 2008

Don't be fever phobic
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Ms. W brings in her 4-year-old, who has had a fever of 102.8 for two days. "I'm worried sick. I can't get the fever down. I've given ibuprofen and acetaminophen, luke warm baths.
But as soon as the fever goes down, it's soon back up again.
I'm afraid the fever will cause some kind of damage."

**********

Of course, Ms. W is right to be concerned. But her worry is misplaced. Rather than fear the fever itself will cause harm, what she (and I) should be worried about is the cause of the fever.

Ms. W is one of the world's gazillion fever-phobes. Don't you be one too. In case you are, let me talk you out of it.

**********

Normal temperature regulation without illness.

Deep inside the brain (in the "hypothalamus") is a temperature center, sort of like the thermostat in your house. Its job is to try to keep the blood at a constant temperature (typically 98.6, although this can vary by a degree or so in either direction).

  • That's why it is good to take your baby's/child's temperature a few times when s/he is fine. It may be that his/her normal temperature is really 97.8, so that 99.8 could signify a fever.
  • Usually we say someone has a fever if the temperature inside the body is 1.5 - 2 degrees higher than usual.
  • Most pediatric providers will call it a fever when the rectal temperature is higher than 100.4 degrees Fahrenheit or 38.0 degrees Centigrade.

When the blood becomes colder than the 'set point', the temperature center orders the body to increase its metabolism (e.g., increase heart rate, digest some fat), which then raises body temperature. If the blood is a little hotter than the set point, the metabolism slows until the desired temperature is reached. (I'm simplifying a bit - blood flow to the skin, sweating, etc. may increase or decrease also.)


**********

Fever caused by illness.

There can be many causes for a fever (such as dehydration, over-bundling an infant, a very hot day). But, usually, fever = infection.

The immune system of the body senses a 'foreign invader' (such as a bacteria or a virus) and sends chemical messages to the temperature center to crank up the heat inside the body. This is a good and smart thing to do because:

  • Some bacteria and viruses don't like the higher temperature and so are more easily destroyed by the immune system.
  • The faster metabolism provides more blood and infection-fighting white blood cells and other chemicals to ward off the infection.
  • The higher temperature may make the immune system elements more effective killers of the germs.

So repeat after me: fever is our friend, fever is our friend... It lets us know that an infection may be brewing, and, at the same time, it helps to fight off that infection. And that infection-induced fever doesn't go high enough (typically >106.5) to carry a risk of causing damage to the brain and body.

**********

Then why treat a fever?

The body's thermostat is rarely satisfied; it usually wants the temperature in the body to be a few degrees warmer than it is. That's why we feel cold or chilled when really we are already too warm. Hence, the main reason to treat a fever: to make your child feel more comfortable. Period.

**********

    A few caveats

    • This discussion does not apply to children who have seizures with fever ("febrile seizures"). They need their fever to be managed more aggressively to try to prevent recurrences.
    • Any fever in the first months could indicate a possible significant infection requiring immediate attention.
    • Don't get too caught up in the exact temperature. While it is true that higher fevers may signify a more worrisome infection, more important are your child's symptoms, such as respiratory distress, irritability, listlessness, lethargy, poor feeding, fewer interactions with then environment, rash, vomiting, diarrhea, etc. I'm much more worried about a listless child with a temperature of 101, than a smiling playful one with a temp of 103.
    • If your baby/child looks sick in any of the ways mentioned above, call your pediatric provider, even if the temperature is not high enough to be called a fever.


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    Posted by: Dr. Parker at 5/14/2008 02:14:00 PM

    61 Comments:

    Blogger Clark Bartram said...

    I haven't encountered it yet in pediatrics but there is an bogus entity knows as Wilson's Temperature Syndrome(http://theclayexperience.blogspot.com/2005/11/wilsons-temperature-syndrome-this.html) that many people swear by. Ever come across this one before?

    Apr 20, 2006 9:42:00 PM  
    Blogger Flea said...

    I agree with everything you've said and the way you've said it, Steven, with one exception.

