Komarovsky about temperature. The temperature does not go down Why does high temperature and infectious cough occur?

Most often, those parents who are closely faced with the problem of severe hyperthermia in their children call a doctor to their home.

Infectious and inflammatory diseases are often accompanied by high fever, sometimes developing up to thirty-nine degrees.

In general, babies tolerate this difficult condition well, but if a serious illness occurs, there will also be accompanying symptoms that complicate it.

The most common symptoms include migraine, chills, or respiratory symptoms. Only a doctor can decide on the treatment of the baby, but parents should clearly know how to bring down the temperature of 39 in the child before his arrival.

Most often, significant hyperthermia in a child develops due to:

Bacterial infection;
introduction of viruses into the body;
respiratory infections;
food poisoning;
allergic reaction;
teething;
overheating;
nervous overstrain;
oncological diseases;
immune response to vaccination, etc.

These factors cause a strong fever in the baby, which reflects a sharp activation of the body’s defenses.

Should the temperature be brought down to 39?

The vast majority of domestic and Western pediatricians are of the opinion that when hyperthermia reaches an alarming level of 38.5 degrees, then there is no point in waiting for further developments.

It needs to be lowered. Otherwise, various serious complications can occur, the most common of which is a seizure.

In the case of a serious infectious or inflammatory disease, the question of prescribing antipyretic drugs should be decided only by the attending physician.

If there is no particular danger or, on the contrary, the pediatrician has not arrived yet, and the thermometer readings increase more than 39 degrees, then they need to be reduced.

To do this, it is necessary to clearly understand that a significant increase in temperature is a direct reflection of the body’s resistance. It is the heat that helps him actively fight the infection.

However, its manifestations that are too strong can have a negative impact on the baby, completely robbing him of his strength and leading to dehydration.

How to bring down a child’s temperature of 39 and help him survive this serious condition? First of all, you need to provide him with a large amount of liquid.

To prevent dehydration, you should constantly give your baby water.

Various fruit compotes, berry fruit drinks or decoctions of medicinal plants are well suited for this. The drink must be tasty, otherwise a sick child may refuse it due to poor health.

It is better to give him liquid from a spoon or a convenient bottle. When parents are confused because their child has a temperature of 39, Komarovsky believes that this is the only way to bring it down.

The famous children's doctor Komarovsky also recommends, if hyperthermia develops, to replenish the lost balance of electrolytes in the body. To do this, it is necessary to eliminate the lack of microelements. In such a case, raisins, figs, dried apricots and other dried fruits will help.

According to Komarovsky’s advice, it is strongly recommended to give the child a drink that has cooled down, but still retains heat. Therefore, before you start treating it with diaphoretics, you first need to provide the child’s body with a sufficient amount of fluid.

If only the baby’s forehead is hot, but his legs and arms are cold, this indicates the development of a negative vascular reaction.

In this case, you should know that it is permissible to give a child at a temperature of 39 degrees antispasmodics (Drotaverine or Papaverine) in a pediatric dose, clearly indicated in the instructions for the drug.

It is imperative to open the window completely and achieve significant cooling of the room where the patient is lying. Dr. Komarovsky believes that the thermometer in it should show no more than twenty, or at most twenty-two, degrees.

This helps to balance the body's thermoregulation with the help of the air inhaled by the baby's lungs and the air released by them. In addition, it is worth making the air stream wet.

It is advisable to wet the curtains, place a large basin of water in the room, or place a damp cloth everywhere.

Increased body temperature in a child - Emergency care "Doctor Komarovsky School"

There is intense heat, which has already exceeded thirty-nine Celsius and is approaching forty degrees;
diagnosed with heart disease;
there is vascular pathology;
there is a tendency to seizures, etc.

All this puts him at significant risk. The heat, which has reached 39.9 degrees, no longer brings any benefit to the body, but causes coagulation of proteins, of which the human body largely consists.

In addition, it creates a significant burden on the cardiovascular and nervous system.

If the fever develops significantly, you should know that you can quickly bring down the temperature of 39 in a child by wiping with water at room temperature. It is not advisable to add any substances to it.

You need to remove everything unnecessary from the baby to avoid overheating. You should leave him in cotton pajamas or a nightgown made from natural fabrics. It is better to cover it with a light sheet.

You should not allow your child to run or scream if he is in an excited state, but it is also undesirable to force him to bed.

Any nervous and physical stress will only increase hyperthermia. It is necessary to sit him in a comfortable place, read to him or distract him with something interesting.

How to bring down a temperature of 39 in a child?

It is possible to reduce the manifestations of fever with the help of appropriate medications only if the child’s temperature of 39-39.5 is not brought down by rubbing and drinking.

It should be remembered that for children under 5 years of age, suppositories, syrups and suspensions are preferable to tablets.

There are special medications, which include syrups, suspensions or tablets. They contain the appropriate doses:

Ibuprofen;
Syrup or suppositories with Nurofen;
Candle with Viferon;
Paracetamol;
Calpole;
Panadol;
Efferalgan or Cefekon in the required dosage.

They should be taken strictly according to the instructions that come with the medicine. These are effective drugs that can reduce fever for a fairly long period. In addition, they produce an operational effect.

The safest choice in this case is Paracetamol.

It quickly helps bring down the temperature, has an anti-inflammatory and analgesic effect, has a minimum of contraindications and adverse reactions, and also does not have a noticeable effect on the hematopoietic system and the central nervous system.

The dosage in tablets for fever in children from 3 to 6 years is 800 mg / day.

From the age of 6, the permissible dose is multiplied by 1.5-2. The minimum interval between medication doses is 4 hours.

If the temperature does not decrease, the tablet can be given again. If the child’s temperature remains at 39 even after repeated doses, then other medications or home remedies are used.

Ibuprofen-based medications also help quickly relieve fever, but they are less effective in providing other benefits to the body.

However, their advantage is that the antipyretic effect lasts for a very long period. The child should also take them no more often than every six hours.

For patients aged 3 months to 2 years, suppositories, syrup and suspension are used in accordance with the instructions. And for children over 3 years old - tablets.

The dosage is 10 mg/kg body weight at a temperature of 38.5 - 39.2, and if the temperature is below this indicator, then 5 mg/kg. The daily dose of the drug should not exceed 30 mg/kg body weight.

How not to lower the temperature

Many parents are horrified when they see numbers on a thermometer that stop at thirty-nine degrees. Therefore, they lose their heads and begin to do things that only worsen the child’s situation.

It should be noted that in medicine, elevated temperature is divided into:

White, when there is a hot forehead, and the palms and feet are cold, while the face is pale;
red, when the heat covers the whole body.

Therefore, it is necessary to reduce the temperature in different ways.

In the first case, it is not recommended to massage the child’s limbs, completely undress him, or apply wet and cool lotions to his body. The baby’s condition is due to vascular insufficiency and these measures will only strengthen it.
When red hyperthermia is observed, these actions can help, since in this case vascular spasm is not observed; on the contrary, they are dilated.

