What temperature is considered a fever in adults and children. How high of a fever is too high for babies. When should you seek medical attention for a fever. What are the symptoms and treatments for high fevers.

Defining Fever: When Body Temperature Rises Above Normal

A fever occurs when your body temperature exceeds the normal range. The average body temperature is approximately 98.6°F (37°C), but this can vary slightly between individuals and throughout the day. Typically, body temperature peaks in the afternoon.

Fever thresholds differ by age group:

• Adults and children: 100.4°F (38°C) or higher (oral temperature)
• Babies under 1 year: 99°F (37.2°C) or higher (armpit temperature) or 100.4°F (38°C) or higher (rectal temperature)

While a fever often indicates that your body is fighting an infection, it’s usually not a cause for immediate alarm. However, understanding when a fever becomes dangerous is crucial for proper care and treatment.

Recognizing Fever Symptoms: From Chills to Weakness

Fever manifests through various symptoms that can affect your overall well-being. Common fever symptoms include:

• Chills and shivering
• Body aches and pains
• Headaches
• Sweating or feeling flushed
• Loss of appetite
• Dehydration
• Weakness or lack of energy

These symptoms can vary in intensity depending on the severity of the fever and the underlying cause. Recognizing these signs can help you determine when to seek medical attention or begin home treatment.

Febrile Seizures in Young Children

Children between 6 months and 5 years of age may experience febrile seizures during very high fevers. While frightening for parents, these seizures are generally not harmful and children typically outgrow them. If your child has a febrile seizure:

1. Place the child on their side
2. Do not put anything in their mouth
3. Seek immediate medical attention

Low-Grade vs. High-Grade Fevers: Understanding the Difference

Fevers are categorized based on their severity, with distinctions between low-grade and high-grade fevers.

Low-Grade Fever

A low-grade fever is a slight elevation above normal body temperature, typically between 98.8°F (37.1°C) and 100.3°F (38°C). These fevers are generally not a cause for concern and can often be managed at home.

High-Grade Fever

High-grade fevers warrant medical attention. For adults, this is an oral temperature of 103°F (39.4°C) or higher. In children over 3 months old, a rectal temperature of 102°F (38.9°F) or higher is considered high-grade.

For infants under 3 months, any rectal temperature of 100.4°F (38°C) or higher requires immediate medical evaluation, as it could indicate a serious infection.

When Fever Breaks: Signs of Recovery

As your body overcomes the infection or condition causing the fever, your temperature will return to your normal baseline, usually around 98.6°F (37°C). This process is known as “breaking” the fever. You may experience:

• Sudden onset of sweating
• Feeling flushed or warm
• A noticeable drop in temperature

These signs indicate that your body is regulating its temperature back to normal, signaling the beginning of recovery.

Treating Fevers in Adults and Children: Home Remedies and Medications

Fever treatment depends on its severity and the individual’s age. For mild to moderate fevers, the following approaches can be effective:

Over-the-Counter Medications

Ibuprofen (Advil) and acetaminophen (Tylenol) can help reduce fever and alleviate associated discomfort. Always follow dosing instructions carefully, especially for children.

Hydration

Fever can lead to dehydration, so increasing fluid intake is crucial. Water, juice, and broth are good options. For young children, rehydration solutions like Pedialyte can be beneficial.

Rest and Comfort Measures

Adequate rest is essential for recovery. Additionally:

• Wear light clothing
• Keep the environment cool
• Use light blankets when sleeping
• Consider taking a lukewarm bath to reduce body temperature

It’s important to avoid inducing shivering, as this can actually increase body temperature.

Antibiotics for Bacterial Infections

If a bacterial infection is causing the fever, your doctor may prescribe antibiotics. These are not effective against viral infections, which must run their course.

For high fevers or those causing significant discomfort, medical intervention may be necessary. Always consult a healthcare provider before administering any medication, especially to children.

Fever in Babies: When to Worry and Seek Help

Fever in infants requires special attention due to their vulnerable immune systems. If your baby has a rectal temperature of 100.4°F (38°C) or higher, immediate medical evaluation is crucial.

Never give over-the-counter medications to infants without consulting a pediatrician first. In some cases, babies with high fevers may need intravenous medication and close monitoring in a medical setting.

A fever in a very young infant could be the only sign of a serious condition, making professional medical assessment essential.

Red Flags: When Adult Fevers Require Medical Attention

While most fevers resolve on their own, certain symptoms accompanying a fever warrant immediate medical care. Seek help if you experience a fever along with:

• A temperature of 103°F (39.4°C) or higher
• Severe vomiting or diarrhea
• Difficulty breathing or chest pain
• Intense headaches or neck stiffness
• Skin rashes or unusual skin discoloration
• Abdominal pain
• Painful urination
• Confusion or altered mental state
• Sensitivity to light
• Dizziness or lightheadedness

These symptoms could indicate a more serious underlying condition that requires prompt medical evaluation and treatment.