    The bit about newborns was vague. Tell the folks what ages you're talking about, what temperature you're talking about, and what do you mean by "immediate attention".

    Folks in my community define "immediate attention" as "go to the emergency room".

    best,

    Flea

    Apr 21, 2006 5:13:00 AM  
    Blogger Clark Bartram said...

    Flea,

    Do you perform LPs in your office? The majority of newborns with a fever should get one and be admitted for at least 48 hours. What are your thoughts on this?

    Apr 21, 2006 8:00:00 PM  
    Blogger Flea said...

    Clark,

    Please don't ask me to whip out the EBM! It's Saturday morning and I'm not supposed to be on the computer at all.

    LP for rectal T>= 38F 28 days or less, regardless of appearance. After that, the EBM gets fuzzier.

    best,

    Flea

    Apr 22, 2006 7:13:00 AM  
    Blogger Kelly said...

    Kudos!

    I'm really happy to see a post like this one, simply because it only justifies what I've been doing for a while now. And that's not to toot my own horn. But it helps to have some verification of how you handle things. Especially since I've been eyed suspiciously for handling a fever exactly how you described. One just over the holidays (was fifth's disease)

    There is an enormous amount of fever phobia out in "parent's world", like you said. I don't even HAVE a thermometer in my house (I know, bad bad, but the dog ate it, literally) --mild fevers don't usually even phase me at all, and the higher ones are very easy to spot without the thermometer. If it IS one of the higher ones, then I MAY give tylenol IF I sense it will help my child cope better. I'm not trying to be heartless, I just want the body to do it's job. There are so many other symptoms that parents need to watch out for rather than the fever: not wetting a diaper, vomiting, rashes, lethergy.

    Perhaps if more pediatricians would run a campaign that would teach the more problematic signs, then more parents would "chill out" over a helpful fever!

    Apr 24, 2006 12:02:00 AM  
    Blogger Flea said...

    Kelly,

    If your fully-immunized child is over 6 months old, I give you permission to feed your thermometer to the dog.

    best,

    Flea

    Apr 24, 2006 5:18:00 AM  
    Anonymous Anonymous said...

    I need to get my husband to read this!

    Thanks for a nice clear decription of what I've been trying to tell him.

    Apr 30, 2006 2:59:00 PM  
    Blogger Spencer Reynolds said...

    What about the flip side? I have a 3 year old that every time he eats (breakfast, lunch or dinner) he gets cold. I have not taken his temperature, but he is actually cooler to the touch and he cries about being cold. Has anyone ever run into this before? We would love to find some info about this.

    Sep 4, 2006 8:35:00 AM  
    Anonymous Anonymous said...

    Doctor: I am a 63 year old woman and my body temperature is consistently 96 to 96.8 degrees. I am cold a lot of the time and once I get cold it is very hard for me to warm up. My fingernails are bluish most of the time. I work out 3 X's a week with weights, am very active, and I do not have diabetes or any other disease. What can I do to raise my body temperature and get my circulation going better? This has been on on-going problem for the past 30 years! Thanks, Cool One

    Feb 22, 2007 7:43:00 PM  
    Anonymous Anonymous said...

    I had an 108 degree farenheit temperature one time. I heard one time that anything over 104 degrees farenheit would cause brain damage and would literally "cook" your brain. Is there any truth to this possible "myth"?

    Feb 26, 2007 6:44:00 PM  
    Blogger WebMD Blog Admin said...

    anonymous 6:44pm: Here's some information about fever seizures which will help you to understand how fevers work in relation to the brain.

    Feb 26, 2007 7:00:00 PM  
    Anonymous Anonymous said...

    My 3 year old and 1 year old have fevers frequently and the fever rises quickly. My 3 year old has had 2 fever seizures and my 1 year old has had 3. I freak out when they start a fever!!! My husband had fever seizures until he was 12 yrs old! I know it is most likely genetic...but is there another possibility why they are getting fevers so frequently and a seizure every time (unless I catch it in time)??? HELP a worried mom!

