Fever with the baby

introduction

Fever is common in children and occurs in the context of infections, but also in stress stimuli such as "teething" and so on.
The normal body temperature of an infant is between 36.5 and 37.5 ° C. The smaller the children, the higher the body temperature. Normally, one does not speak of fever in a baby when it is less than 37.7 degrees ° C in the morning or 38.2 degrees C in the evening.
Temperatures up to 38.3 ° C are referred to as "elevated temperature" in paediatrics. The standard value is slightly dependent on age as well as on the time of day: In the afternoon or evening, for example, babies can also have temperature values ​​of up to 37.8 ° C without being ill immediately. The fever occurs at temperatures above 38.3 ° C and goes by definition to 39.8 ° C. About this body temperature one speaks of high fever.

General information about the fever in the baby

Many parents are afraid that their children will get a fever. Fears are mainly lasting damage or, for example, a febrile convulsion. Fever is in most cases harmless and a natural, meaningful reaction of the body to invading pathogens. At elevated temperature, some chemical reactions can be faster.

Some viruses and bacteria are significantly inhibited at temperatures as low as 38.5 ° C in their growth. Adults and older children suffer from fever much more than small children. Many of them feel surprisingly good despite temperatures up to 40 ° C.

A reduction in fever is prescribed by the doctors if the affected child has additional complaints such as quenching, falling asleep or staying asleep, pain, can not or does not want to drink (especially in small children). A fever of up to 41 ° C leaves lasting damage in the body only if there are other existing illnesses that complicate the situation. These include heart defects, epileptic seizures or rare metabolic diseases.

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Diagnosis of fever in the baby

There are different ways to measure baby fever.

The only reliable method is the rectal measurement, ie in the buttocks. Although all other methods are not much inaccurate, the rectal method is preferred in paediatricians because it also displays the more accurate readings in case of inflammation inside the body. The simple measurement in the ear by means of an ear thermometer is usually used only for orientation and requires proper handling.

A baby in the first 6 weeks of life must be immediately presented to a pediatrician if the temperature rises above the 37.8 ° C in the afternoon. It would also be enough if the baby behaves significantly differently than usual. Until the fourth month of life, the child should be presented to a doctor, if the temperature is permanently above 38.5 ° C. Thereafter, it is not the height of the fever that is decisive, but the complaints of the child.

Febrile convulsions in the baby

Children between the ages of 6 months and 5 years may experience a seizure with loss of consciousness due to high fever. The cramps almost always occur when the fever rises, the speed of the temperature rise is important.

The height of the fever does not play a decisive role. As a result, a febrile convulsion is at the very beginning of a feverish infection. The first occurrence is therefore unpredictable and thus hardly avoidable. The most important measures for the first febrile convulsion are:

  • inform the ambulance
  • lower body temperature (cold wraps, open clothes)
  • as well as fever suppositories

Fortunately, most febrile seizures end after a few minutes by themselves. The children should still be presented to a doctor where they are fully examined once to avoid any risk factors that favor the occurrence of convulsions. An emergency medication is also provided.

Fever after vaccination

In the course of the first year of life, a total of five to six vaccinations take place. These often consist of so-called combination vaccinations, ie the immunization against various pathogens by vaccination. The best known example of this is MMR, a vaccine against mumps, measles and rubella.

As a result of vaccination, the body reacts in 20-30% of cases with an increase in body temperature. Here, the fever can last for several days and rise to 39 ° C. This is a physiological, that is provided by the body, response to the vaccine. During a vaccine, the body is exposed to certain parts of a pathogen and begins to work against it, especially by the production of specific antibodies. It is therefore normal for this immune reaction to show a slight increase in temperature. You do not have to worry about that as a parent. However, if the fever rises above 38.5 ° C, adequate treatment with antipyretic drugs such as acetaminophen can be considered.

An increased body temperature can occur not only after MMR vaccination, but after the various child vaccinations and is as described above mostly harmless.