Special Considerations for Children’s Fevers

Children’s fevers often cause more concern for parents due to the potential for rapid progression. Seek medical attention for your child if they:

• Are younger than 3 months old with a rectal temperature of 100.4°F (38°C) or higher
• Have a fever lasting more than three days
• Appear very ill, unusually drowsy, or unresponsive
• Have other worrying symptoms like severe headache, stiff neck, or unexplained rash
• Have recently been vaccinated and have a fever exceeding 102°F (38.9°C)
• Have a history of febrile seizures

Remember, a child’s ability to fight infections is still developing, so err on the side of caution when dealing with pediatric fevers.

The Importance of Accurate Temperature Measurement

To effectively monitor and manage fevers, it’s crucial to use accurate temperature measurement methods. Different techniques are appropriate for different age groups:

• For infants: Rectal temperatures are most accurate
• For young children: Armpit or ear temperatures can be used
• For older children and adults: Oral temperatures are standard

Always use a reliable thermometer and follow the manufacturer’s instructions for best results.

Fever Prevention: Boosting Your Body’s Defenses

While not all fevers can be prevented, you can take steps to reduce your risk of infections that may lead to fevers:

• Practice good hand hygiene by washing hands frequently
• Stay up to date on vaccinations
• Maintain a healthy diet rich in fruits and vegetables
• Get adequate sleep to support your immune system
• Exercise regularly to boost overall health
• Avoid close contact with sick individuals when possible

By adopting these healthy habits, you can strengthen your body’s natural defenses against infections that may cause fevers.

Understanding Fever’s Role in Immunity

While fevers can be uncomfortable, they play a crucial role in the body’s immune response. Elevated body temperature can:

• Slow down the growth of some bacteria and viruses
• Enhance the activity of white blood cells
• Increase the production of antibodies

This is why mild fevers are often allowed to run their course without intervention, as they contribute to the body’s natural healing process.

Myths and Facts About Fever Management

There are many misconceptions about fever treatment. Let’s clarify some common myths:

Myth: Fever must always be treated with medication

Fact: Mild fevers often don’t require medication and can help the body fight infection.

Myth: The higher the fever, the more serious the illness

Fact: The severity of illness doesn’t always correlate with the height of the fever. Other symptoms are often more indicative of illness severity.

Myth: Fevers can cause brain damage

Fact: Typical fevers (under 104°F or 40°C) don’t cause brain damage. Only extremely high fevers, usually associated with heat stroke, pose this risk.

Myth: Bundle up to “sweat out” a fever

Fact: Bundling up can actually increase body temperature and discomfort. Light clothing and a cool environment are more beneficial.

Understanding these facts can help you manage fevers more effectively and reduce unnecessary worry.

Long-Term Effects of Recurrent Fevers

While most fevers are short-lived and resolve without complications, some individuals experience recurrent fevers. These can be caused by various conditions, including:

• Chronic infections
• Autoimmune disorders
• Periodic fever syndromes
• Some cancers

Recurrent fevers can have long-term effects on the body, including:

• Fatigue and decreased energy levels
• Impact on growth and development in children
• Strain on the immune system
• Potential organ damage if left untreated

If you or your child experiences frequent unexplained fevers, it’s important to consult a healthcare provider for proper diagnosis and management.

The Role of Fever in Different Medical Conditions

Fever can be a symptom of various medical conditions, each with its own characteristics:

• Viral infections: Often cause low to moderate fevers that resolve within a few days
• Bacterial infections: May lead to higher fevers and require antibiotic treatment
• Autoimmune disorders: Can cause recurrent or persistent low-grade fevers
• Malignancies: Some cancers can cause unexplained fevers, often accompanied by other symptoms like weight loss

Understanding the pattern and duration of fevers can provide valuable clues for diagnosis and treatment.

Fever Management in Special Populations

Certain groups require special consideration when it comes to fever management:

Pregnant Women

Fever during pregnancy can potentially affect fetal development. Pregnant women should consult their healthcare provider promptly for any fever.

Elderly Individuals

Older adults may not always develop typical fever symptoms. Even a slight temperature elevation can indicate a serious infection in this population.

Immunocompromised Patients

People with weakened immune systems, such as those undergoing chemotherapy or with HIV/AIDS, may develop severe infections with only mild fever. Any fever in this group warrants immediate medical attention.

Travelers

Individuals who have recently traveled to tropical areas should be aware of fever as a potential sign of diseases like malaria or dengue fever.

These special populations may require more aggressive fever management and closer monitoring to prevent complications.

Technological Advances in Fever Monitoring

Recent technological developments have enhanced our ability to monitor and manage fevers:

• Wearable temperature sensors that provide continuous monitoring
• Smart thermometers that connect to smartphone apps for easy tracking
• Infrared thermometers for non-contact temperature measurement
• Thermal imaging cameras for mass fever screening in public spaces

These innovations offer more convenient and accurate ways to monitor body temperature, potentially leading to earlier detection and treatment of fevers.