    Mar 10, 2007 6:11:00 PM  
    Anonymous confused said...

    My 4 month old had 101 after his shots which didn't worry me. Then after 24 hours of fever and fussiness and tylenol to comfort him, his temp dropped from 99.9 to 96.1 his normal is around 99.0 should I worry? What is a low temp indicate?

    Mar 12, 2007 1:14:00 PM  
    Anonymous Anonymous said...

    Our 2 year old child had a fever which spiked to 107+ I was at work so I called 911 and got ambulance to house and went to emergency room. We get there and doctor says it's a viral infection, of course by the time we got him there his temp was down to 101. My wife takes him to our doctor on monday and he says children can run a temp of 107 for days and be ok. We don't agree, whats your thoughts?

    Mar 14, 2007 9:06:00 PM  
    Anonymous Anonymous said...

    Be careful of those high temps. My 2 year old daughter had what I thought was a little cold and a lite temp, we gave her tylenol and she woke us up at 2:30 in the morning and had a febrile siezer (fever induced seizer) caused by a sudden spike in the childs fever it was around 107....not common but not uncommon is children under 5

    Mar 17, 2007 1:35:00 AM  
    Anonymous Anonymous said...

    We recently rushed my 10 month old to the hospital because she had a febrile seisure. She did not have a significant temp (102.2) but she seized for 58 minutes from the time we called 911 until we arrived at the hospital. From the literature I have found these types of seizures do not normally last that long so I'm wondering if she may have an increased risk of re-occurrence?

    Mar 19, 2007 1:39:00 PM  
    Anonymous Anonymous said...

    My 2 yr old son had a febrile reizure he's never had one so me and my husband freaked out and called 911 we've never experience this so we didnt know how to react to it he was shaking he turn purple and he was real stiff and we didn't know if to hold him or lay him, till the operator of 911 told us to lay him on his side and make sure he was breathing well and while the ambulance would get there try to keep him awake beacuse he would roll his eyes back and he would sound like if he would of fainted but we would wake him back up, and during the day he was perfect, that was something that I wouldn't want to experience again.

    Mar 29, 2007 2:58:00 AM  
    Anonymous Anonymous said...

    My two yr old has a 102.5 temp and runny nose for 2 days , all ive given is normal dose of motrin and those decongestant cough and runny nose stripes, but still no relieve. she is sleeping very sound, more than usual.And i feel after reading your article i was a little more worried than i thought i should be, but is there any other things i should be doing besides what i am.?

    Apr 1, 2007 12:22:00 AM  
    Anonymous Anonymous said...

    my son 12 months old has had a ever for 10 days. we have kept it at bay with cool baths and motrin. he has know other signs of infection.his appetite is low and lethargic and a crank meister. gums look red. it's going on 11 days. i wasn't worried at first but i would like some kind of answer. this is our number 4 and i have not encounterd this before

    Apr 20, 2007 12:59:00 AM  
    Anonymous Anonymous said...

    My niece has a fever of between 101-104 all night, and i'm worried, is this normal when she already on amtibiotics and tylenol? A cool bath didn't help much and we're running out of energy. she's cranky and this is the first time we've dealt with this!

    May 11, 2007 1:22:00 AM  
    Anonymous Anonymous said...

    I am getting frustrated. My daughter is 22 months old, and suffers from high fevers that have required hospitization twice. She had her first bad bout when she was five months old. She quit eating or drinking, and went in to the ER with a 104.5 temp. No diagnoses was made, no infection found. Now this is becoming a monthly ritual for us. She will come into our bed at night about once a month or twice this month, burning up. I treat with tylenol,and Motrin Q4, and Q6, as reccomended. We had her in the ER again for a 105.7 fever and severe dehydration. Now, another one starting last night. No other symptoms of illness, just listless, and refusing fluids or food. I am really starting to get frightened. Please any help would be greatly appreciated.

    Necole F.

    May 24, 2007 6:09:00 PM  
    Blogger WebMD Blog Admin said...

    I'd like to invite those of you with questions about your specific situation to visit our Pediatrics message board.