If a child’s temperature is persistent at 39 and does not react to anything, then you should not rub the baby with an alcohol or vinegar solution, as it contributes to dehydration of the body and negatively affects the condition of the skin.

If there is a large amount of the substance, or if there is damage to the body, it can enter the bloodstream and cause even more damage.

Also, you should not give your child hot drinks with raspberries, linden or honey, and then wrap them tightly.

In this way, parents cause a diaphoretic effect and at the same time clog the air exchange, preventing the thermoregulation system from working at full strength.

In addition, plant substances help create a diuretic effect, which, together with the diaphoretic effect, creates all the conditions for blood dehydration.

Many parents panic when they see that their child’s temperature is 39.4; they don’t know how to bring it down. Therefore, it is necessary to remember that one should not strive to eliminate the heat by any means.

Medicines prohibited for use by children

Under no circumstances should you give your baby drugs such as Amidopyrine, Analgin, Antipyrin or Phenacetin.

They are contraindicated for a child’s body, otherwise intoxication is quite possible, which will make the patient’s condition critical.

Since babies often have a fever, parents should be prepared for this and know the basic measures that should be taken to help them.
Even if the child is still an infant, the mother needs to prepare in advance for what she can and should do if he develops hyperthermia, since she will often have to deal with such a problem.
And, of course, self-medication when a young patient develops a fever is simply unacceptable. All necessary therapy is carried out only by a doctor.

What to do if the temperature does not go down to 39

There are also cases when everything has been tried, but hyperthermia does not disappear. Therefore, if a child’s temperature does not drop to 39 degrees, then this is a signal that specialist help is needed.

An urgent call to the Ambulance is necessary when:

The heat increases;
the child does not eat anything;
he refuses to drink;
he is getting worse;
his limbs twitch;
the child constantly vomits;
he has severe diarrhea.

If you do not call an ambulance in time, a seizure, cardiac or vascular failure, or organic brain damage may occur.

These symptoms indicate serious metabolic problems, rapid approach of dehydration, as well as the presence of dysfunction of internal organs, and most likely the doctor will prescribe an antibiotic.

While the medical team has not yet arrived, it is advisable to wrap the child in a wet sheet for about five minutes. Then he should be dried and dressed in a dry nightgown.

You also need to pay attention to the accompanying symptoms, because they are the ones that indicate the presence of a certain disease. High temperature is only one of them and in itself cannot give a specialist a complete answer to the question of what the child is sick with.

What to do if after taking an antipyretic the temperature does not decrease? — Doctor Komarovsky

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A high temperature in a child, especially in the cold season, is a fairly common occurrence. As a rule, the temperature rises as a result of the virus entering the body and becomes a harbinger that your baby is sick. The first reaction of parents is bed rest and antipyretic medications for the child. Some parents prefer traditional recipes, for example, rubbing the body with diluted vinegar or vodka. But, according to Dr. Komarovsky, it is possible to bring down the temperature only after the thermometer begins to exceed 38.5°C. Let's find out what parents should do if their child has a temperature of 40°C. and when drug treatment can be used.

Causes of fever

Fever in a child is most often caused by viral or infectious diseases. But besides this, the temperature often rises as a result of stress or nervous shock, allergies, after prolonged exposure to the sun, as well as during teething.

The famous doctor Komarovsky talks a lot in his programs about how a mother should behave when her child’s body temperature rises. And the first thing he focuses the attention of parents on is medications. In his opinion, many parents consider medications to be the only panacea for treating fever. But, it should be understood that a child’s fever indicates that his body is functioning normally, because fever is the strongest defender of the mechanisms in the body.

The first thing parents should do is provide their baby with plenty of fluids. At the same time, all drinks that the baby will drink should be warm, but in no case hot or cold. Raisin decoctions, compotes, fruit drinks, etc. are ideal. The body must first be saturated with fluid and only then can sweating be stimulated with hotter drinks.

Drinking a hot drink provokes sweating, that is, the body turns on the heat transfer function.

The temperature in the room where the sick child is located should not exceed 22 degrees. This statement by Komarovsky is due to the fact that the heat transfer function will occur due to inhaled and exhaled air, that is, the child’s temperature will decrease naturally.

The baby should be dressed in light home pajamas. Under no circumstances should you wrap your baby in a warm blanket or put flannelette pajamas on him.
The healing process is also well influenced by rinsing the patient’s body with water at a temperature of 34-35 degrees Celsius. You can simply wipe the baby with a cloth soaked in warm water.

Komarovsky highlights the widespread method of wiping the body with a solution of vinegar or vodka as a separate issue. The doctor categorically disagrees with this point, especially if the temperature rises suddenly in children. He also does not agree with such procedures as wrapping the body in wet sheets or towels. In his writings, Komarovsky describes these procedures as “relics of bygone years.” In modern civilization, no developed country uses such methods to reduce temperature! Let's try to figure out why.

The use of materials soaked in cold water can cause vasospasm - all doctors in the world, including Dr. Komarovsky, talk about this more than once. As a result, the pores on the skin close and a decrease in temperature is observed. BUT! The temperature decreases exclusively on the skin, while the internal temperature begins to rise. The fact is that sweat does not secrete through closed pores, and accordingly the internal temperature rises.

Vinegar and alcohol are also contraindicated for reducing fever, especially in children. When rubbing the skin with such drugs, they penetrate into the blood through the open pores of the skin. As a result, there is a high risk of poisoning the child’s body with alcohol or acetic acid. It should be noted that Komarovsky is categorically against this method of reducing temperature, even for adults.

Symptoms of fever in a child

If children’s body temperature rises above 38, then the children’s behavior can be very different. Some children react normally to this temperature and remain active and energetic. Others, on the contrary, become lethargic, weak, show apathy and drowsiness.
If you look from the outside, parents are pleased that even a high temperature is not able to reduce the child’s activity and most often they hear: “He is active and cheerful, so there is nothing to worry about - everything will go away on its own.” But from a medical point of view, at elevated temperatures the child needs rest and sleep. Accordingly, lethargy, apathy and drowsiness are exactly what doctors recommend to the patient. In this case, the body, without a doctor’s recommendation, independently decides that it needs to sleep.
If the child is active, then the mother should give him a lot to drink, but exclude watching cartoons, movies, or any other activities that require eye strain. Eye strain causes headaches.

During an illness, especially when a child’s temperature rises to 40 degrees, the skin becomes pinkish in color, especially the cheeks and ears become red. If the child is pale, the skin acquires a grayish tint, a cough appears, and his limbs are cold, then the mother must immediately call an ambulance.

Regarding medications. As mentioned above, Dr. Komarovsky does not recommend lowering the temperature with medications unless absolutely necessary. First of all, you need to follow all the recommendations described above. If the temperature still rises and approaches 40 degrees, then you can give the baby antipyretic drugs or call a doctor.

