It’s 2 AM, and you just touched your little one’s forehead to find they feel like a tiny furnace. Your heart rate spikes—should you grab the thermometer or head straight to the ER? Before you panic, let’s talk through how to manage a fever calmly and effectively. Spoiler alert: Most fevers are not a huge deal.
What Even Is a Fever?
A fever is simply the body’s way of saying, “I’m fighting something off.” According to the American Academy of Pediatrics (AAP), a temperature of 100.4°F (38°C) or higher counts as a fever. It’s a normal response to infections like colds, flu, or other viral or bacterial invaders. The fever itself isn’t harmful—it’s actually helping your kid’s immune system do its job because the immune system fighter cells work better when body temperatures are higher.
So, When Should You Worry?
Most of the time, you won’t need to do more than offer fluids and some extra TLC. But here’s when to call the doctor:
- If your child is under 3 months old and has any fever over 100.4°F.
- The fever lasts more than 3 days or goes above 104°F (40°C).
- Your kid is extra lethargic or not drinking at all.
- You see a rash, trouble breathing, or they’re super irritable.
While febrile seizures (brief seizures caused by fever spikes) can be scary, they’re usually harmless. If it happens, stay calm, lay your child on their side, and call us for next steps.
What to Do Right Now
The goal isn’t to “kill” the fever—it’s to make your child comfortable. Here are some go-to tips:
- Give fluids. Water, Pedialyte, or popsicles will help keep them hydrated. If they’re not eating much, that’s okay—focus on fluids.
- Dress lightly. Skip the layers and heavy blankets. Keep it comfy with light clothing.
- Use fever-reducing meds if needed. Acetaminophen (Tylenol) or ibuprofen (Advil) can help with the discomfort. Just be sure to double-check the dosing instructions (and no aspirin—it’s off-limits for kids). See below for dosing chart!
- Rest and relax. Fever is your kid’s body doing some important work, so let them rest—but if they feel like playing, that’s totally fine too.
What Not to Do
- Don’t use cold baths or ice packs—they can make your kid shiver, which raises their internal temperature.
- No alcohol rubs—they’re outdated and potentially toxic.
- Don’t stress about bringing the temperature to normal. A fever isn’t the enemy—comfort is key.
Why Fever Isn’t as Scary as It Seems
It’s easy to get caught up in worrying about every degree on the thermometer, but according to the AAP, you don’t need to treat every single fever with medication. “How the child looks and feels is more important than the number on the thermometer,” pediatricians say. If your child is drinking, resting, and acting fairly normal, you’re on the right track.
When in Doubt, Reach Out!
If something doesn’t feel right—trust your gut. You know your child better than anyone. And if you ever feel unsure (or just need some peace of mind), we are here to help!
Fever isn’t fun, but it’s usually just the body doing what it’s supposed to do. With a little patience, fluids, and cuddles, your kid will be back to their playful self in no time.