The Future of Fever Management

Ongoing research in fever management focuses on:

• Developing more targeted antipyretic medications with fewer side effects
• Understanding the genetic factors that influence fever response
• Exploring the use of artificial intelligence in predicting fever patterns and outcomes
• Investigating novel cooling techniques for managing dangerously high fevers

These advancements promise to improve our ability to manage fevers effectively and minimize associated risks.

Global Perspectives on Fever Management

Approaches to fever management can vary across different cultures and healthcare systems. For example:

• Some cultures use traditional remedies like herbal teas or specific foods to treat fevers
• In some countries, fever is viewed more as a beneficial immune response and is less aggressively treated
• Access to healthcare and medications can impact fever management strategies in different regions

Understanding these global perspectives can provide valuable insights into diverse approaches to fever care and potential alternative treatments.

The Role of Climate in Fever Perception and Management

Climate can influence how fevers are perceived and managed:

• In hotter climates, there may be a higher tolerance for elevated body temperatures
• Cold climates may lead to more aggressive fever management due to the contrast with environmental temperatures
• Seasonal variations in infectious diseases can affect fever patterns and management strategies

Considering these factors can help tailor fever management approaches to specific geographic and climatic contexts.

In Adults, in Children, in Babies, Treatment, and More

Fevers will typically go away within a few days. Medications, staying hydrated, and getting plenty of rest can help relieve symptoms. Medical care may be needed for severe fevers, or for infants younger than 3 months.

A fever is when your body temperature is higher than normal. The average body temperature is around 98.6°F (37°C).

Your average body temperature may be higher or lower than that. It can also fluctuate slightly throughout the day. These fluctuations can vary with age and how active you are. Your body temperature is typically highest in the afternoon.

When your body temperature rises higher than normal, it may be a sign that your body is in the process of fighting off an infection. It’s usually not a cause for alarm.

The following temperatures or higher indicate a fever:

• Adults and children: 100.4°F (38°C) (oral)
• Babies (under 1 year): 99°F (37. 2°C) (armpit) or 100.4°F (38°C) (rectal)

Read on to learn more about what to expect with a fever, how and when to treat it, and when to seek help.

The general symptoms associated with a fever can include:

• chills
• aches and pains
• headache
• sweating or feeling flushed
• lack of appetite
• dehydration
• weakness or lack of energy

Febrile seizures in children

Children between 6 months and 5 years of age may develop febrile seizures. These seizures can occur during very high fevers. About one-third of children who have a febrile seizure will have another. Typically, children outgrow febrile seizures.

It can be very scary when your child has a febrile seizure. If this happens, you should do the following:

• Place your child on their side.
• Don’t place anything in your child’s mouth.
• Seek medical attention if you suspect your child is having or had a febrile seizure.

Low-grade vs.

high-grade fevers

A low-grade fever for adults and children is when your body temperature is elevated slightly above normal. This is generally between 98.8°F (37.1°C) and 100.3°F (38°C).

People with high-grade fevers should seek medical advice. For adults, this is an oral temperature of 103°F (39.4°C). For children over 3 months old, this is a rectal temperature of 102°F (38.9°F) or higher.

If your baby is under 3 months old and has a rectal temperature of 100.4°F (38°C) or higher, seek medical attention immediately.

When a fever breaks

When a fever breaks, your temperature will return to what’s normal for you, usually around 98.6°F (37°C). You may start to sweat or feel flushed as this is happening.

In adults and children

In cases of a mild or low-grade fever, it may not be a good idea to try to bring your temperature down too quickly. The presence of the fever could be helpful in fighting off an infection in your body.

In case of a high fever or a fever that’s causing discomfort, the following treatments may be recommended:

• Over-the-counter (OTC) medications. Popular options include ibuprofen (Advil) or acetaminophen (Tylenol). They can help relieve your aches and pains and lower your temperature. Be sure to check dosing information for children.
• Antibiotics. Your doctor will prescribe antibiotics if you have a bacterial infection that’s causing your fever. Antibiotics can’t be used to treat viral infections.
• Sufficient fluid intake. A fever can lead to dehydration. Be sure to drink plenty of fluids, like water, juice, or broth. Rehydration solutions such as Pedialyte can be used for young children.
• Keep cool. Wear lighter clothing, keep your environment cool, and sleep with light blankets. Taking a lukewarm bath may also help. The key is to keep cool, but not to induce shivering. This can make you feel worse.
• Rest. You’ll need sufficient rest to recover from whatever is causing your fever. Avoid any strenuous activities that could elevate your body temperature.

Warning

Children and anyone under the age of 18 should never take aspirin for an illness. This is because of the risk of a rare, but fatal, condition called Reye’s syndrome.

In babies

If your baby has a rectal temperature of 100.4°F (38°C) or higher, seek medical attention immediately. Don’t give your baby OTC medications at home without first consulting their doctor for dosing and guidance.

A fever could be the only indication of a more serious condition. Your baby may need to receive intravenous (IV) medication and be monitored by a doctor until their condition improves.