    Thank you

    May 24, 2007 6:15:00 PM  
    Blogger Nick said...

    hi, my name is Nick McClure and I am 15 years old. It's 1:54am and I have a fever of 102.8 (last time I checked.) So I am not sick and I feel fine but I woke up this morning with this fever. I have been in the sun for the past few things for a marching band event. My girlfriend (who also has fair skin, like me) says that she has been in the same case before. Even though on the skin, it doesn't show, but you still have some sort of sun-poisoning. Is this the case? I have no other symptoms at all. (I might add that I was ignorant enough to not worry about sun-screen when I was exposed) Please help me out if you can. What do you think is causing this?

    Jun 2, 2007 1:58:00 AM  
    Anonymous Anonymous said...

    Hi, I have a 7 year old son whom has had a temperature that comes and goes. He has pallor of the skin (face) but no other symptoms. Not long ago he saw his Doc because of this temperature, he ran blood tests and told me they were ABNORMAL but nothing to worry about. He came right on his own and now has the temps again. He always complains of being extremely thirsty but drinks litres and litres of water every day. What would cause his temp to flare up like this? I'm worried about why his bloods were abnormal...

    Jul 15, 2007 6:25:00 PM  
    Anonymous Anonymous said...

    Don't Leave out the Dentist.
    I think there may be some fever phobia among us parents. Yet I do trust my "intuition". My first born was born with a heart defect, and I admit at times I was phobic about everything with him. Yet he did start to get these fevers at age 3-4 that were over 105. I took him to the doctors who could find nothing and no reason why. And this went on for a year taking him to emergency rooms & different doctors. And finally one doctor at his 2nd visit to see him suggested I take him to the dentist. And It was a very serious infection in his teeth and more serious for him because of his heart and heart operations. I think doctors should maybe know a little more about the gums and teeth, or suggest an apt.with the dentist if they can't find something. These infections are dangerous, and as worried mother's we think of going to the Dr. First, not the Dentist. I would suggest to all mothers do not leave out the dentist. Especially with high fevers that Dr. can't find a reason for.

    Oct 18, 2007 4:11:00 AM  
    Anonymous Amy RN said...

    Please do not give your child cold or cool baths when they have a fever. This will make them get the chills which in turn will raise the fever (this is the bodies way of heating up when cold) A normal warm bath will bring the fever down if the head is wet kinda like blowning off steam. Also a warm bath will help medicine get into their system quicker to help control fever. Amy, RN

    Dec 18, 2007 9:32:00 AM  
    Anonymous jes said...

    My son has never really been sick but had 2 fevers with no know reasons and a feberal sizure with both. What is could be the cause of his sudden fevers? And what can I do to help prevent the seizures?

    Dec 28, 2007 3:03:00 AM  
    Anonymous gina d said...

    yesterday i had a high temp of 99.7 and throughout the day it went down. when i woke up this morning, my temp was 94.5. my normal temp is around 97.5. can anyone explain as to why anyone would have "extremes" of temperatures?

    Jan 17, 2008 10:35:00 AM  
    Anonymous Anonymous said...

    My son has had a fever for 3 days now, starting at 103. I have been giving him motrin and tylenol to try and get it down with no luck. He has spiked over 104 and when motrin or tylenol is given he can get to about 101. He is 9 years old, has been coughing up green stuff, his ears are bright red, even his eyes are looking blood shot. He doesn't want to move, eat or do anything. His throat is on fire he says. He does not have any tonsils and we have tried all temps of water, cough drops, and honey and lemon to soothe his pain. Nothing has worked. He has spent his entire weekend on the couch from Friday evening to right now...should I bother with a doctor or just wait it out. I know there is the big talk about fever phobia and all that...but as a mom it just hurts to see my active child just lay there in pain. He has no chest pain...I am stumped!

    Jan 27, 2008 6:32:00 PM  
    Anonymous Anonymous said...

