Fever in children is usually not dangerous and often goes away on its own within a few days. When your child has a fever, it’s often a sign that the body is fighting an infection caused by viruses, bacteria, or parasites. However, you must be cautious if the fever lasts for weeks or if the temperature rises above 37.5°C.
Here are the causes of fever, warning signs, and effective treatment methods, based on information from Health.
Causes of Fever in Children
Children can develop fever for a variety of reasons, including:
1. Viral infections
Such as colds, flu, strep throat, and other common viral illnesses.
2. Bacterial infections
Ear infections, urinary tract infections, pneumonia, and strep throat can all cause fever.
3. Vaccinations
Some children may experience a mild rise in temperature after receiving vaccines.
4. Autoimmune diseases
Conditions like rheumatic fever or juvenile arthritis.
5. Dehydration
Lack of fluids can also lead to fever.
Danger Signs of Fever in Children
Fever in infants 3 months or younger
Any infant under 3 months with a fever should be seen by a doctor immediately, as it may indicate a serious condition such as infection or dehydration.
If the fever occurs after vaccination but the baby is alert and feeding well, it is usually not dangerous.
Reduced alertness
Very high fever can cause extreme sleepiness and poor response to touch or calling. This requires immediate medical care.
Seizures (Febrile seizures)
Parents should know first aid:
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Place the child on their side to prevent choking.
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Do not put anything in the child’s mouth.
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Monitor how long the seizure lasts.
Seek emergency care if:
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The seizure lasts more than 5 minutes
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It occurs more than once in 24 hours
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The skin becomes pale or blue
Temperature above 40°C
A temperature of 40°C or higher requires urgent medical evaluation, as it increases the risk of febrile seizures.
Fever lasting more than 5 days
If fever persists despite medication (such as paracetamol), consult a doctor.
Vomiting or diarrhea
These increase the risk of dehydration, requiring immediate medical attention and ensuring proper fluid intake (breast milk, formula, oral rehydration fluids).
Signs of dehydration
Stiff neck
Fever with neck stiffness can indicate meningitis, a serious condition requiring urgent care.
Difficulty breathing
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Fast or labored breathing
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Blue lips or skin
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Inability to feed
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Persistent coughing
Rash
Fever accompanied by rash can signal measles, chickenpox, dengue, influenza, or meningitis—especially if vomiting or seizures are present.
Yellowing of skin or eyes
This may indicate infection, jaundice, or red blood cell damage.
What to Do When Your Child Has a Febrile Seizure
Here are the essential first aid steps:
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Place the child in a safe, open area.
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Keep them away from sharp or breakable objects.
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Lay the child on their side to avoid choking.
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Do not put your fingers or any objects in the child’s mouth.
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Do not give water during the seizure.
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Do not try to restrain the child.
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Watch carefully for symptoms to report to the doctor.
After the seizure ends, take your child to the nearest hospital and inform the doctor if similar symptoms occurred before.
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