What to give to baby when fever rises? The High Authority of Health has made recommendations; they take stock of cases requiring medication for child fever, different therapeutic options depending on the age of the child as well as cases in which consultation is required.
Having a feverish child is always a stressful event. But it is important not to panic because it is usually sufficient care adapted to get everything back in order.
What is the child fever?
There is the talk of fever when the baby temperature exceeds 99 ° F . This is a natural phenomenon of infection control. The bacteria and viruses are less likely to thrive when the temperature is above 99° F. Similarly, white blood cells, defenders of the organism, will show p read effectively in an environment close to 100 ° f.
Wanting to chase fever is not necessarily the best way to help the child to heal. So, when your child is feverish but does not feel bad, it is useless to try to lower the temperature at all costs. Improving comfort may be enough to pass the course.
But above 100 ° F, the adverse effects of fever prevail. Fever disrupts the well-being of the child. Sometimes a high child fever can even cause a seizure crisis in children. These crises, rare, last only a few moments but are very impressive. The child is, suddenly, shaking with general muscle spasms. In the great majority of cases, the crisis is fortunately without consequences, but in this case, it is nevertheless important to consult a doctor immediately.
When to consult in case of child fever?
Attention: whatever the age of the child, use only one type of medicine to lower the fever and adapted the dosage to its weight. Before 6 months, a consultation with the pediatrician or a doctor is always necessary during the day.
THE CHILD IS LESS THAN 3 MONTHS OLD
In toddlers (less than 3 months), it is necessary to consult in case of fever because it is difficult to judge alone the severity of child fever.
To lower the fever, give only paracetamol. What does to give? Maximum 60mg per kilogram per day, to be divided into 4 or 6 doses, ie approximately 15 mg/kg every 6 hours or 10 mg/kg every 4 hours.
THE CHILD IS OVER 3 MONTHS OLD
The dose must be adapted to its weight:
- You can give him paracetamol: maximum 60mg per kilogram per day, divided into 4 or 6 taken, or about 15 mg/kg every 6 hours or 10 mg/kg every 4 hours.
- You can also give him ibuprofen ( a no steroidal anti-inflammatory drug or NSAID )
THE CHILD IS OVER 6 MONTHS OLD
Beyond 6 months, if the fever is well tolerated and the child continues to drink, eat and play, you can begin to take care of it yourself. Use paracetamol or ibuprofen (always respecting the doses in relation to its weight). From this age, ketoprofen (another non-steroidal anti-inflammatory drug prescribed only on prescription) is also permitted. What does to give? Maximum of 2 mg per kilogram per day to be divided into 4 doses, for a maximum of 0.5 mg per kilogram every 6 hours.
Emergency consultation is only necessary if child fever:
- The temperature is very high (over 101 ° F);
- His general health deteriorates(refusal to eat, drink, drowsiness, plaintive screams, marbled skin, purpura);
- She is accompanied by a headache(severe headaches), a stiff neck, with vomiting, a swelling of the fontanelle (the risk is to be facing meningitis which is a medical emergency );
- You notice dehydration(dry lips and mouth, infrequent urines);
- Diarrhea and major stomach ache ;
- Of respiratory problems(breathing pauses, fast and shallow breathing, irregular breathing, signs of respiratory distress);
A consultation is necessary for the day if child fever:
- Your child is followed by a chronic health problem(diabetes, cystic fibrosis);
- Your child has frequent episodes of fever ;
- The fever lasts more than two days in a child less than two years and more than three days in a child over two years ;
- Medical reassessment may be required if fever and discomfort persist, despite well – conducted treatment for at least 24 hours (less for a child younger than 3 months);
- The fever reappears after missing for more than a day;
- If it lasts more than 2 or 3 days without the situation improving, or of course in case of seizure crisis.
How to improve the comfort of the child?
Since fever is generally safe, its management will focus on improving the comfort of the child. Before resorting to the use of drugs, the High Authority of Health recommends some physical measures:
- Undress the child(by not removing all his clothes) and remove the blankets and duvets from his bed;
- Make him drink as much as possible(freshwater or drink he prefers). Do not limit it and think of offering it often, to avoid dehydration;
- Do not overheat the room(about 18-20 ° C). Keep the room cool and airy;
- Recommendations such as “make him bathe at a temperature of 2 ° C lower than that of the body” or “apply wet compresses and ice packs” are no longer recommended by specialists: the effectiveness would be limited and these measures could increase the child’s malaise. Nevertheless, if your child likes water and feels good in a bath, do not hesitate to offer him this moment of relaxation.
How to use child fever medication?
It is not necessary to resort to a medication if the fever does not cause discomfort in the child.
A medication is used if the fever exceeds 99 ° F, if it persists for more than two days, if the child has poor fever (loss of appetite, refusal to drink, tiredness), the child is very young (but in this case, it is necessary to consult and the doctor will indicate to you the most appropriate treatment), if the child already suffers from a particular health problem (chronic disease).
Regarding the use of drugs to fight fever, experts have issued several key messages:
- Only one antipyretic drug (fever medication) should be given. If you start with an antipyretic, do not give another three hours later. Remember, neither association nor alternation!
- If your child has been kept by a nanny or grandparents always check that another medicine has not been given in another form (for example, in a syrup or suppository).
- Always observe doses, the time interval between two shots and the number of shots indicated. In all cases, an interval of 6 hours must generally be respected between two shots.
- All drugs are not equal: paracetamol is preferred in the absence of contraindications (allergy to paracetamol, severe liver disease).
- Aspirin is not used in children because of a very rare but potentially fatal risk of Reye’s syndrome.
- In case of chickenpox, ibuprofen and ketoprofen are contraindicated. Likewise, if your child is dehydrated(severe diarrhea and vomiting) or if you suspect a bacterial infection (such as a urinary tract infection), these medications can make your condition worse.
The choice of the drug should be made taking into account the indications and special precautions indicated on the leaflet which must be read carefully. If in doubt, do not hesitate to seek the advice of a health professional.