    My son is 6, he has had a fever of 104-105 every month since May, 07. At least once, sometimes, twice per month. He has been to Children's Hospital and Cardinal Glennon. Tests show nothing. Fever is his only symptom, and it sometimes only lasts a few hours. I'm frustrated and worried. Someone did mention the hypothalamus, but just suggested that it may be malfunctioning.
    Has anyone heard of this before?

    Mar 4, 2008 10:41:00 AM  
    Anonymous Anonymous said...

    I have a child that sometimes gets fevers of 104 f. I get really worried because he is only 2 years old. One of my relatives have a child that can't move or talk he is just laying down or sitting, do to a very high fever. So my question is that if children can get brain damage from a high fever?

    Mar 6, 2008 2:26:00 PM  
    Blogger WebMD Blog Admin said...

    Anonymous,

    In Dr. Parker's post, there are some signs to watch for in kids with high fevers. Read those and click through the links there for more information.

    I hope your child feels better soon!

    Mar 6, 2008 3:51:00 PM  
    Anonymous Christina Koerner said...

    My 9 year old daughter has spiked a temp since yesterday. Highest has been 104.6. I have been treating her with Motrin every 6-8 hrs. and Tylenol every 4-6. Tiring to push fluids with her because she wont eat. She has no other symptoms at this time. How long do I keep treating the fever this way before I need to take her in?

    Mar 7, 2008 7:10:00 PM  
    Anonymous Anonymous said...

    my grand daughter was is 5 has a fever of 101-102 for the last couple of nights. When she wakes up she does not have a fever. She has been very tired. she has no symptoms of being sick. What should i do. Worried grandma.

    Mar 7, 2008 11:04:00 PM  
    Blogger Jessie said...

    Hi,

    I have a 6 year old daughter, she has had a feaver of 103 and higher(105) for about 3 days now i have been to her doctor and to the hospitol, the fluids the admistered back into her did some good for a bit and when we got home it came right back. Im having a hard time keeping it at a low. any suggestions would be awosme.



    thanks

    Mar 20, 2008 9:26:00 PM  
    Anonymous Anonymous said...

    What do you do when your 6 yr. old has had fevers and stomache issues 3 times in onemonth? I am very concerned. He won't eat or play, which is not like him at all! HELP!
    Olivia

    Mar 25, 2008 6:53:00 PM  
    Anonymous Anonymous said...

    HI, I have a 22mnth old son. He started having a fever of 102deg. under one arm so I checked the other arm and it said 104deg. last night and I kept giveing him fever reducer medicine ever 4hrs as directed on instructions, but this morning he still had a fever of about 104 deg. and I also took all of his clothes off except his diaper it seems to cool down but as soon as I put back on his clothes he would beging feeling feverish all over again does anyone has any sugesstion?. One thing I must say is that I took him outside yesterday it was real hot but by evening it started cooling down could that might be the cause of this fever?

    Mar 26, 2008 4:39:00 PM  
    Anonymous Anonymous said...

    Try to alternate motrin with tylenol every 4 hours.

    Mar 27, 2008 2:40:00 PM  
    Anonymous Melissa said...

    i took my daughter 2.5yr old in last night to the er because she has been having high fevers the doc sent us home saying it was a virus and to let the fevers go if shes acting herself and if shes acting like shes hurting to give her tylenol or motrin her fever has been 103 under the arm and he knew that shes not throwing up or no diaherra she just has a cough and the fevers its been 4days already and she just lays there doesnt move doesnt eat she drinks alot and pees normally should i just wait it out?

    Mar 31, 2008 10:57:00 PM  
    Anonymous Anonymous said...

    my daughter (4) suddenly and i mean suddenly had a blood shot eye and a 102 fever, what could this be from? she has suffered many mosquito bites, and flea bites recently and i am wondering if perhaps it is an alergic reaction?

    Apr 27, 2008 10:42:00 AM  
    Anonymous Anonymous said...