Whether to contact your pediatrician or to go to the hospital depends on the temperature and the behavior of the child during the fever.

When does one speak of fever?

The fever of a baby is said to be from a temperature of 38.3 ° C

From temperatures over 38.5 ° C one speaks of fever. Fever is a natural defense mechanism of the body. At high temperatures, bacteria and other pathogens can not multiply and are thus prevented by the fever from spreading in the body.
It is therefore a very sensible reaction, so the fever of her baby should not always be lowered directly. In addition, the body temperature can be subject to fluctuations in time of day and in the evening times higher readings than in the morning. Fever does not always indicate a serious illness, which is why it is not necessary to consult a doctor for every fever of her baby.

Above all, their own experiences and their feelings play a major role here. See the doctor if your child is less than three months old and has temperatures above 38.0 ° C. Children up to two years should go to the doctor if they are longer than a day, and older children if they are feverish for more than three days. If no reduction in temperature is achieved despite already taking antipyretic measures or the fever could be lowered, but her baby is still listless, this is also a reason to go to the doctor!

If your baby has other symptoms besides the fever such as vomiting, diarrhea, pain, rashes in the baby or is in an unusually bad general condition with poor appetite and weakness, you should also seek help. Even with the aforementioned febrile convulsion, should be done in any case, if it is the first spasm of her baby, a medical check-up. Another point that should always make you go to the doctor when your baby has a fever is her own concern and anxiety. Of particular importance to the physician are her own observations regarding the behavior of her child.

Therapy of fever in the baby

What to do if the baby is suffering from fever?

In general, babies and toddlers are more likely to be feverish than older children and adults.
This is mainly due to their still incomplete matured regulation of body temperature by the control centers in the brain. So it can happen that strong thirst or warm blankets cause fever in your baby.
Otherwise, however, the fever may be absent despite the infection. The normal body temperature of a baby is between 36.5 and 37.5 ° Celsius.

From 38.0 ° C we speak of elevated levels, from 38.5 ° C of fever, with values ​​above 39 ° C of high fever.

The fever of her baby is a sensible reaction of the body to ward off diseases, which is why not every fever must be lowered directly. More important than the level of temperature, is the reaction of her baby.
Drinking or laziness, weakness, crying and whimpering, apathy or other unusual behavior, the alarm bells should ring at you; because her baby is really not doing well. If this is the case or you are worried yourself and are not sure, always consult a doctor! Be calm, however, as long as your child behaves as usual despite the fever.

Otherwise, the following measures can help with uncomplicated fever of your baby:

  • Avoid unnecessary heating of the apartment
  • Do not pack your child too fat, but use light clothing and thin blankets
  • make sure you have enough cool, well-ventilated rooms.
  • a lukewarm bath can help your baby's body lower the temperature a bit
  • Make sure your baby drinks well. A lot of fluid supports the body in defense and prevents dehydration due to high temperatures. Offer your baby mother's milk, milk formula, fruit juices, teas or soups.

As soon as the baby's fever reaches its peak, antipyretic measures such as the traditional calf wrap can be used. Anyone who has a fever usually sweats a lot. Change the bedding and clothes of your baby several times a day. If the baby feels good next to the fever, it is not necessary to keep to a strict bed rest and fasting.
Take short walks in the fresh air and give light food. It is necessary to check the fever of your baby with a thermometer several times a day. (see: measuring fever)
There are a variety of gauges, including the so - called infrared ear thermometers, which measure heat radiation from the eardrum and surrounding tissue of the ear, or electronic thermometers that are inserted into the bottom of their baby 's.

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Tip: Lay your baby on the side and press the belly to yourself. Place the fingers of one hand between both feet and angle them slightly. Then insert the thermometer about one centimeter deep into the butt. Mercury-filled glass thermometers are no longer recommended today.
If your baby has a very high fever and is in a poor general condition, it can be a heavy burden on her child. If this is the case, see a doctor! Depending on the state of health and behavior of your baby, antipyretic drugs such as the classic paracetamol suppositories may be used to reduce fever.

