Fever In Children

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Fever In Children
Fever In Children
Video: Fever In Children
Video: Causes of Fever in Children I 4 2023, February

Fever in children

A rectally measured body temperature of more than 38.0 degrees Celsius is considered a fever. Fever is not a disease, but a natural and sensible defense reaction of the body to an infection. By increasing the body temperature, bacterial or viral pathogens can be rendered harmless more quickly. Not every febrile infection has to be treated. However, special care is required with babies up to three months of age…


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How is fever treated?

A febrile infection must be treated if it is associated with a severe impairment of the general condition such as headache, nausea, pain, malaise or severe exhaustion, or if the fever stresses the circulation.

General measures:

  • Adequate hydration is important. A healthy child with a body weight of ten kilograms should drink one liter of liquid per 24 hours, a child with 20 kilograms 1.5 liters. Fever, vomiting and diarrhea result in an even higher fluid requirement.
  • Eat a light, appetizing diet. Children with a fever often have little appetite. However, this is not automatically a cause for concern.
  • Excessive exertion (sport) should be avoided, rest and - if the child is willing to do so - bed rest are recommended.
  • In the case of chills, the body should be kept warm with warm clothing or blankets. Warm drinks should also be served.

Fever reduction with home remedies:

Leg wraps: They are suitable for children from six to twelve months. Important: Cooling compresses may only be used if the child is really “glowing” - under no circumstances if the hands and feet are cold, or if the child is cold or chills! Moisten two smaller towels with lukewarm (not cold!) Water (possibly with two tablespoons of lemon juice or fruit vinegar). Wrap a wet cloth and a slightly larger dry cloth around each lower leg. Leave the calf wrap on your legs for about ten minutes, then renew the wrap once or twice, then measure your fever. The body temperature should be reduced by max. drop one degree Celsius. Then take a three-hour break before repeating the procedure - if necessary

Danger! With small children you should take the temperature more often in between. Usually ten minutes of leg wraps are enough, otherwise the little ones will get too cold.

  • Pulse wraps: They are usually applied to the wrists and ankles, have a mild fever lowering effect and are suitable for young babies. You. The application is as described for the calf wraps, only with much smaller tissues (e.g. handkerchiefs). For example, wrist warmers or socks with a cut-off foot section can be used to secure the body.
  • Sweat-inducing agents: e.g. warm tea made from lilac blossoms, black elder or linden and chamomile blossoms.

Medicinal lowering of fever:

Antipyretic drugs should only be used when needed. Ibuprofen, paracetamol and naproxen are mainly used, mostly as juice or suppositories.

Note Aspirin (acetylsalicylic acid) should not be given to children because it can cause liver and brain damage at this age. When using paracetamol, overdosing should be avoided at all costs.

You can also find information under Emergency - fever, febrile seizure.

Whom can I ask?

  • Infants with a fever in the first month of life should be taken directly to hospital.
  • Febrile infants less than three months old must be examined immediately by a doctor specializing in general medicine or paediatrics.
  • In older infants and children, the urgency of a medical examination depends on their general condition and not on how long the fever has been going on.

In principle, children with a fever should receive medical attention when they are younger than one year, the fever rises above 39.5 degrees Celsius, lasts longer than two days and whenever the condition deteriorates rapidly. Furthermore, a doctor should be consulted if a febrile seizure occurs or if diarrhea, vomiting, skin rash, joint problems, shortness of breath, severe headache or drowsiness occur.

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