    Just to give a different point of view--my mother brought up 5 unvaccinated children--not thermometer in the house--never used aspirin or any other fever reducer. She treated illness with bed rest, liquids, herb teas, light diet. I suspect the generation born in the early 20th century had more experience with basic home nursing care than moms do now. But I appreciated her calmness, gentleness and ability to really pay attention to what was going on with her children's health. It is actually okay to simply be sick sometimes. As WebMD said in his original article, you need to pay attention to the potentially dangerous symptoms, but it is actually okay to allow the body to do its job. My mother was an expert at allowing the body to do its job.

    May 16, 2008 9:20:00 PM  
    Blogger AthenZ said...

    My 9-year autistic son had a fever of 108 that caused him to seizure on Thursday, June 12. He has had no history of seizures prior to this incident. The doctors did not find any infection, inflammation, or viral infection that caused the fever. The second diagnosis is that it could have been a heat stroke. But he was not is a heated area for a long amount of time.
    My son has not woken up from this fever for 4& 1/2 days now. Now he is in a coma at a hospital. Has anybody gone through this? Why won't he wake up? What is going on with him?

    Jun 16, 2008 7:51:00 PM  
    Blogger Rei said...

    Hello. Okay My 7 year old started out on friday of last week with blood shot eyes i took her to the dr on monday they said it was pink eye. So they put her on meds by sat. she had hives on her face upper chest upper back and arms and legs. took her back to the dr they said it was just hives and pute her on a stronger eye meds for her "pink eye" and allergie meds for the hives. That night she had her first seizer so i ran her to the er they did a eeg MRI and something else along with blood work all came back normal but eeg said she was having mulipul seizers in her left frontal lobe and few in her right. so they put her on keepra 100m and put her on another allegies med and strong eye drops for the "pink" well here we are 2 weeks later and she still has pink eye"her eye whites are blood red" Please if you know if something else might be linked between the eyes,hives and seizers please post cause i'm scared she might have something else going on but i can't find anything about it. many thanks

    Jun 25, 2008 3:25:00 AM  
    Anonymous Anonymous said...

    FLU shot is useless, I know people getting sick from just the flu shot.

    http://www.vaclib.org/basic/fluindex.htm

    Flu vaccine contains: trivalent influenza virus, types A&B gentamicin sulphate formadehyde, thimerosal ((Mercury)), and polysorbate 80 chick embryonic fluid

    Flu Deaths are only a small percentage of the frequently stated 36,000 deaths per year associated with the flu. The 36,000 is a combined figure for both flu and pneumonia. Flu deaths alone are typically 1 to 4 % of the combined total of 36,000.
    There are an estimated average of 1250 deaths associated with the flu each year in the USA [1250/36,000= 3.5%].

    There is long term, large population evidence that the flu vaccine does NOT save lives in those over 65. Graphs

    The flu vaccine is NOT effective in any age group at preventing the flu.

    It is never safe to inject decaying matter mixed with poisons into the human body. See the adverse effects section.

    Jul 8, 2008 5:46:00 PM  
    Blogger nularbit said...

    my child is a year old and has had fever for about three days tends to get worse at night she really fussy and she acts like she's in pain i think a maybe soom type of viral infection that maybe going around

    Jul 11, 2008 5:34:00 AM  
    Anonymous Anonymous said...

    Hello, I have a four year old son that gets chronic fevers accompanied by stomach and head aches. He has had numerous gastrointestinal tests to include genetic testing and a biopsy - everything supposely is norma. But now he keeps on getting fevers up to 103 almost on a weekly basis... I am desperate - we will bring him back to the doctors for sure but we hate to see him get poked over and over and we still do not have a concrete answer - Any thoughts would be greatly appreciated - thank you!

    Aug 2, 2008 8:53:00 PM  
    Anonymous Anonymous said...

    This article really helped me as I am "fever phobic". So much so, my 8 and 5 yr old daughters both have mysterious fevers tonight. I am freaked out looking at Webmd and pumping them full of Motrin (which didn't help anyway).
    I think I will let the fever do its job and keep an eye on it. I never thought of it as a "good" thing or put it in perspective such as this article did.
    I will be taking my kids to doctor tomorrow though as my older daughter is lethargic, headachy etc..with her fever. My youngest is happy as a clam with her fever, completely unaffected.
    Interesting....

