How to Lower High Fever?

Fever in children naturally causes concern for parents. Fever, which is defined as a body temperature higher than normal, is influenced by the child's age, overall health condition, activity level, time of day, and clothing. In general, a body temperature above 38°C is considered a fever, but this threshold can vary depending on the measurement method used. Underarm measurements typically consider 37-37.3°C as the threshold, while rectal or oral measurements use 38-38.3°C as the threshold.

Several Illnesses Can Occur at the Same Time

Fever is the most common symptom in childhood infections. Especially during viral infections, fever often appears as the first symptom. In viral infections, the fever can range between 38-40°C during the first 3-4 days. Fever reducers may not be effective. In addition to fever, symptoms like a runny nose, sore throat, fatigue, muscle aches, abdominal pain, nausea, and vomiting can occur. During the spring months, adenovirus and enteroviruses are commonly associated with high fever. Adenovirus can spread easily through respiratory secretions, close contact, and contaminated items. In addition to upper respiratory symptoms, diarrhea can also be seen. Enteroviruses can have the same effect. If the fever persists for several days, along with upper respiratory symptoms, diarrhea, and rashes, it may indicate a viral infection. In this case, symptom management with supportive treatment is necessary. It is not correct to use antibiotics for every sore throat and throat redness. Although less common, in cases of prolonged fever, it is important to monitor accompanying symptoms and newly developed signs closely, and, if necessary, check with laboratory tests to rule out non-infectious diseases.

What Causes Fever?

It is important to determine what is causing the fever. Ear infections, colds, upper respiratory infections, urinary tract infections, pneumonia, some medications, injuries, and poisoning can all lead to fever. Very hot environments can also cause heatstroke. When a child has a fever, their heart rate speeds up. The child’s cheeks may become red or they may sweat more than usual. Some children may feel fine even when they have a fever, but most will show symptoms of the illness causing the fever. The child may have an earache or sore throat, a rash, or abdominal pain. All these symptoms provide important clues for understanding the cause of the fever. In children between 6 months and 6 years old, seizures may occur along with high fever; extra caution should be taken for this age group.

If Your Child Is Over 6 Months Old, Pay Attention to the Following

If a child over 6 months old has a mild fever, i.e., below 38.3°C, and is not looking ill or weak, not sleepy or irritable, without a history of other conditions or febrile seizures, and their eating, sleeping, and playing are not negatively affected, the following steps can be taken before taking them to the doctor:

Keep them in a cool environment.
Ensure they are wearing light clothing.
Encourage them to drink fluids such as water or diluted fruit juices.
Ensure they do not overexert themselves.
Fever-reducing medication can be given.

Which Medications Can Be Used for Fever?

Paracetamol (taken orally or in suppository form) or ibuprofen (taken orally) can be used. Follow your doctor's recommendations and medication instructions regarding the dosage. Always read the medication information before giving any medicine to your child.
If your child is vomiting and you think they are losing fluids, do not give ibuprofen.
Do not give aspirin. Administering aspirin during viral illnesses in children can lead to a dangerous complication called Reye's Syndrome. Additionally, aspirin can cause stomach discomfort and gastrointestinal bleeding as side effects.
If the fever continues to rise, sponge your child’s body with a sponge or washcloth moistened with lukewarm water.

How to Lower Fever with Water and a Cloth?

Do not use cold water or give your child a cold shower for this procedure. Cold water can cause the child to shiver, which may raise the fever even higher.
Do not add alcohol to the water or rub alcohol on the skin, as absorption through the skin can lead to serious side effects.
Do not try to lower your child’s fever too quickly, as this can cause the fever to rebound and rise further.

If Your Child Is Under 6 Months Old, Pay Attention to the Following

If your child is under 6 months old and their fever exceeds 38.3°C, appears ill or weak, is sleepy or irritable, has a history of other conditions or febrile seizures, or if their eating, sleeping, or playing is negatively affected, take them to the doctor immediately. In the meantime, lukewarm water can be applied and fever-reducing medication can be given.

Last Updated Date: 10 January 2015

Publication Date: 01 October 2015