In adults

Seek medical attention if you’re experiencing a fever with any of the following symptoms:

• a fever of 103°F (39.4°C) or higher
• vomiting or diarrhea
• difficulty breathing
• pain in your chest
• severe headache
• skin rash
• abdominal pain
• painful urination
• a stiff neck or pain in your neck when you bend your head forward
• feelings of confusion
• light sensitivity
• being dizzy or lightheaded

In children and babies

Seek medical attention for your child if they:

• are younger than 3 months old and have a fever with a rectal temperature of 100. 4°F (38°C) or higher
• are over 3 months old and have a fever of 102°F (38.9°F) or higher
• are over 3 months old and have had a fever for longer than 2 days

Also seek medical attention for your child if they have a fever and:

• difficulty breathing
• headache
• skin rash
• lack of energy or appear listless or lethargic
• are inconsolable or crying continuously
• stiff neck
• appear confused
• lack of appetite
• aren’t consuming adequate fluids to produce wet diapers

A fever is when your body temperature is higher than normal. This is typically a sign that your body is in the process of fighting off some sort of infection. Fevers will typically go away within a few days.

Most low-grade and mild fevers are nothing to worry about. You should be able to relieve discomfort by taking OTC medications, staying hydrated, and getting plenty of rest.

Any fever in an infant younger than 3 months, or high grade-fevers in adults and children, should be assessed by a medical professional.

Fever | KidsHealth NZ

Fevers are common in children. Fever by itself does not tell you whether your child is seriously sick. Even an ordinary cold can cause a high fever.

Key points about fever in children

• a viral infection (such as a cold) is usually the cause of a fever in tamariki
• if your child looks unwell and you are worried, take them to a doctor whether they have a fever or not
• if your child has already seen a doctor but they are getting worse, go back to your doctor
• if your baby with a fever is under 3 months old, you should always see a doctor

If your baby with a fever is under 3 months old, you should always see a doctor.

What is fever?

Normal temperature

Your child’s normal body temperature is around 37 degrees Celsius.

A fever

Your child has a fever if their temperature is higher than 38 degrees Celsius.

A high fever

A high fever usually means more than 38. 5 degrees Celsius.

What the number on the thermometer can’t tell you

The number on the thermometer cannot tell you what is causing the fever or how sick your child is.

Fever by itself does not tell you whether your child is seriously sick.

If your child is miserable and seems unwell, and feels hot, you can use a thermometer to take their temperature. You don’t need to do this if your child seems well.

The number on the thermometer cannot tell you:

• what is causing the fever
• how sick your child is

Check out how to use thermometers

What causes fever in children?

The most common cause of a fever in a child is a viral infection. A bacterial infection is a less common but more serious cause.

The body’s natural reaction to infection with a virus or bacteria is to raise the temperature inside the body. This helps to kill the infection.

Other causes of high body temperature include:

• immunisation – this usually causes only mild fever
• wrapping a baby in too many warm layers of clothing, or bedding

Will a fever harm my child?

Fever is a normal way for a child to fight an infection. Being hot may make your child feel unhappy or uncomfortable, but the high temperature is very unlikely to cause any long-term problems.

A small number of children have seizures when they have fevers. 

Read about febrile seizures

When should I seek help for my unwell child?

If you are worried about your child, whether or not there is a fever, take them to see a doctor.

If you are worried about your child, whether or not there is a fever, take them to see a doctor.

If your child has already seen a doctor but they are getting worse, go back to your doctor.

Call Healthline on 0800 611 116 if you are unsure what you should do.

When should I dial 111?

Dial 111 within New Zealand (use the appropriate emergency number in other countries) and ask for urgent medical help if your child:

• has blue lips and tongue
• has severe difficulty breathing
• has any episodes of irregular or stopping breathing
• has a worrying rash especially one that does not go away when you press on it
• is unconscious or you can’t wake them up properly

See KidsHealth’s page on meningococcal disease for photos of a worrying rash.  

When should I see a doctor urgently?

You should see a doctor urgently if your child with a fever:

• is under 3 months old – young babies need a different and more cautious approach
• looks unwell and you are concerned
• is very pale or feels cold to touch
• is floppy, sleepy or drowsy
• is becoming less responsive
• has an unusual high-pitched cry
• has trouble breathing, has noisy breathing or is breathing fast
• complains of a stiff neck or light hurting their eyes
• has a severe headache
• refuses to drink – even small sips
• vomits a lot and cannot keep sips of fluid down
• vomits green fluid (bile)
• vomits blood – this may be red or brown 
• is in severe pain
• is not interested in surroundings (lethargic)

When should I see a doctor?

You should see a doctor if your child with a fever:

• has a sore throat or joint pains
• is drinking less than half of their normal breastmilk or other fluid
• is having fewer than 4 wet nappies in 24 hours
• vomited half or more of their feed for the last 3 feeds
• has frequent and watery poo (diarrhoea)
• complains or cries when doing a wee
• is in pain
• is getting sicker
• is not improving after 2 days
• has had a fever for more than 5 days

When is it OK to look after my child with a fever at home?