    Aug 3, 2008 9:55:00 PM  
    Anonymous Anonymous said...

    My 4 1/2 year old had a 104.0 fever last night and today still a 102.0 fever we have been g iving motrin and tylenol (as directed by his pediatrician) and obviously is still not working..he is majorily stuffed up and seems to need a decongestant..cam you tell me if he can take a dose of a decngestant like robitussin after with the tylenol we gave him at 6 am this morning (it's now 9:30 am)??? I do NOT want to over medicate But he has never had a fever for 2 days like this either.

    Aug 17, 2008 10:30:00 AM  
    Anonymous Anonymous said...

    I brought my 21 mo old son to urgent care ten days ago on a Sat morning with a 102 fever. The resident md that saw him said she couldn't find anything wrong and just advised us to give him Tylenol. My husband and I followed her instructions. The fevers continued for 5 more days until we scheduled an appt with his pediatrician. He told us our son had a sinus infection but nothing else. He prescribed an antibiotic. That night his fever went up to 103. I called the after hours number and spoke with his pediatrician who insisted that it was just the infection and our son was bound to have high fevers. The fevers continued the next day and I called the after hours number that night when his fever went up to 104.7 and finally his pediatrician advised us to go the emergency room. They did lab work, chest xray, catheter and asked if we had given him Tylenol together w/ Motrin. We said no because our dr. never mentioned Motrin. Our son had pneumonia and was in the hospital for 3 days. If we had listened to our dr. and waited longer, who knows how much longer the pneumonia would have progressed. Never feel like you're a worrysome parent, always trust your gut instinct.

    Aug 26, 2008 11:18:00 PM  
    Anonymous Anonymous said...

    I think this is a great article and I appriciate it. My son had a 103.5 fever a few days ago that was difficult to drop. I had concerns it was connected to the pool where he took his first swim lesson and then I thought about the new kittens we got last week that have scratched him. Because of these items I felt maybe I should have taken him in despite his behavior being completely normal. I feel better now.

    That said, I totally ignored my advice nurse when my then 2 year old daughter had a fever, barking cough, and barely responsive lethargy. My instincts said to go anyway. When I got to the ER her oxygen rate had dropped and continued to do so. They transfered us to a children's hospital and she recovered from a serious ear infection and asthma like symptoms (low oxygen).

    I take this as trust your gut - If your child is smiling, eating, drinking, & peeing at least a few times a day it's okay to wait it out when the temp is below 106 :).

    there are many blogs when I read the conditions where I would have taken my child in suspecting an serious ear infection or bacterial infection. Trust your instincts - it's not about the number it's about the behaviors :)!

    Oct 4, 2008 6:16:00 PM  
    Anonymous Anonymous said...

    I have a 21 month old that has had a temp. on and off since tues. oct. 28,2008 we have been able to control the temp but what is worrying me is the fact that he has not had anything to eat since wed. evening, and has very little liquids,and he is very lathargeic. we have took him to the er on Thurs. and they gave him some pedialyte that helped a bit but he is still very lathargeic today and back to drinking only a little bit of fluids, not even wanting to try solids. I do not know what to do. all the doctors are full and they just say to take him back to er. I am worried it will be the same doctor and he has miss diagnosed my son once before and i think he did the same yesterday (he said it was fifth disease and from what i read it does not sound like fifth disease. Also i don't know if this has anything to do with it but he just got a flu shot a couple of weeks ago(only the first dose) if anyone has any advice i would appreciate it. Thank you

    Oct 31, 2008 2:36:00 PM  
    Anonymous Anonymous said...

    My daugther has a fever of 102.4 and my assuming it comes from the fact she might be still teething. She only 18 mo. and I'm worried. Are my concern violet. signed a worried dad.

    Dec 17, 2008 10:24:00 AM  
    Blogger WebMD Blogs said...

    If you have a comment about this blog post, you are in the right place. However, if you have a question for Dr. Parker, please visit him on the Pediatrics message board. If your question is urgent, you should of course consult your own health care provider immediately.