The most effective and safest drugs are those based on Paracetamol. After taking the drug, it is worth repeating the temperature measurement 40 minutes later. If the thermometer reading has not changed, then doctors recommend giving the required dose of Ibuprofen.

At elevated temperatures, which are accompanied by vomiting or diarrhea, medications should be given when the reading reaches 38 degrees. Also, for diseases of the nervous system and respiratory system, antipyretic drugs are given to children when the thermometer reading is 38.5°C.

And in conclusion, Dr. Komarovsky addresses parents who should always remain calm, especially when the baby begins to develop a fever. Remember that your child is no exception, because getting sick is common to everyone. But in order for recovery to be more successful, parents must learn to behave correctly.

Never panic! Always keep a cool head! Remember that stressful situations can cause a rise in temperature. Mom is the person the baby trusts most. And seeing the mother’s worried face, the baby begins to get nervous and worried. Put your child to bed, dress him in cotton clothes, give him something to drink and sit next to him by the bed. Talk to your child, try to divert his attention from the illness, and then the recovery process will go quickly. Remember that a good mood is a cure for all diseases.

Even experienced parents sometimes cannot calmly react to an increase in their children’s temperature and are at a loss as to what to do in this situation. It is impossible to treat the illnesses of children rationally; emotions always take over. Fever is a very common symptom and accompanies the course of almost all childhood diseases. But every time, seeing a reading on the thermometer that goes beyond the red line, mothers lose their composure and panic.

Reasons for the increase

A normal temperature is considered to be between 36 and 37.2 degrees. Its indicator is not a constant value and fluctuates throughout the day. Thus, the thermometer numbers may change after eating, vigorous physical activity and taking water procedures, but then the temperature fluctuates within its normal readings.

When viruses and bacteria enter the body, it begins active activity to combat them. It is the presence of temperature that indicates that not everything is all right with the child, even if there are no other manifestations of the disease. They will appear later, and the body is already engaged in protective activities. The temperature often rises in the evening, but can rise several times a day.

In addition, hyperthermia in a child can be observed due to overheating, when choosing inadequate clothing; in the presence of foreign bodies; if the child cries a lot and for a long time or is nervous; Allergic reactions can also trigger it. If the baby does not have any other symptoms, and the temperature periodically rises, then it is worth ruling out cardiac pathology.

Congenital heart defects can be manifested by changes in temperature during stressful situations and climate changes. Very often, teething and vaccination are accompanied by a short period of hyperthermia.

What temperature should you lower?

All babies experience fever differently. Some people don’t even notice when the temperature rises, even up to 39 degrees. They are active, noisy, and from their behavior one cannot conclude that the child is unwell. Others, even with low-grade fever, become tearful, refuse to eat and drink, and complain of pain in the head and limbs. The famous TV presenter Dr. Komarovsky advises not to lower the temperature if it is below 38, or even 39 degrees.

With such indicators, the child’s body actively produces interferon, an immunity factor that provides protection against viruses. If a child does not tolerate fever well, then we must begin to fight it at the first complaints. A rise in temperature to high numbers (over 39) is often accompanied by convulsions. Which is especially dangerous for children with neurological pathologies. Therefore, significant hyperthermia should be avoided in such children.

Video “Fighting the temperature”

How to lower the temperature at home

Evgeniy Komarovsky offers an algorithm of actions for parents when their child’s temperature rises.

calm the baby down if he is nervous or actively moves and plays, put him to bed;
provide cool air in the children's room. The temperature in it should not exceed 20-21 degrees;
Give the baby plenty of water. It is better to use raisin decoction or dried fruit compote; if this is not available, then just water. Moreover, this must be done even against the child’s wishes. These measures are aimed at ensuring maximum heat transfer in a febrile child;
cover the cub with a blanket, leaving the legs and arms open;
Physical methods of fighting fever (wraps and lotions) can only be used if it is of the “red” type. At the same time, the baby has hyperemic skin, wet hands and feet, rapid breathing and no changes in behavior. With this course of hyperthermia, you can wipe with slightly warm clean water the places where large vessels come to the surface of the skin (inguinal and axillary folds, elbow and knee bends, neck and temporal areas). Dr. Komarovsky strongly does not recommend using vinegar and alcohol for rubbing; this can lead to poisoning with these substances, since dry and hot skin will absorb them from its surface;
Temperatures of the “pale” type are more dangerous and more difficult to bring down. It increases to high numbers and occurs more often during the day. With it, the child experiences pale skin, cold extremities, dry skin and bluish lips, and changes in behavior. All these are indicators of spasm of superficial vessels, which prevents the normalization of heat exchange. Dr. Komarovsky notes that it is difficult to bring down this type of temperature on your own, so you often have to seek help from doctors.

According to Komarovsky, paracetamol is the best drug for use in children. It will not harm the baby even if the parents accidentally make a mistake with the dosage, and will become an indicator of the severity of the disease. As a rule, paracetamol works great if a child's fever is of viral origin. If he cannot bring the indicators down to normal or for a long time, then the disease moves towards complications or has a different nature.

And this is a signal for parents that they cannot cope on their own and they should involve specialists. An additional advantage for paracetamol is that it is available in all known dosage forms and is very convenient to use for children of any age.

Traditional methods

All means that increase sweating will be good in the fight against hyperthermia. These include: cranberry juice, linden and raspberry tea, lingonberry and red currant juice, rose hip decoction. Dr. Komarovsky recommends taking products that promote sweating after the child’s body is already sufficiently flooded, that is, the baby has drunk a lot of liquid, because you need to have a large amount of moisture in order to turn it into sweat.

In addition, a well-known pediatrician advises that drinking should correspond to body temperature, that is, approaching forty degrees. Komarovsky explains this by saying that before absorbing a cold substance, the body will “warm it up” to its optimal levels, and it will have to “cool” the hot substance. Be sure to change your baby into dry clothes after he has sweated.

External remedies in the form of wraps and lotions can be used only when the baby’s skin is hot to the touch. Moreover, it is recommended to use only clean water for them. It should be two to five degrees cooler than the body and in no case cold. According to Dr. Komarovsky, a child who is in a fresh room and has drunk a sufficient amount of fluid will cope with the temperature on his own without medications or additional measures in two to three hours.

Video “Fever in a child”

What to do if your child complains of a high temperature? To understand which methods will be optimal in the fight, we recommend watching the following video.

Children get sick at any age. The temperature rising to 37.5°C does not cause much panic. But what to do if the thermometer is already 39°C? What to do when the thermometer reaches the mark

38°C, but there are no other signs of illness? The answers are given by Dr. Komarovsky, a pediatrician with 30 years of experience, whose opinion is carefully listened to by mothers of children of any age.

According to the doctor, a temperature of 39°C is considered critical and parents should be extremely attentive to the baby’s well-being. Further increase in heat can cause serious harm to the child's body.