You can look after your child with a fever at home if they:

• are drinking and feeding well
• are still interacting with you
• do not look sick

Is there anything I need to tell my doctor about my child with a fever?

Tell your doctor if your child:

• has been overseas in the last few weeks
• has been around someone who is unwell

What if my baby is less than 3 months old?

If your baby is less than 3 months old, they need a different and more cautious approach.

They have a fever

If your baby has a fever, make sure to go to your doctor.

Pēpi get fevers for the same reasons as older children, but they are not as good at fighting off infections.

They seem sick and you’re worried

If you are worried about them, take them to your doctor even if they do not have a fever.

They seem cold

Some pēpi may have an unstable temperature with an infection. They may be colder than normal. In a sick infant this is a worrying sign and is a reason to see a doctor urgently.

How do I treat a fever in my child?

Undress your child so that they are just wearing a single layer (maybe a singlet and pants). Make sure the room is not too hot or too cold. These are the best and most comfortable ways to bring your child’s temperature down. It’s best not to give your child a bath or shower to cool them. You could use a cool face cloth.

Your child may need extra rest or they may want to play – this is OK.

Encourage them to drink fluids and eat healthy small meals.

Medicines

If your child is happy, and they are not unwell, you do not need to do anything more. You do not need to treat the fever with a medicine.

Paracetamol
If your child is miserable because of the fever, you can give paracetamol to make them more comfortable. You must follow the dosage instructions on the bottle. It is dangerous to give more than the recommended dose.

Other medicine
If your doctor gives your child ibuprofen, use it only if your child with a fever is miserable.

Don’t give your child cold and flu medicines.

Never give your child aspirin as this may increase the risk of Reye syndrome, which is a rare and serious illness.

Tags

All ConditionsChildhood Illness – The BasicsCommon Problems

This page last reviewed 29 May 2023.

Is temperature below 40° dangerous? The most important questions about a child’s fever

The child has a high temperature. Is it possible to wipe the child with alcohol or is it better to wear warm socks? Listen to your grandmother or read forums on the Internet? What behavior of parents will be the most competent in the event of a high temperature in a child – Pravmir is answered by the pediatrician of the Fantasy clinic Maria Rudnitskaya.

Can a high temperature be dangerous? When is it necessary to shoot down?

Maria Rudnitskaya

Fever in children in itself is not as terrible as it seems to most parents, it acts rather as a stimulant of the body’s immune system, helping in the formation of an adequate immune response. The criterion for fever in children is an increase in rectal body temperature up to 38.0 ° C, oral, axillary (temperature in the armpit) and tympanal (in the external auditory canal) temperature – up to 37.5 ° S.

The main “dangers” arising against the background of a prolonged fever are febrile convulsions, dehydration due to significant water losses, microcirculation disorders (marbling of the skin, cold extremities), as well as a deterioration in the general condition of the child against the background of the underlying disease.

Children from birth to 18 years of age are allowed to use antipyretics at temperatures above 38.5 ° C.

Is it true that if the temperature is not brought down, the child will recover faster, since it helps to overcome the virus faster?

This opinion is due to the fact that fever is a defensive reaction of the organism directed against the causative agent of infection. But in any case, feverish conditions have a strong effect on all organs and systems. This can give an additional burden on the heart, lungs, brain, so pediatricians still recommend knocking down a high temperature above 38.5 ° C.

Is it possible to lower a child’s temperature without medication?

First of all, I would like to say about the physical methods of cooling (rubbing with water at room temperature, blowing). Often parents completely forget about them, but sometimes they are even more effective than antipyretic.

First of all, you should not wrap up the child, undress him, and then wipe him, moistening the wrists, armpits, groin area, temples, forehead and neck – the so-called areas of projections of large vessels with a sponge or gauze with water. Evaporation of water will physically cool the child’s body, and he will feel better.

What medicines do doctors recommend to reduce fever?

Of the drugs in our country, as well as throughout the world, 2 antipyretic drugs are recommended – these are ibuprofen and paracetamol. They are allowed in children from birth to 18 years of age and are the most effective and safe for use in pediatric practice.

Very often I am asked which drug is “better”. It is important to find out what helps your child. It all depends on the individual tolerance of drugs, so there are no clear recommendations here.

The form of administration of the drug may also vary depending on the clinical manifestations of the disease (the presence of vomiting or, conversely, loose stools, allergic reactions, and so on). Some find it easier to bring down the temperature by using suppositories (candles), some prefer using suspensions (syrups). This applies more to young children who, due to their age, cannot be given pills.

If a child has a high temperature, can he have seizures? Is it dangerous? What to do if seizures start?

Febrile convulsions are a rather severe pediatric situation. They can occur in children with a high temperature.

Why are convulsions dangerous? First of all, the risk of neurological symptoms, hemorrhages in the brain, as well as the occurrence of status epilepticus in the future.