    Dec 17, 2008 12:33:00 PM  
    Anonymous Alex (Aladaris@aol.com) said...

    I'm wondering if what I experienced was something other than a common cold/fever on steriods or some kind of flu.

    I had a fever of 104+/- consistently for week straight. Also during the course of the day I would experience uncontrollable shaking, usually at night and usually waking me up from sleep. No other symptoms.

    I've had fevers, flus, colds, however, nothing ever like this. My doctor suspected Meningitis but no neck stiffness. I was prescribed CIPRO (???). The medicine either had very little effect OR took some time to work because I was prescribed on the 3rd day yet the fever progressed with no improvement until about 4 days later when I felt completely normal... there was no come down... just temperature of 104 on the 7th day... then healthy... 97.8.

    Wondering what it was... I think its wierd. Never been sick like this.

    Dec 28, 2008 3:25:00 AM  
    Anonymous Anonymous said...

    My 4 year old son has had a temp of 101 to 104 for two days. I took him to the Dr and all he could tell me is that he couldnt find anything wrong, he did say that his heart was beating kind of fast. Can this be dangerous? He gave him a Antibotic and sent him home. Please advise

    Kearina

    Jan 5, 2009 8:17:00 PM  
    Blogger WebMD Blogs said...

    If you have a comment about this blog post, you are in the right place. However, if you have a question for Dr. Parker, please visit him on the Pediatrics message board. If your question is urgent, you should of course consult your own health care provider immediately.

    Jan 6, 2009 12:32:00 AM  
    Anonymous Anonymous said...

    My 14-year old daughter has Influenza Type B and has had a consistant temperature of 94-96 for the pas two days. She was prescribed with Tamiflu. Please advise on the body temperature. Thank you

    Mar 16, 2009 5:09:00 AM  
    Blogger 3girls said...

    My 5 year old daughter has has a fever that seems to stay between 104.2 and 105.4 even alternating tyl. and mot. every 3 hours doesn't bring it down below 102.7. She has had this fever for 10 days now, and doesn't eat and only weighed 36 pounds before all this and she is noticeably thinner. Both doctors I've taken her to told me to treat the fever that there was nothing they could do....nothing else is wrong with her just the fever any advice. Is it dangerous for her to go so long without eating? Can taking meds every 3 hours that don't seem to work hurt her after 10 days?

    Mar 18, 2009 9:26:00 PM  
    Anonymous Anonymous said...

    My son was having fevers 101 to 102.5 and I was told the body was just doing its job.
    Turned out to be ear infections, so we did the whole tubes thing and I went back to the body just doing its job. Turns out his next fever was from strep and he needed antibiotics.
    Now every time we travel more than an hour, he gets of fever around 103, and no one can ever find anything wrong. So while I want to go back to the body doing its job, the past has made me weary, and I don't know what to do.

    Mar 29, 2009 10:14:00 PM  
    Anonymous Anonymous said...

    my son who is 16 now, was diognosed with kowasakis disease which he has a heart condition from. he was 3 months old and he had a fever of 104 or higher for more than a week, red mouth, red eyes, rash from head to toe, peeling of hands and feet. i took him up several times and each time he was diognosed wrong, one dr told me he had pink eye so i was treating him with some medicine for it and he never did have pink eye. why can't these dr.s run tests to diognose the problem instead of a guessing game and calling it a virus? my son could have died because of of wrong diognose. i learned over the years to do reaserch and ask questions that you already know the answer too to test the dr's ability.

    Apr 4, 2009 11:35:00 AM  
    Anonymous Anonymous said...

    i know i shouldn't be fever phobic but my son is 19 months old and he has had a fever for 18 days what do i do?? he has done been to the doctor 5 times they say that there is nothing wrong. he even had blisters on his hand and feet for 10 days. they thought it was hands,feet and mouth but the fever is still there.his temp is normally 97.6 but its been 100.5 to 101.6. help what should i do??

    Apr 16, 2009 12:48:00 PM  

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