Attention! Aspirin to reduce fever is not suitable for children under the age of twelve, because it can cause a severe liver - brain dysfunction called Reye syndrome. Rarely, it can come in babies to a fever spasm. Crucial for this is the speed of the fever rise. This is a terrible event for parents experiencing their baby's fever spasm for the first time.
The spasm usually lasts about 20 to 30 seconds and then stops by itself. The children turn their eyes, involuntarily twitch or stop breathing, appear pale, unresponsive or spit. The febrile convulsion is probably due to an immaturity of the brain and is basically nothing dramatic.
The children also get nothing from it.

Important! If your child has such a fever, keep calm. Make some space so that it does not hurt, do not hold it tight, and do not try to infuse the child during cramping. It could suffocate! Often, children only once experience such a febrile convulsion. If this is the first time, you should consult a doctor and have the cause cleared up to rule out other brain and nerve diseases. You should also consult a doctor if your child is over 38.5 ° C or fever for more than one to two days in the first year of life, or your baby is in a generally poor condition and behaves abnormally. Otherwise, be patient and give your sick baby a lot of comfort and attention and peace.

Measures when fever occurs in the baby

The children should be lightly clothed and covered with a thin blanket. In the same way, the room temperature has to be regulated, you should not set it too warm. During the day not higher than max. 22 ° C, at night 17 - 18 ° C. If the child does not freeze or suffer from chills, the child can be bathed in lukewarm water. Parents should take care to ensure that the child is well hydrated with cool drinks.

Medication for children against fever should be given when the child is suffering from quenching, falling asleep and staying asleep, as well as pain. If the temperature rises above 40 ° C, or fever fantasies or states of confusion occur, one should resort to antipyretic drugs.

Lowering the fever in the baby

To reduce the fever of her baby, offers different home remedies.

Lay cool wet washcloths on the forehead and calves of their little ones. The cool water removes heat from the body. You can also take a bath, the water temperature should be about one degree below your child's body temperature. Gradually, you can pour cold water until the temperature of the water is about ten degrees below your baby's body temperature. Then take your child out of the tub and measure your body temperature ten minutes later.
This process can be repeated as long as your child does not freeze. You can also wipe your baby's warm or hot body parts with a cool sponge. The water evaporates on the skin and has a cooling effect. Give your baby enough fluid if it has a fever. In addition, cool food, such as ice cream or yoghurt, can be offered. Also, make sure that your child is not wrapped up too warm. Put on light clothing and change the clothes and bedclothes several times a day.
To keep the air cooler in the room where your baby is recovering, you can set up a fan. Do not point the fan directly at your feverish child, but place it away from the room to make the air circulate. These measures should be taken when your baby reaches the peak of his fever.
In the beginning, when the fever is still rising, the babies and children show the typical chills: For this time frame, it is advisable to cover the child and put something warm on him.

Homeopathy to reduce fever in the baby

Your treating pediatrician or homeopath can find out about homeopathic remedies to gently lower your baby's fever. An important factor in the selection is the individual adaptation of the medicine to the symptoms and discomfort of your baby in order to achieve an improvement and alleviation. If you do not take action after a maximum of three doses, you should stop taking this medicine and switch to another if necessary.

Most often, the dilutions D6 and D12 are in the form of so-called globules, small sugar-like globules that the children simply let melt in the mouth or as a drop solution. The drops often contain alcohol, which is why you should not give them to your child pure. Put about five drops in a cup of lukewarm water. Due to the heat, the alcohol evaporates.
You can then give your baby a spoonful of the prepared solution. As long as the effect lasts no further administration of the remedy is necessary. If it stops, administer the remedy again.
However, if your child has very high temperatures of over 40.5 ° C, you should consult a doctor and resort to other antipyretic drugs and measures! Here are some homeopathic substances that are used in different types of fever:

  1. Belladonna, better known as belladonna, is used in cases of high fever accompanied by cold hands and feet as well as a crimson face. In a dilution of D6 to D12, five drops are mixed in half a glass of water, of which a teaspoon is administered to the sick child. Mostly, the fever is caused by a lot of sun or excitement and gets worse by light radiation.
  2. Aconite, also referred to as an iron hat, which is used in sudden fever with worsening by cold, fright or anger. The fever is often accompanied by great thirst. Aconitum can be given in the dilutions D4 to D12.
  3. - the Schuessler - salt No. 3, Ferrum phosphoricum, finds use in fever by infections with dry skin at the same time and shivering. The symptoms show their climax in the early morning hours. It is administered in the form of globules in potency D6 to D12.
  4. Pulsatilla ("the Pasque Flower") is used in changeable fevers. The children are mostly apathetic and drinking lazy.

Together with your doctor, try to find a suitable homeopathic remedy for your baby's fever that suits your specific condition and try to change the remedy if the desired effect is not achieved or if the form of the fever during treatment has changed,

Calf wrap at the baby

Calf rolls are a proven home remedy for reducing fever. However, calf rolls should not be applied to cold hands or feet.

These traditional wraps are good for children over the age of one. For children under one year, they are less suitable and therefore it is recommended instead to rub the skin with lukewarm water. Calf rolls lower the symptoms such as restlessness and drowsiness and increase the well-being of their baby.
A temperature reduction of about one half to one degree can be achieved with them. Use cotton or linen towels for the outer wraps and a plain dishcloth or cloth diaper for the inner wraps. Put the inner cloth in lukewarm water, wring it out briefly and then wrap it tightly around the calf of your child. Subsequently, the outer wraps are placed around this.
Make sure that the water is not too cold. Otherwise, the cold narrows the blood vessels and gives off the heat worse. Important! Stay with your child during the wrap and watch it. If it freezes, take the wraps off immediately! If your child copes well with the calf rolls, leave them for about five to fifteen minutes. The initial cold stimulation activates the metabolism as well as the blood circulation and thus allows the body to release the heat to the environment. If the wrap is as warm as the skin, it should be changed and after a few minutes again fresh calf wrap be created.

What to do if my baby has a fever while teething?

It's not unusual for babies to get a fever while teething. However, it usually does not rise to temperatures above 38 ° C and stops after a few days. If the temperature rises a bit higher, you should first try to dab the child with a wet cloth. The water should not be too cold, as babies cool very easily. If the fever persists or increases at night, parents may resort to Nurofen®, which generally works well and soon reduces the fever. If the fever persists at high levels over several days, one should consider a visit to the pediatrician in order to rule out possible infections as a cause.

What to do if my baby has a fever and diarrhea?

The simultaneous occurrence of fever and diarrhea suggests that it is an infection. It is now important that the child drinks enough to replace the fluid loss caused by diarrhea and sweating. For this is best cold tea with a little sugar. Carbonated drinks should be avoided as they would irritate the bowel. To lower the fever, you can dab the baby with wet towels slightly. Here you should also make sure that the water is not too cold, as babies cool down very quickly. If this does not help, you can give the child a few drops of Nurofen®. Keeping the symptoms for several days or worse is going to advise you to go to a pediatrician.

Drug therapy of fever in the baby

Paracetamol as a suppository (dose: 125mg to 10.5kg body weight, 250mg to about 25kg, moreover, 500mg per dose or equivalent amount as juice or tablet) is most commonly prescribed.

The fever medication should be given no more than three times a day. As an alternative to the medicinal product paracetamol, the use of ibuprofen is also possible in children. ASA (aspirin) may also be given from the fourth month of life, but only if the above medicines are not effective.

In addition, ASA should never be given for fever associated with chickenpox. Furthermore, a fever drug for fear of the side effects should not be underestimated.

fever suppository

Fever suppositories are a very proven remedy for fever of unknown, but also known, cause and are therefore often used in the treatment of infants and babies in everyday clinical use. In Germany, fever suppositories with the active ingredients paracetamol and ibuprofen are mainly used. These medications are usually very well tolerated by children. It should be noted, however, that ibuprofen may be used only in infants from 6 months old.