“It is unacceptable to limit yourself to self-medication - a high temperature is always a serious reason to call a doctor”

But if there are signs of an infectious disease, then how to bring down a child’s temperature of 39? Komarovsky believes that it is possible to help a child both without medications and with their help. However, there are a number of cases when medications are given without delay:

The child does not tolerate heat well
Having difficulty breathing
There is vomiting or diarrhea
Once the child already had convulsions due to fever
There are serious diseases of the nervous system, for example, cerebral palsy or epilepsy
Temperature rose above 39°C

If the baby feels normal - he does not have delirium, inappropriate behavior, or difficulty breathing, then you can wait to take medications. The main thing is to create special conditions that will help the baby cope with the fever. To do this you need:

Cool air and plenty of fluids are the main allies in the fight against high fever.

Cooling occurs through breathing and sweating. Tea with raspberries, honey or linden blossom is given only after the child drinks more than a liter of regular compote. Otherwise, the baby will have nothing to sweat with and the temperature will rise even more.

Rubbing with cold water is also not beneficial. They provoke vasospasm. The skin cools down, and the internal organs, on the contrary, overheat even more. If the child’s condition worsens, then it is necessary to move on to the next stage - taking medications.

According to Komarovsky, parents can only give their children paracetamol or ibuprofen in the dosages prescribed in the instructions.

At high temperatures, suppositories do not have the desired effect, but liquid products are absorbed quickly. However, there are times when even syrup cannot cope with intense heat due to spasm of the mucous vessels. The only way out is an injection of an antipyretic drug, which will be given by a doctor.

“Remember! You should not give your child aspirin or analgin - these medications harm the liver and blood-forming organs."

Paracetamol is given at intervals of 4 hours, ibuprofen - 6 hours, but no more than 4 times a day. Medicines are compatible with each other. When paracetamol does not work, you can give your child ibuprofen 40 minutes after paracetamol. If the temperature does not subside within 30-40 minutes after taking antipyretics, you should call a doctor.

As Dr. Komarovsky’s practice shows, a high temperature in a child without symptoms of an infectious disease causes even more bewilderment. Causes of high fever can be:

Baby overheating
Growing teeth
Roseola is a disease caused by a type of herpes virus. In this case, after 3 days of high fever, the child will develop a small rash. No special treatment is provided
Stress
Urinary tract infection

If your temperature rises and there are no symptoms, you should definitely see a doctor. Perhaps the doctor will see what is hidden from parental eyes. Perhaps it will simply confirm guesses, for example, about growing teeth.

If the doctor throws up his hands and does not find any visible signs of the disease, then Komarovsky suggests waiting 3-5 days and observing the child. After this period, it is necessary to take blood and urine tests to exclude hidden inflammatory processes.

Summing up

Komarovsky considers a high temperature with signs of an infectious disease or a child with a temperature of 38 without symptoms to be a good reason to immediately call a doctor at home. Parents should help the baby cope with the fever - drinking plenty of fluids, cool air in the room and, if necessary, taking antipyretic drugs will help do this. Analgin, aspirin, vodka, vinegar and cold compresses should be excluded from first aid remedies.

Most often, those parents who are closely faced with the problem of severe hyperthermia in their children call a doctor to their home. Infectious and inflammatory diseases are often accompanied by high fever, sometimes developing up to thirty-nine degrees.

In general, babies tolerate this difficult condition well, but if a serious illness occurs, there will also be accompanying symptoms that complicate it. The most common symptoms include migraine, chills, or respiratory symptoms. Only a doctor can decide on the treatment of the baby, but parents should clearly know how to bring down the temperature of 39 in the child before his arrival.

Most often, significant hyperthermia in a child develops due to:

Bacterial infection;
introduction of viruses into the body;
respiratory infections;
food poisoning;
allergic reaction;
teething;
overheating;
nervous overstrain;
oncological diseases;
immune response to vaccination, etc.

These factors cause a strong fever in the baby, which reflects a sharp activation of the body’s defenses.

It needs to be lowered. Otherwise, various serious complications can occur, the most common of which is a seizure.

In the case of a serious infectious or inflammatory disease, the question of prescribing antipyretic drugs should be decided only by the attending physician. If there is no particular danger or, on the contrary, the pediatrician has not arrived yet, and the thermometer readings increase more than 39 degrees, then they need to be reduced.

However, its manifestations that are too strong can have a negative impact on the baby, completely robbing him of his strength and leading to dehydration. How to bring down a child’s temperature of 39 and help him survive this serious condition? First of all, you need to provide him with a large amount of liquid.

To prevent dehydration, you should constantly give your baby water. Various fruit compotes, berry fruit drinks or decoctions of medicinal plants are well suited for this. The drink must be tasty, otherwise a sick child may refuse it due to poor health.

If only the baby’s forehead is hot, but his legs and arms are cold, this indicates the development of a negative vascular reaction. In this case, you should know that it is permissible to give a child at a temperature of 39 degrees antispasmodics (Drotaverine or Papaverine) in a pediatric dose, clearly indicated in the instructions for the drug.

This helps to balance the body's thermoregulation with the help of the air inhaled by the baby's lungs and the air released by them. In addition, it is worth making the air stream wet. It is advisable to wet the curtains, place a large basin of water in the room, or place a damp cloth everywhere.

In addition, it creates a significant burden on the cardiovascular and nervous system.

You should not allow your child to run or scream if he is in an excited state, but it is also undesirable to force him to bed.

Any nervous and physical stress will only increase hyperthermia. It is necessary to sit him in a comfortable place, read to him or distract him with something interesting.

It is possible to reduce the manifestations of fever with the help of appropriate medications only if the child’s temperature of 39-39.5 is not brought down by rubbing and drinking. There are special medications, which include syrups, suspensions or tablets. They contain the appropriate doses:

Ibuprofen, It should be remembered that for children under 5 years of age, suppositories, syrups and suspensions are preferable to tablets.
syrup or suppositories with Nurofen,
Candles with Viferon,
Paracetamol,
Kalpolom,
Panadolom,
Efferalgan or Cefekon in the required dosage.

The safest choice in this case is Paracetamol. It quickly helps bring down the temperature, has an anti-inflammatory and analgesic effect, has a minimum of contraindications and adverse reactions, and also does not have a noticeable effect on the hematopoietic system and the central nervous system.

The dosage in tablets for fever in children from 3 to 6 years is 800 mg / day.

From the age of 6, the permissible dose is multiplied by 1.5-2. The minimum interval between medication doses is 4 hours. If the temperature does not decrease, the tablet can be given again. If the child’s temperature remains at 39 even after repeated doses, then other medications or home remedies are used.

Ibuprofen-based medications also help quickly relieve fever, but they are less effective in providing other benefits to the body. However, their advantage is that the antipyretic effect lasts for a very long period. The child should also take them no more often than every six hours.