If a child has febrile convulsions, it is imperative to call an ambulance, and before the arrival of the brigade, lay the child on his side, gently move his head back to facilitate breathing and make sure that there is no retraction of the tongue. It is important to understand that sometimes seizures stop on their own and never recur in life, and sometimes the situation requires additional diagnostic methods (EEG, MRI of the brain, NSG) and observation by a neurologist.

In general, any child has a risk of febrile seizures, but I think that it is probably initially higher in children with prematurity, complications in the early and late neonatal period, perinatal lesions of the central nervous system, etc.

But even a single case of convulsions at high temperature should be a signal for a pediatrician for more careful monitoring and, possibly, an earlier prescription of antipyretic drugs.

How to give antipyretics – by age or by weight?

Most often, doctors prescribe drugs by weight. The recommended doses of ibuprofen are 10 mg per kilogram of body weight, paracetamol – 15 mg per kilogram of body weight. It is quite simple and convenient even for parents: knowing the weight of the child, it is very easy to calculate the dose. By the way, most often these calculations coincide with the age recommendations.

Can ibuprofen be combined with paracetamol?

There are situations when one drug is ineffective and another has to be given. But in other cases, it is better to refrain from alternating or mixing, because in this case the side effects of both drugs “layer on top of each other”, which in some cases can lead to damage to the kidneys and liver (those organs where the most active metabolism occurs).

Is it necessary to reduce the temperature to 36.6?

Usually, lowering the temperature by half a degree-degree seems ineffective to parents, but it is not. In fact, such a decrease is enough to improve the general condition of the child. A sharp drop in temperature is a stress for the child’s body, that is, temperature fluctuations can have a more negative effect than the fever itself.

I think it is for this reason that parents rarely use physical methods to reduce body temperature. It seems to them that this is an insignificant effect and you should immediately use antipyretic drugs.

But even after using the drugs, you should not expect some kind of magical effect. In fact, if the body temperature drops by half a degree or a degree within two hours, this is already a good effect.

They gave the child nurofen, but the temperature does not drop. Need to call an ambulance?

If the temperature does not go down for a long time, it is imperative to call the pediatrician. In this case, a diagnostic search or some additional examination methods are needed to exclude, for example, a bacterial infection. It is necessary to carry out rapid tests, otoscopy, take a clinical blood test, a general urine test, and, if necessary, take an x-ray.

To panic and immediately call an ambulance is a controversial decision, since there is a risk of introducing a lytic mixture to the child (analgin + diphenhydramine or suprastin + papaverine or no-shpa). This is an acute, fast-acting mixture, it very effectively and quickly brings down the temperature, but, unfortunately, it has a number of side effects, and also “lubricates” the true picture of the disease – a clinical blood test may be unreliable, since analgin, for example, often causes severe neutropenia ( decrease in neutrophils).

In Moscow, however, ambulance officers often act more competently and do not always use a lytic mixture, but this approach is still quite common.

What is the safe temperature for a baby – up to 40 degrees? Or higher?

If the temperature is above 39 or 39.5 (that is, the rectal temperature is above 40, since it is a degree more than the axillary), then, of course, a doctor’s examination is necessary. There are no clear standards for what temperature is already considered dangerous. It happens that at 39degrees, the child feels normal, and at 38.2 – very bad. We need to look at the well-being of the patient himself.

Also, a warning symptom should be an increase in temperature every 5-6 hours and a subsequent sharp reduction in intervals – when the temperature rises every 3-4 hours even against the background of antipyretic drugs.

How do you know if a child with fever needs emergency care?

It is not always necessary to call an ambulance if you have a high temperature, because in most situations the body temperature still decreases with the use of ibuprofen or paracetamol.

The doctor should be called when the child has any other complaints other than fever. Particular attention should be paid to the condition of children under 3 years of age.

In children under 3 months, even a not very high temperature (up to 38 degrees) requires attention and examination by a doctor. Again, it is not necessary to call an ambulance, but an examination by a pediatrician is mandatory if we are talking about babies.

The pediatrician suggests wiping the child with alcohol. Is this a valid method?

Alcohol or vinegar is not effective at all. In addition, they can cause local irritation. It is better to use ordinary water at room temperature – this is the easiest and safest way to reduce the temperature. As I said, we wipe the neck, the back of the head, the inguinal folds, the armpits of the child with water.

Is it true that at a temperature it is not necessary to wrap up a child, but it is better to dress as lightly as possible?

Usually grandparents (parents to a lesser extent) want to somehow insulate a sick child, wrap it up, put on socks, cover it with a warm blanket. It is better not to allow this, because often additional overheating occurs precisely against the background of excess clothing. If a child has warm legs, palms, then he definitely does not need additional “wrapping up”.

What should I do if my child has a high fever and cold hands/feet?

This is a peripheral vasospasm, in which the so-called centralization of blood flow occurs. It sounds scary, but it’s not dangerous: it’s just that the blood from the lower and upper extremities leaves to provide additional blood supply to vital organs – the brain, the heart.