Depending on the body weight of the child, there are different fever suppositories with different amounts of the respective active ingredient. The gift can be given up to 4 times a day. When the use of Fieberzäpfchen makes sense depends, inter alia, on the age of the child. Thus, the application is justified in babies already from a temperature of 38.5 ° C, since higher temperatures are very stressful for the still young body. In addition, use above 38 ° C is recommended for children who have suffered from one or more febrile seizures in their lifetime. If these exceptions do not apply, they should only be used from a temperature of approx. 39 ° C are used for the application of fever suppositories. It should not be forgotten that fever is a natural reaction of the body to an infection in order to inhibit the growth of the pathogens.

The most common side effects include skin rashes, gastrointestinal disorders, and liver damage. In general, however, the active ingredients are very well tolerated and the side effects described occur only in very rare cases. It is important to know that the Fieberzäpfchen are not prescription and can be bought even in the pharmacy. However, if a prescription is made, the costs will be borne by most health insurances in children under 12 years of age.

From which fever do I have to go to the doctor with my baby?

Healthy children have a body temperature of about 36.5 ° C to 37.5 ° C. Up to a temperature of 38.5 ° C is still spoken of an elevated temperature. Only from a temperature higher than 38.5 ° C one speaks of real fever, from 39 ° C of high fever.

Fever represents a natural reaction of the body to an existing infection or other circumstances. Therefore, a temperature increase up to 38.5 ° C is absolutely tolerable. However, if body temperature continues to increase, this can restrict some functions in the body and become a heavy burden. So you should try to lower the fever from 38.5 ° C.

For this purpose, first wet wipes in the form of frontal lobes or calf rolls in question. If this does not help, suppositories with antipyretic drugs or the administration of Nurofen juice can be used. Only if these first measures show no effect, a visit to the pediatrician is advised. In addition, a visit to the doctor is useful if the fever persists for more than a day or if there are other symptoms such as diarrhea or vomiting. Also in febrile convulsions due to increased body temperature is a strong recommendation for a visit to the pediatrician pronounce.

When should you give the baby a suppository?

Do not lower your baby's fever too early with medication; especially small children often tolerate high temperatures better than adults.

Not the level of temperature is crucial here, but the condition of your baby.

If your baby is in a reduced general condition, has severe pain, is in pain, or is unable to sleep due to the fever, and is very restless, the use of medications may be helpful in reducing the fever. In infancy and fever fever suppositories or juices are often prescribed by the doctor.
With such a drug, however, can not be the causes of the fever, but only treat the symptoms. The most commonly prescribed analgesic and antipyretic drugs for children over three kilograms of body weight are acetaminophen or ibuprofen. Your doctor will tell you when and how much of the medication is needed to reduce the fever. Important here is above all the correct, depending on the individual case dosage for the respective age and body weight.

Attention! The antipyretic drugs should not be given for more than three days at a time. If your baby is suffering from a febrile convulsion, it is important to break the fast fever rise. Here, the treatment of choice is the early drug lowering of the fever, for example with paracetamol.

Duration of fever in the baby

How long the fever persists in babies as a result of infections is very variable. Significantly, it depends on the type of infection. Thus, the fever in mild infections only last one to two days and then subside again. Other diseases, such as three-day fever, usually follow a clear pattern in terms of duration.

Furthermore, the age of the child also plays a major role. Depending on the age, the immune system reacts differently to certain pathogens. In addition, a distinction must basically be made between different types of fevers. A distinction is made between prolonged consistent fever (continua), relapsing fever (remittierend), which fluctuates between 38 ° C and 39 ° C and fever that alternately increases to high temperatures, but between sinking to normal values ​​of 37 ° C. So it is very difficult to make general statements about the duration of fever in toddlers. For some diseases, however, this is relatively specific (see, for example, three-day fever) and can serve to diagnose.

Fever in Kids: When to Call the Doctor (December 2019).


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