For patients aged 3 months to 2 years, suppositories, syrup and suspension are used in accordance with the instructions. And for children over 3 years old - tablets. The dosage is 10 mg/kg body weight at a temperature of 38.5 - 39.2, and if the temperature is below this indicator, then 5 mg/kg. The daily dose of the drug should not exceed 30 mg/kg body weight.

Many parents are horrified when they see numbers on a thermometer that stop at thirty-nine degrees. Therefore, they lose their heads and begin to do things that only worsen the child’s situation.
It should be noted that in medicine, elevated temperature is divided into:

White, when there is a hot forehead, and the palms and feet are cold, while the face is pale;
red when the heat covers the whole body.

Therefore, it is necessary to reduce the temperature in different ways.

In the first case, it is not recommended to massage the child’s limbs, completely undress him, or apply wet and cool lotions to his body. The baby’s condition is due to vascular insufficiency and these measures will only strengthen it.
When red hyperthermia is observed, these actions can help, since in this case vascular spasm is not observed; on the contrary, they are dilated.

If there is a large amount of the substance, or if there is damage to the body, it can enter the bloodstream and cause even more damage.

Also, you should not give your child hot drinks with raspberries, linden or honey, and then wrap them tightly. In this way, parents cause a diaphoretic effect and at the same time clog the air exchange, preventing the thermoregulation system from working at full strength. In addition, plant substances help create a diuretic effect, which, together with the diaphoretic effect, creates all the conditions for blood dehydration.

Under no circumstances should you give your baby drugs such as Amidopyrine, Analgin, Antipyrine or Phenacetin. They are contraindicated for a child’s body, otherwise intoxication is quite possible, which will make the patient’s condition critical.

Since babies often have a fever, parents should be prepared for this and know the basic measures that should be taken to help them.
Even if the child is still an infant, the mother needs to prepare in advance for what she can and should do if he develops hyperthermia, since she will often have to deal with such a problem.
And, of course, self-medication when a young patient develops a fever is simply unacceptable. All necessary therapy is carried out only by a doctor.

The heat increases;
the child does not eat anything;
he refuses to drink;
he is getting worse;
his limbs twitch;
the child constantly vomits;
he has severe diarrhea.

If you do not call an ambulance in time, a seizure, cardiac or vascular failure, or organic brain damage may occur.

These symptoms indicate serious metabolic problems, rapid approach of dehydration, as well as the presence of dysfunction of internal organs, and most likely the doctor will prescribe an antibiotic.

While the medical team has not yet arrived, it is advisable to wrap the child in a wet sheet for about five minutes. Then he should be dried and dressed in a dry nightgown. In addition, the baby at this time needs to drink plenty of water at room temperature. The window must be open.

The need for a child to reduce his temperature, which has reached thirty-nine degrees, is very urgent for parents. But this must be done extremely competently and carefully so as not to aggravate his condition.

Intense fever indicates that the immune system cannot cope with a significant amount of pathogenic flora and the infectious process is gaining strength. All this provokes the development of severe inflammation, and often also allergies, which, in turn, contributes to the preservation and intensification of hyperthermia.

Jun 1, 2017Yulia Astafieva

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A child's temperature gives parents a lot of anxiety. They try to alleviate the baby’s condition as quickly as possible, using available means to reduce the thermometer readings. Dr. Komarovsky advises following rules that allow you to determine when to lower a child’s temperature and how to do it correctly.

According to the famous doctor Komarovsky, parents should not immediately grab antipyretic medications. The fever should be brought down only if it reaches critical levels (39 degrees and above). The exception is children predisposed to febrile convulsions or babies who do not tolerate increased body temperature.

Contrary to popular belief, fever does have some benefits for the body. High thermometer readings are a response to inflammation. By raising the temperature, the child’s body actively fights viruses and microbes. The production of a natural health protector, interferon, begins.

Komarovsky is of the opinion that the disease, in which the temperature was actively reduced, will last longer. By lowering the thermometer readings, parents alleviate the condition, but relieve the body of natural defenses and the subsequent development of immunity.

If a child develops a fever, Komarovsky suggests that parents adhere to the following recommendations:

Give your child more to drink. Boiled water, tea, unsweetened compote will do. Drinking frequently helps avoid dehydration. Viruses that cause inflammation are also removed from the body along with the fluid.
Do not use alcohol or vinegar rubs. Doctors consider them harmful to the child's body. Toxic fumes can penetrate inside, further worsening the baby's condition.
Provide cool air in the room. The optimal temperature is +16 -+18 degrees. This is a good physiological way to reduce a child's temperature. In this case, the baby’s clothes should be quite warm to prevent hypothermia.
Ventilate the room periodically. Fresh air makes breathing easier and reduces the concentration of pathogenic microbes.

If necessary, give your baby an antipyretic drug, Komarovsky recommends using paracetamol-based medications. They have proven themselves as a means of reducing fever during viral infections. It is convenient for infants to use paracetamol in the form of suppositories; syrup is suitable for older children.

If a child’s fever lasts for more than three days, it is accompanied by cold symptoms: cough, runny nose, Dr. Komarovsky advises to consult a doctor to make a diagnosis and prescribe the correct treatment.

How to reduce a child’s temperature: the opinion of Dr. Komarovsky

High temperature in a child not uncommon, but most parents begin to panic at this moment. How to help the baby? How to determine the causes of temperature rise? Are any medications needed?

When a child is sick, the parents feel very sorry for him. I’m sure many people say the phrase: It would be better if I got sick instead of you. I want to help the baby and improve his well-being. Of course, you need a good pediatrician and adequate treatment. It is very important that during illness the baby feels parental love, care and attention.

When a child's body temperature suddenly rises, many parents begin to panic. Many questions immediately arise: what to do? how to help the baby? Do I need to lower the temperature? Why did the temperature rise and what disease is it a symptom of? Do I need to call an ambulance or can I handle it myself?

How to reduce a child's body temperature without medication? From the point of view of the public, until the mother gives the child an antipyretic drug, it is considered that no action has been taken. And often if a doctor tells mothers that a child with a fever needs to be given plenty of water and will not give an antipyretic pill, this means that the doctor did not prescribe treatment. The science of physiology states that 2 processes constantly occur in the human body: 1) heat production - the human body produces heat; 2) heat transfer - the body releases heat into its habitat;

Viruses or bacteria that cause infectious diseases tend to increase heat production and body temperature. We can influence these two processes without the use of drugs, increasing heat transfer and reducing heat production. Therefore, before giving a child a pill, you need to understand what is happening. When a child is active and in motion, his heat production is higher, therefore, when the temperature rises, he needs to be calmed down and preferably put to bed. Thus, when the child is at rest, we reduce his heat production. When a person eats a lot, the process of active digestion of food is accompanied by an increase in heat production, so the child does not need to be fed during an elevated temperature until he asks. As for heat transfer, all parents should remember one main rule: the human body loses most of its heat during exhalation. Therefore, you need to strive to ensure that the air temperature is no more than 20 degrees. If a sick child is lying in a room where the air temperature is 19 degrees and he is cold, then he needs to be dressed warmer. But the most important thing that parents should understand is that the temperature of the inhaled air plays a major role in regulating body temperature in children.

