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Children tend to develop fevers more easily than adults. This is largely due to a relatively immature immune system, making them more susceptible to various infections (the most common cause of fevers).
There is often some confusion with regards to what constitutes a fever in children. According to the Singapore Health Promotion Board, the definition of fever is dependent on how temperature is measured:
• 37.9 °C - measured using a ear thermometer
• 37.5 °C - measured using an oral thermometer
• 37.2 °C - measured under the arm
Common Causes of Fever in Children
Fever, by itself, is not an illness, but a symptom of an underlying problem. Potential causes of fever would include the following: (this is by no means an exhaustive list)
Infections: This is by far the most common cause of fevers in children. Most tend to be common viral infections, such as the common cold and gastric flu, but are sometimes due to bacterial infections.
Overdressing: Infants, especially newborns, are unable to regulate their body temperatures very well. Hence, they may get fevers if they are overbundled, or are left in hot environments for prolonged periods.
Immunizations: In the 1st 2 years of life, children get numerous vaccination shots. Some of these can cause low grade fever.
Consult your doctor or paediatrician if your child:
• Has a headache, stiff neck or is sensitive to bright light
• Is feeding poorly, vomiting or is lethargic
• Is drowsy
• Develops a fit
• Has difficulty breathing
• Has signs of dehydration such as decreased urine output
• Looks more unwell than before
• Has an earache, rash or sore throat
• Is very young, especially if less than 3 months of age
Tips on Managing Fever
• Ensure that your child gets plenty of rest and avoid vigorous activities
• Ensure adequate hydration by offering regular cool drinks
• Dress your child in light clothing
• Ensure that the room is comfortable and not too hot
• Give medication to bring down your child's fever. Commonly used medication include paracetamol and ibuprofen. Ensure that the correct dose and frequency is used.
• Sponging with water at room temperature over the neck and armpit regions
Tips on Giving Medication:
• Do not give infants younger than 3 months of age any medicine unless instructed by your doctor
• Read clinic or package labels carefully to ensure that you give the correct dose and at the correct frequency to your child
• For liquid medicines, use a special liquid measuring device such as a measuring cup, spoon or syringe to be sure you are giving the correct dose. An ordinary kitchen spoon may not give you the correct dose.
Find a Paediatrician
The article above is meant to provide general information and does not replace a doctor's consultation.
Please see your doctor for professional advice.
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