Few things worry parents more than a fever in their child. While fevers are actually a sign that your child's immune system is fighting infection, knowing when to see a doctor versus when to manage symptoms at home is essential. This guide from Teddy Bear Pediatrics will help you make confident decisions.
Understanding Fever in Children
A fever is defined as a body temperature of 100.4°F (38°C) or higher. Fevers are most commonly caused by viral infections and are the body's natural defense mechanism. The fever itself is rarely dangerous — it's the underlying cause that matters.
When to Call Your Pediatrician Immediately
- Any fever in infants under 3 months — This is always an emergency. Call immediately or go to the ER.
- Fever above 104°F (40°C) in any child
- Fever with rash, especially if the rash doesn't fade with pressure
- Signs of dehydration — No wet diapers for 8+ hours, dry mouth, no tears when crying
- Difficulty breathing or rapid breathing
- Stiff neck or severe headache
- Seizure (febrile seizure)
- Extreme lethargy — Difficult to wake, unusually drowsy
- Persistent vomiting or inability to keep fluids down
When to Schedule a Sick Visit
Schedule a same-day sick visit if your child has:
- Fever lasting more than 3 days
- Fever with ear pain
- Fever with sore throat lasting more than 24 hours
- Fever with painful urination
- Fever that goes away and comes back
- Your child seems to be getting worse, not better
Managing Fever at Home
Medication Guidelines
- Acetaminophen (Tylenol) — Safe for children 2 months and older. Dose based on weight.
- Ibuprofen (Advil/Motrin) — Safe for children 6 months and older. Dose based on weight.
- Never give aspirin to children — it's linked to Reye's syndrome
Comfort Measures
- Keep your child well hydrated with water, breast milk, formula, or electrolyte solutions
- Dress in light clothing — don't bundle up
- Keep the room comfortable, not too hot or cold
- Lukewarm (not cold) baths can help
- Let your child rest
If you're ever unsure, call (512) 931-1575. We're here to help you decide the best course of action for your child.