You can help a child with a fever in 2 stages: 1. Without resorting to medications; 2. With the help of drugs .

If your child flatly refuses to swallow pills, then you can use other dosage forms of fever-fighting drugs (injections, suppositories, syrups). The specificity of the human body is that if the body temperature exceeds 39, this very often leads to vasospasm in the intestines or throat. Therefore, when parents insert a cut into the child’s rectum, instead of being absorbed, it lies quietly there.

One of the main rules for using suppositories for temperature control is that they should not be used at temperatures that go beyond 39, since their effect develops very slowly and ineffectively. But if a child at ten o’clock in the evening has a temperature of 37.6 and it slowly rises, then there is a high chance that at night it will become 39 and we can sleep through this moment, but if we light a candle at 37.6 and go to bed, then this will be completely justified. The most convenient form for children is syrup, especially if its temperature is approximately equal to body temperature; it is absorbed from the stomach instantly and no worse than injections. But if the temperature is over 39 and the child categorically refuses to drink or vomits, then you will have to give an injection. Vasospasm can occur not only at the intestinal level, but also in the stomach; at temperatures below 40, any medications administered through the gastrointestinal tract do not work in principle. In this case, you need to seek medical help and get an injection. The effect of the antipyretic drug should appear within 40 minutes. But if after 40 minutes there is no result, then this is a 100% indication to call emergency help.

You need to understand that if a child has a fever and the parents do not know what caused it, they need to consult a pediatrician. The situation that almost every mother faces is fever without other symptoms. In most cases, the reason for the rise in temperature in the summer is overheating, and when there is no heat outside it is viral infections. When viruses become the cause of an elevated temperature, the main thing is to create conditions for the child to cope with this virus himself. 1. Do not overload the body with food, because the liver is the main organ of the digestive and immune system. 2. Provide the body with sufficient fluid. 3. Maintain clean, cool and humid air in the room.

If you follow these rules, you should feel better on the 3rd day, and by the 5th day your temperature should be normal. But if a gradual decrease in temperature is not observed, and there is no improvement on the third day, you should consult a doctor. The doctor says that if the mother does not see other symptoms, this does not mean that they do not exist at all. Because there are a number of symptoms that the mother cannot see; only a person with medical knowledge can see them. education. Therefore, any unclear situation is a reason to consult a doctor. The doctor explains to the parents that the temperature is 37.7, cough and snot, this is definitely a viral infection. But if the temperature is all, it is most likely a viral infection, but it is still advisable to consult a doctor.

A child’s temperature is 39: how to bring it down - Komarovsky

High temperature in children is a cause of panic and even hysteria in parents. Komarovsky is sure that parents often dramatize the situation and in every possible way interfere with the natural recovery of the child, using antipyretics with or without reason. A child’s temperature of 39 should cause alarm: we’ll find out how to bring it down (Komarovsky advises to be careful with folk remedies).

Parents face a dilemma: a high temperature can be life-threatening for the baby, but if you bring it down, you can significantly prolong the illness and delay recovery. Of course, the decision to use antipyretics should be made by the pediatrician, based on the diagnosis and individual characteristics of the child.

A high temperature is difficult for a child to tolerate: the baby rolls his eyes, groans, and breathes heavily. Loving parents cannot calmly look at the torment of their child and grab antipyretic drugs. Komarovsky, in response to the question of how to bring down a child’s temperature, be it 39 or higher, says that it is impossible to prescribe the correct treatment in absentia. Some children can withstand high temperatures, others almost faint from 37.5.

It is necessary to assess the child’s condition and do this, if possible, soberly. If the high temperature lasts for more than an hour, and the child’s condition causes concern among the parents, then an antipyretic drug should be taken immediately.

There are specific indications for which it is necessary to reduce the temperature. These include:

diseases of the nervous system,
temperature exceeding 39 degrees,
heat intolerance,
addition of other symptoms (shortness of breath, convulsions, etc.)

How to bring down a child’s temperature if the thermometer shows 39 or higher, Dr. Komarovsky will answer. The pediatrician suggests trying non-drug forms of treatment before giving your baby antipyretics.

Few parents are ready to create the necessary conditions for the child that will help normalize the temperature naturally. The pediatrician suggests reducing the room temperature to 16-18°C. This number is scary for some parents. In everyday life, it is believed that the sick person needs to create warm and comfortable conditions: wrap him in a blanket, close all the windows to avoid drafts, and avoid being in the fresh air. It is these steps, according to Komarovsky, that are fundamentally wrong. The pediatrician emphasizes that it is possible to reduce body temperature only by creating the necessary conditions so that the body has the ability to forcefully lose heat. But many parents believe that placing a sick child in a room where the temperature is only 18 °C is a real crime.

If the fear of overcooling the child is too strong, then you can at least reduce the room temperature to 20-22 ° C and increase the humidity. To do this, you should wash the floors in the room more often, use automatic humidifiers or indoor fountains. Without drinking plenty of fluids, it will not be possible to reduce a child’s temperature. If the baby is too small to persuade him to drink more, you will have to force the liquid into his mouth. This must be done carefully, making sure that the baby does not choke.

What to offer your baby as a drink? A raisin decoction is suitable for babies in their first year of life. Preschool children can be offered warm milk, tea, and dried fruit compote. Raspberry tea is widely used among people. It really promotes profuse sweating. But if the baby is already dehydrated, then raspberry tea will only worsen the situation. Therefore, first the little patient is offered compote, fruit drink or plain water, and only then raspberry tea.

It is believed that you can reduce the temperature by offering your child a hot drink. This is a fundamentally wrong opinion, since hot liquid is not absorbed by the stomach, and the same can be said about cold drinks. The best solution is a liquid whose temperature is as close as possible to body temperature.

You cannot cool your baby outside. This leads to the fact that the blood vessels narrow, the skin cools, and the internal organs heat up. Heat transfer decreases, and the little patient’s condition becomes worse. Using ice and cold water is extremely dangerous for the health and life of a child.

The greatest harm to a baby's health comes from rubbing with vodka and acetic acid. Harmful substances enter the baby’s blood through the skin, further aggravating his condition. According to Komarovsky, poisoning with alcohol or vinegar due to illness can even lead to death. You should also not do cold enemas, ice compresses, and the like. Such measures can only be taken if the child has been given medications that eliminate vasospasm.

The child has a fever. Komarovsky is a famous children's doctor, whose advice many mothers listen to. Today he will tell you when you need to lower your child’s temperature and how to do it.