If high temperature and cold hands and feet are combined with not feeling very well in general, the ambulance just injects the lytic mixture, since the no-shpa in the composition dilates the blood vessels. But this is only in cases where it is clear that the child feels very bad. In a standard situation, nothing extra, except for some kind of massage, rubbing and, possibly, warm socks, is required. Vasodilator drugs are generally not recommended for children. Most often, such symptoms go away against the background of conventional antipyretic drugs.

Is it true that you have to drink a lot when you have a temperature? Does tea with honey or raspberry jam help?

You have to drink a lot. It is necessary. It does not matter what the child will drink – tea with honey or water. The main thing is that he generally drinks a lot. If he likes to drink tea with honey and raspberry jam – please (the main thing is that he does not have an allergic reaction to honey and raspberry jam). Often a child during the period of intoxication does not adequately solder, because he simply does not want to drink and does not want anything at all. Can only lie, be sad, doze off. Therefore, if he drinks at least something, even just water, this is already wonderful.

Is it good to sweat at a temperature?

There is no question here whether it is useful or not useful. This is simply an adequate reaction of the body to the fact that the child drank antipyretic drugs, against the background of the fact that before that he drank a sufficient amount of liquid.

If the child has been drinking adequately, liquid begins to evaporate from the surface of his skin. Against the background of such a good heat transfer, the temperature usually decreases.

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Flight with temperature? Better not by regular plane!

Reading time: 5 minutes

Table of contents

1. What is temperature?
2. Increased risk of blood clots at
3. Lack of rest during flight
4. Risk of infecting other passengers
5. Worsening of underlying illness
6. Can an airline refuse to board a passenger with a fever?
7. Alternatives to a scheduled flight at a temperature
8. Costs and coverage for an air ambulance flight
9. Good reasons to contact Medical Air Service

Flying with a high temperature can be very dangerous for yourself and other passengers. During the flight and so high the risk of thrombosis further increases , the weakened body cannot find peace on the plane, and for other passengers there is also a risk of infection (depending on the disease). In addition, the temperature may be caused by an illness, which itself may worsen during the flight.

In other words, flying with a high temperature is generally a bad idea, at least if it’s on a scheduled plane. We will try to explain why and provide you with an alternative in case you cannot travel by scheduled aircraft.

What is temperature?

This refers to an increase in the body’s internal temperature equal to or greater than 38°C, which usually occurs as a natural defensive reaction to disease. Of course, a high temperature in itself is usually not a disease, but only a symptom of the underlying disease . In most cases, we are talking about an infection, but the temperature can also occur due to other reasons, for example, due to a tumor.

In the first stage, the so-called chills and a strong feeling of freezing often develop . So the body sends a signal that it is cold and that the body temperature needs to be raised. Basically, the sick person dresses warmer, wraps himself in a thick blanket or takes a heating pad and, in this way, helps himself. Normally, the organism, without additional help, is able to limit the temperature value before a dangerous situation arises. The danger arises at a body temperature above 41.5 ° C.

When the temperature subsides, this process is often accompanied by a strong sensation of heat, sweating and a corresponding loss of fluid . Therefore, it is important to drink plenty of fluids at a temperature and make up for the loss. Fever-lowering interventions or home remedies in general seem to be quite controversial. Since heat is in most cases a desirable reaction of the immune system, which, as a rule, regulates the process itself, intervention in it is rarely wise.

Increased risk of blood clots at a temperature

In general, the risk of thrombosis increases during the flight: the passenger, sitting in his seat, remains motionless for a long time, drinks little liquid, the air in the cabin is dry. Because of this, the blood thickens, and blood clots can form, that is, thrombosis.

If a passenger suffers from a temperature, this negative effect is increased to some extent: already weakened, a person will move even less during the flight than a healthy traveler. And to the possible lack of liquid, the temperature-conditioned increased fluid requirement . Often the temperature is caused by an infection, which can lead to inflammation in the body. These processes in a certain situation additionally reduce the rate of blood flow, and increase the risk of thrombosis.

Depending on the condition, the consequences of thrombosis can be very severe. In the legs, they can lead to pain or a feeling of heaviness. It is even worse if a particle breaks off from a blood clot and enters the vital organs . This can lead to an embolism (eg, pulmonary embolism), which in the worst case scenario leads to death. With embolism, a long-term disruption of the functioning of organs is also possible. Knowing these potential consequences, you should not take a flight with a temperature lightly. However, there are other reasons as well.

Lack of rest during flight

Severely ill people often lie in bed and need rest. So the immune system can do its job and effectively fight the disease. Therefore, a flight by a regular plane for a patient is very tiring : starting from check-in for the flight, the passenger mostly stands, then, of course, he sits on the plane itself, but in most cases it is impossible to lie down, and after landing, you again need to go to your destination. In addition, at both airports, a sick passenger must take care of their luggage, and sometimes it is heavy suitcases .

All this only hinders the work of the immune system. Due to the extra workload, she fights the disease less effectively, in this case, the period of illness may be delayed, and the condition may worsen . So, traveling with a temperature, the patient only makes things worse for himself.

