fever-first-aid-for-parents

When your child spikes a fever, it’s natural to feel concerned and perhaps a bit stressed. Fevers are common, especially in young children, and they’re usually a sign that the body is working to fight off an infection. But how can you safely bring down your child’s fever, and when is it time to consult a doctor?

In this guide, we’ll cover practical, safe methods for treating fevers at home, the signs of when a fever might need medical attention, and how to make your child more comfortable in the meantime.


Understanding Fever in Children

What is a Fever?
A fever is a temporary rise in body temperature, typically above 38°C (100.4°F), which signals that the body is battling a virus or infection. While a fever may seem alarming, it’s generally a healthy response and helps the immune system work effectively. Common causes of fever in children include colds, flu, ear infections, and sometimes immunisations.

When is a Fever Serious?
The intensity and duration of a fever are often indicators of how your child’s body is coping with the illness. Although fevers are usually harmless, certain cases require a closer look and are more serious. Pay attention to:

  • Infants under 3 months: Any fever in this age group (38°C/100.4°F or higher) should be evaluated by a doctor to be safe.
  • Toddlers aged 3-24 months: A fever lasting longer than 24 hours warrants a call to your healthcare provider.
  • Children over 2 years: A fever above 39°C (102.2°F) or lasting more than 3 days should be checked by a doctor.

If a child with a fever shows additional symptoms like difficulty breathing, persistent vomiting, dehydration, rashes, or seizures, seek immediate medical care.


Safe Fever Treatments for Children

Here are some safe, effective treatments to bring down a child’s fever and ease their discomfort.

1. Use Lukewarm Water to Help Lower Body Temperature

Lukewarm sponging can be helpful for reducing a mild to moderate fever. Fill a basin with lukewarm (not cold) water, and gently sponge your child’s arms, legs, and torso. Cold water may cause shivering, which can actually raise body temperature, so be cautious of the water getting cold.

2. Hydration is Key

Fever causes the body to lose fluids quickly, which can lead to dehydration. Make sure your child drinks plenty of water, and if they’re not drinking much, offer ice chips or rehydration solutions. For younger children, milk or formula is suitable, but avoid caffeinated or sugary drinks, as they can worsen dehydration.

3. Dress Your Child Comfortably

Light, breathable clothing can prevent overheating and help your child stay comfortable. Try to keep the room temperature at a comfortable level, not too hot or cold, and use a light blanket if they feel chilly. Avoid bundling, as it can trap heat and make the fever worse.

4. Encourage Rest and Sleep

Rest is one of the most effective “medicines” and treatments for any illness. Encourage your child to take naps or relax with quiet activities. Sleep supports the immune system and can help the body heal faster.


Fever Remedies: When to Use Medication

If your child is uncomfortable or their fever reaches around 38.5°C (101.3°F) or higher, you might consider a fever reducer like paracetamol or ibuprofen (consult your doctor or pharmasist). Here are some best practices:

  • Paracetamol: Suitable for children 2 months and older (check dosage with your doctor or pharamist for infants).
  • Ibuprofen: Appropriate for children 6 months and older, but should be avoided if your child is dehydrated or has stomach issues.

Never give aspirin to children under 16, as it’s linked to a rare but serious condition called Reye’s syndrome. Always follow dosing instructions based on your child’s weight and age, and consult your paediatrician if you’re unsure.


Natural Ways to Reduce Fever in Children

For parents who prefer natural methods, these approaches can be effective complements to traditional fever treatments.

  1. Warm Baths: A 5-10 minute lukewarm bath can help ease body heat. Avoid cold baths, as they can cause shivering, increasing the core temperature. Longer baths are also okay but make sure to keep the water at a lukewarm tempreture.
  2. Cool Compresses: Placing a cool, damp cloth on your child’s forehead or wrists can bring relief. This should be combined with other comfort measures and used only as needed.
  3. Sipping Clear Broths and Herbal Teas: Clear broths (like chicken broth) can be a comforting way to keep them hydrated and provide mild nutrition. Herbal teas like chamomile (in small amounts) may help with relaxation.

While these methods can help, it’s essential to monitor your child’s symptoms closely. If fever or discomfort persists, consult a medical professional.


When to Call a Doctor for Fever

Knowing when to seek medical advice is important for your peace of mind and your child’s health. Here’s a quick guide on when to call a doctor:

  • Persistent High Fever: For infants and toddlers, any fever over 38°C (100.4°F) should be reviewed by a doctor to be safe. For older children, contact your healthcare provider if the fever exceeds 39°C (102.2°F) or lasts more than three days.
  • Fever with Other Concerning Symptoms: If your child shows unusual behaviour, has difficulty waking up, or experiences symptoms like shortness of breath, a stiff neck, rash, or seizure, seek immediate medical care.
  • Children Under 3 Months: Infants in this age group are especially vulnerable, and even a mild fever should be evaluated by a doctor.

Dos and Don’ts for Treating Kids’ Fevers

Here’s a quick overview of what to do – and avoid – when treating your child’s fever:

Do:

  • Monitor your child’s temperature regularly.
  • Ensure they stay hydrated.
  • Dress them in light clothing and keep them comfortable.

Don’t:

  • Use ice-cold water or alcohol baths – these can lead to chills and worsen fever.
  • Overmedicate. Follow dosage recommendations and avoid unnecessary doses.
  • Panic. Fevers are usually a healthy response to illness; observing calmly is key.

Fevers can be a nerve-wracking experience, especially for new parents. With these practical, first-aid strategies and a clear understanding of when to call a doctor, you’ll feel more equipped to handle your child’s next fever safely and effectively.

Remember, each child’s response to fever can differ, so trust your instincts and your knowledge of your child’s usual behaviour. Calm, proactive care can make a huge difference in how they feel, and knowing when to seek help ensures they stay safe.

Stephan HeynekeAuthor posts

Avatar for Stephan Heyneke

OHS Consultant | HPCSA Registered Medic | SAIOHS Registered Graduate Member | Degree in Industrial Psychology | First Aid and Health and Safety Training