The child has a fever. Komarovsky. like many other pediatricians, sometimes she cannot specifically answer whether it is necessary to bring down the baby’s temperature. After all, an increase in temperature, on the one hand, is a sign of the child’s body fighting the disease. However, on the other hand, high temperature is extremely dangerous for children, in particular for young ones. When the baby’s temperature rises, mothers begin to panic, and some immediately begin to stuff their child with medications. But this should be done as a last resort, and only if the cause of the fever is a virus.

Every parent should know what can and cannot be done if the baby suddenly develops a fever. Wrong actions will not help, but will only aggravate the condition. The following are recommendations from pediatricians that will help you not get confused and alleviate the condition of a child whose body temperature has risen.

How should you measure temperature in young children?

The child should have his own thermometer, and not the one used by other family members. Before use, it must be treated with alcohol or washed in warm water. In sick children, the temperature is measured three times a day.

Children's thermometers are an individual thing

You need to make sure that the room is at an optimal temperature and that the child is calm and not bundled up. If he has just had a bath or eaten, you need to wait half an hour or an hour. This measure is due to the fact that due to hot water and drinks, body temperature can increase by 1-1.5 degrees. To measure in the mouth, special nipple thermometers are produced, and for the armpit or groin fold, you can use a regular thermometer.

What should parents do if their child has a fever?

If the measurements show 38.0 0C, and the baby feels satisfactory, he is mobile, does not complain about anything, and does not have chronic or other diseases, you don’t have to worry yet. It is enough to measure the temperature once every 30 minutes, and if it rises to 38.5 0C, you need to call a doctor. Before the doctor arrives, you must give syrup, suppositories or another antipyretic drug approved for use in children.

Temperature norms for children of different ages

First aid consists of putting the child to bed, but not wrapping him up, even if he is shivering. Give plenty of fluids and regularly ventilate the room to allow fresh air to enter. You can do cool compresses and rubdowns.?

The main danger at elevated temperatures: seizures

Febrile seizures are a serious complication that occurs due to fever. They manifest themselves in different ways: the child throws back his head, freezes, limbs twitch, eyes roll up, breathing becomes weak and intermittent. The jaws may clench - in this case, you should not try to unclench them: there is a risk of causing harm.

Important! As soon as parents notice that their child is having seizures, they should immediately call an ambulance.

The duration of febrile seizures varies, sometimes they stop and resume after a while, so you can’t hesitate.

It is not necessary to reduce the temperature to +38

Features of fever in various diseases

In infectious diseases, during teething and in other cases, a change in temperature is accompanied by various symptoms.

Infectious diseases

In the first days, the infection in a child may be asymptomatic, making itself known only by a high temperature. Some signs of the disease, for example, a reddened throat, parents are not able to detect during a visual examination. Thus, if the baby has a hot forehead, but there is no snot, cough or headache, this is a reason to consult a doctor or call him at home.

Stomatitis

This condition is characterized by increased salivation. The child does not want to eat because putting food in his mouth causes him pain. This disease usually develops in young children. If you suspect stomatitis, you need to carefully examine the baby's oral cavity: white plaque and ulcers on the mucous membrane are a sure sign that medical help is required.

Before the specialist arrives, you can rinse your mouth with chamomile or sage infusion or furatsilin solution. The patient is given drink without restrictions, but you should abstain from hard, spicy, sour, salty and hot foods. Food can only be given in the form of warm puree.

Aphthous stomatitis in a child

Pharyngitis

With this pathology, the throat turns red and becomes covered with small ulcers. Antibacterial agents are prescribed by the doctor, taking into account what virus caused the pharyngitis.

Herpangina

This is a form of Coxsackie infection. Typical clinical picture: tonsils, arches and throat mucosa are covered with whitish blisters. The patient complains of pain when swallowing. Antibiotic therapy is ineffective, but the doctor may prescribe other drugs.

Angina

The disease is diagnosed mainly in children over 2 years of age, less often in one-year-old patients, and extremely rarely in newborns. Treated with antibiotics. It manifests itself as a sore throat, redness of the mucous membrane, purulent plaque and fever.

Otitis

Parents need to be very careful with this disease, because delayed or incorrect treatment can lead to complete or partial deafness. You can suspect otitis media by the fact that the baby is holding his ear, rubbing it, and crying. Fluid comes out of the ear, but not always. Frequent symptoms are runny nose, sore throat, cough. Older children complain that their ears are ringing. Treatment of otitis is complex: tablets, physiotherapy, antibacterial drops.

Otitis media causes high fever in a child

Roseola (exanthema)

Children aged from 9 months to 2 years are affected. According to statistics, the infection develops in 70% of children. Its occurrence is caused by the herpes virus, which is present in the body of almost every person. The onset of the disease is characterized by a change in temperature to 38.6–40 °C. Such indicators persist for 3 days or longer.

When palpated, you can notice an increase in the submandibular, occipital and cervical lymph nodes. When the temperature returns to normal, the skin becomes covered with pink spots of different diameters. After a few days they disappear. Roseola occurs without complications; antipyretics are prescribed by the pediatrician.

Inflammation of the urinary tract

In addition to fever, bladder and duct infections may cause swelling of the legs and face. To determine what the child is sick with, the pediatrician prescribes a general urine test and sometimes a blood test.

Non-infectious causes

Overheat

Symptoms of hyperthermia are increased sweating, rapid breathing, and palpitations. Possible loss of consciousness. You need to call a doctor immediately. Before his arrival, the child is undressed to the waist, or at least his clothes are unbuttoned, laid down so that his head is raised, and wiped with a damp towel.

If the patient has lost consciousness, give him a cotton swab soaked in ammonia to smell.

Teething

The temperature may rise during the period when baby teeth are being cut. This happens in children aged 4 months and older. up to 2.5 years. The thermometer does not rise above 38.5 °C, so there is no reason to panic. If the baby is mobile, active and not capricious, you can do without a doctor.

A teething baby grabs and pulls various objects into his mouth. Upon visual examination, swollen gums are visible, after a while the tops of the teeth appear. At this time, increased salivation is observed, the baby refuses his favorite food.

Teething is often accompanied by fever

To prevent gums from hurting so much, they are lubricated with a special gel, and at high temperatures (above 38 °C), if it is accompanied by lethargy, they are given a remedy that can bring it down to normal levels. Effective antipyretics - Nurofen, Viferon suppositories, Paracetamol. It is better for children to be in bed at this time. Drinking should be warm and plentiful.

☝Usually the tooth cuts through 2-3 days, after which the baby’s condition returns to normal.

Side effect after vaccinations

The temperature may rise after DPT or preventive vaccination. As a rule, it lasts for 24-36 hours. You should not be afraid that the temperature is rising: this indicates good immunity. There may be other symptoms: pain at the injection site, mild swelling. Komarovsky recommends giving an antipyretic drug once, without waiting for the thermometer to reach febrile levels. You should not cool the child with wet wipes, because you can accidentally touch the vaccination site.