Risk of infecting other passengers

However, the passenger is not only hurting himself: boarding an aircraft with a fever puts other travelers at unnecessary risk. Fever is often caused by infection, and many infectious diseases are contagious . From harmless troubles like the flu to life-threatening infections, which, of course, are not so common in Europe.

And if it cannot be ruled out that the temperature was caused by a contagious disease, it would be extremely irresponsible to fly on a regular plane. After all, you will have to sit during the entire flight (and this is sometimes several hours) in close proximity to others, touching surfaces that many other passengers have already touched, for example, the valve in the toilet or the handrail on which the passengers of the previous flight relied. So smash your viruses on aircraft and it is very easy to infect others with them.

Worsening of the underlying disease

Changes in atmospheric pressure during the flight may adversely affect the underlying disease. Sometimes it’s just unpleasant, but in general is safe – for example, with inflammation of the middle ear. In this case, the equalization of pressure in the ear is not good enough, which during takeoff and landing can cause severe pain in the ears.

Other diseases, e.g. inflammation of the lungs [Link], due to too low pressure, can be much more dangerous : the disease makes it difficult for the lungs to process oxygen. Lower cabin pressure in a commercial aircraft has a similar effect. All of this together can cause the oxygen saturation level of a patient with pneumonia to fall to a dangerously low value . Even if the patient does not know what disease caused the temperature, health complications should be avoided and air travel should be avoided.

Can an airline refuse to board a passenger with a fever?

Of course, airlines do not check the health of all passengers before allowing them to board. But even ground personnel pay attention to obvious signs of disease . If a patient with fever is so visibly weak, sweating profusely or trembling, or in need of support at all, then such a condition will attract the attention of the crew. In the end the decision on the issue, and whether permission to board a sick person would be dangerous both for himself and for other passengers , is accepted by the crew commander.

The crew leader makes a decision based solely on his own opinion. There are no clear rules that are mandatory for the commander, and even more so, the passenger does not have the right to demand permission to board . It should be assumed that the majority of pilots would rather refuse permission out of caution, since they do not want to risk the health of the passenger. In addition, in the event of an airborne emergency, an intermediate landing will be required. And this is not profitable for either the pilot or the airline for which he works.

Alternatives to a scheduled flight in temperature

If flying a scheduled flight in temperatures is a bad idea, what’s left? The answer to this question depends on the specific situation. Anyone who is going to go on vacation or a business trip should simply postpone or refuse to travel. After all, no one will be happy if you lie in bed for the entire vacation or are unable to go to a business meeting for health reasons.

More difficult if you have a fever during ‘s journey shortly before returning home. In case of minor illnesses, if possible, you can extend your stay at the hotel for a couple of days or find another room for the duration of the illness. If the disease is severe or if the cause of the temperature is not clear, you should contact for medical help as soon as possible, maybe even to the hospital.

If you are in a country with poor medical care , you will definitely want to put yourself under the supervision of a local doctor as soon as possible. Then the best option for you would be to fly from abroad by air ambulance. Unlike a regular aircraft, flying with temperature will be possible in most situations.

An experienced aviation doctor will take care of your condition on board the air ambulance , who, if necessary, will be able to use modern medical equipment, even suitable for transporting intensive care patients. The aviation doctor will take the necessary measures to reduce the risk of thrombosis, while you will spend the entire flight in bed and will be able to rest. There will be no strangers that you can infect, and if the atmospheric pressure of a conventional aircraft can cause complications, then an ambulance aircraft will perform a so-called flight with a pressure of sea level – with higher atmospheric pressure in the cabin. In this way, patients suffering from fever can be brought home quickly and safely.

Expenses and expenses for an ambulance flight

Expenses for an ambulance flight, unfortunately, can only be calculated on an individual basis , so we cannot indicate any approximate amount here. But we will readily explain which factors play the most important role. Of course, flight range is of great importance, as well as an accurate description of our patient’s condition . In addition, we take into account how urgently the flight needs to be arranged and how many family members need to be accommodated as escorts. If a flight with sea level pressure is required, the costs will increase.

If you have valid travel health insurance or travel health insurance, there is a certain chance that the insurance company will cover the costs. This primarily depends on whether the insurance only covers “medically necessary” or also “medically reasonable” cases. Medical transportation is necessary when Comparable on-site treatment is not possible . This provision, however, only applies to certain countries and for particularly severe illnesses. Reasonable medical transport is already when the treatment of at home promises better results . This happens in most cases, but only certain types of insurance policies cover the costs of medically reasonable transportation home.

Good reasons to contact Medical Air Service

If you need an ambulance flight, Medical Air Service is your reliable partner. Our international network of state-of-the-art air ambulances works for you around the world, so we can handle air ambulances wherever you are. Our multilingual staff will help you communicate with the medical staff at your destination and arrange for you the fastest transport . During the flight, you will be taken care of by experienced doctors, so that you can safely reach your home, regardless of the temperature.