☝☝☝An increase in temperature that does not go away for more than 2 days should be a cause for concern.

The child may have an acute respiratory viral infection or a cold, so you should show him to the doctor as soon as possible.

Ways to lower temperature in children

Not all medications can be given to children from birth. Paracetamol is considered the most effective and harmless for babies. The doctor can also prescribe products based on it: “Calpol”, “Efferalgan”, “Panadol”. These drugs are available separately for children and adults. Giving a child medications intended for adults is unacceptable.

More effective antipyretics are Nurofen, Ibufen, Ibuprofen, and Viferon suppositories. As a rule, the temperature rises in the evenings, and medication is given at this time. Overwork should not be allowed during this period. If the baby’s condition does not improve within 2-3 days, you need to call a local doctor at home. This applies only to those situations where the elevated temperature is not accompanied by other symptoms, and the child has already been examined by a specialist. Otherwise, you need to call an ambulance or a pediatrician immediately.

☝☝☝Important! Aspirin should not be given to children: it causes side effects and complications, including hepatic encephalopathy, bleeding and an allergic reaction.

In case of vomiting, when it is difficult to give a tablet or syrup, it is recommended to use suppositories. They have no contraindications, they are suitable for children of any age and act instantly. Antipyretic suppositories for children: “Genferon”, “Cefekon”, “Efferalgan”, “Viferon”.

Drugs that should not be given to children

For various reasons, some medications are not used in pediatrics.

Phenacetin, antipyrine, amidopyrine are not given to children due to many side effects.
Preparations containing acetylsalicylic acid thin the blood, provoke bleeding, and cause allergic reactions.
Analgin and other drugs based on metamizole sodium inhibit hematopoietic processes, lead to allergies, and can cause loss of consciousness as a result of a drop in temperature to critical values.

✖All of the drugs listed are not used for home treatment.

When should you see a doctor?

In any case, as soon as the temperature rises, the child needs to be examined by a doctor. He will prescribe further treatment. Whether taking medications that can lower the fever will be enough, or whether other methods of therapy will be required, only a specialist can decide. If necessary, antibiotics and drops in the nose or ears may be prescribed.

You should not hesitate to consult a doctor in the following cases:

the thermometer shows numbers from 39.5 to 40 oC;
despite adequate treatment, body temperature does not drop for 3 days;
there is no positive dynamics;
other symptoms have been added (nausea, diarrhea, cough, redness of the skin, rash);
the child's general condition worsened.

When a high temperature persists for a long time, a series of tests must be done to adjust the prescribed therapy.

Call an ambulance at temperatures above +39

Worsening of the condition may be a sign of the body's reaction to strong drugs. In this case, you need to choose other medications. The baby may feel unwell even if he has chronic diseases, which tend to worsen due to fever. In this case, the child refuses to eat and drink, his skin becomes dry, his urine becomes dark, and there is no sweating.

Symptoms for which you need to urgently call an ambulance at home:

going limp;
swelling;
dyspnea;
intermittent, difficult breathing;
disturbance of consciousness;
severe anxiety;
convulsions.

In these and similar cases, prolonged elevated temperature indicates that the child needs to be treated in a hospital. It is unacceptable to hesitate and wait.

The use of antipyretics for low-grade fever

In most cases, it is necessary to sharply reduce the temperature when the temperature is above 38.5-39 ° C, because there is a risk of seizures. But sometimes it is not forbidden to give antipyretic drugs even at lower levels.

List of situations when you should give medicine:

age up to 2 months;
there have previously been cases of seizures provoked by elevated temperatures;
have heart or vascular disease;
there are disorders of the nervous system;
The temperature has risen due to overheating.

Additional symptoms

It rarely happens that a fever in a child who is sick is not accompanied by other symptoms. The most common of them are described below.

Redness of the larynx

A red throat is a sign of a childhood infection of a viral or bacterial nature. The symptom is observed in scarlet fever, tonsillitis and some other diseases affecting the nasopharynx area.

No need to wrap up when there is a temperature

Runny nose

When a viral infection affects the nasal mucosa, a runny nose appears. Other troubles are added to it: cough, difficulty breathing through the nose, sore throat, weakness, poor appetite.

Cold feet and hands

White fever is a condition in which the extremities are cold and the skin is pale. Cold feet when a child has a fever is a consequence of vasospasm. The clinical picture is complemented by chills. The child's breathing becomes difficult and difficult. To eliminate symptoms, it is strictly forbidden to apply rubdowns or any wet compress. Before the doctor arrives, you can only rub your arms, legs and whole body with your hands. No-spa can relieve spasms, but it can only be given in consultation with a doctor.

Convulsions

☝☝☝Febrile temperature is a common cause of seizures. In children under 6 years of age, they can occur at temperatures ranging from +38°C, and if there are neurological disorders, then at lower levels.

Seizures are characterized by involuntary twitching of the limbs, flexion and extension. The child's skin turns blue and he does not respond to external stimuli. In this case, the baby should be placed so that the head is raised and turned to the side. Before the ambulance team arrives, the patient must not be left unattended for even a second.

Diarrhea, vomiting

A rise in temperature accompanied by nausea, vomiting and diarrhea is a sign of an intestinal infection or food poisoning, not necessarily of poor quality. In young children, the digestive system is not well developed, so even benign food can provoke pathological symptoms. Also, vomiting in combination with fever often becomes a sign of acetone syndrome or meningitis.

Abdominal pain

Pain and pain in the abdomen in combination with an elevated temperature is a reason to immediately call a doctor. Perhaps the baby has appendicitis, an exacerbation of chronic kidney disease, or another pathology. In this case, every second counts.

No additional symptoms

A child without symptoms may have a fever in three cases:

Infectious kidney disease;

Teeth are being cut;

The disease (any) is just beginning, and the body is trying to fight.

Blood, urine or ultrasound tests will help confirm the presence of the disease or make sure that it does not exist.

What to drink and feed the child?

Drinking should be given in large quantities, but not forcefully. The following drinks are useful: compote, fruit drink, tea, herbal decoction. Liquid is needed to replenish its loss by the body, since at high temperatures a lot is lost through sweat. Food can be given little by little, as much as the child can eat, but not overheated, but slightly warm.

Raspberry tea on temperature

Treatment with folk remedies

To increase sweating, it is recommended to give cranberry juice or tea with berries. Just keep in mind that in children under one year old, cranberries can cause allergic rashes. Also, it should not be used for any diseases of the digestive system.

Children who are not prone to allergies can be given tea with raspberry jam or berry juice diluted with warm water.

Rubdowns

You can wipe only with warm water. Her temperature is measured with a special thermometer: the readings should be 2 degrees lower than the child’s body temperature. Wet rubbing can reduce the heat by 1 degree. Cool water should not be used: the feeling of cold will provoke vasospasm. Also, do not use solutions of alcohol and vinegar for wiping: their fumes are harmful to children.