Tuesday, December 12

Fever in Chidren: When to be Concerned?

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In children, fever is a common presentation to a medical practitioner and unless there is a good indication, usually the doctors would not treat the fever per se. Thus, in most instances, watchful waiting would be the most common management strategy that is recommended.

But, in some instances, certain characteristics of the fever, associated symptoms as well as the general health of the child would warrant the child to be seen by a medical practitioner even if the conditions would not warrant treatment. Therefore, both parents and caregivers should know when to be concerned about a child’s fever, even though you keep a vigilant eye on the progression of the fever.

Let us see what are the concerning signs of a feverish child.

-In infants below 3 months of age, a fever of even a mild degree (100 F) should be evaluated by a medical professional and further progression should be assessed.

-If the child is below 3 years, a fever of more than 102 F will have to be evaluated by a medical doctor.

-In older children, a high fever of more than 104 F is concerning and needs to be evaluated.

-If a child develops a febrile fit, this should be evaluated by a doctor in order to assess for ‘atypical’ nature of the event and to initiate further evaluations.

-In case the fever recurs or persists for more than 3 days, they need to be evaluated.

-If there is an associated rash as a new development, it should also be evaluated by a doctor.

-If a child shows extreme irritability as well as fuzziness during fever episodes, it should warrant an evaluation as a precautionary measure.

-When the fever occurs in a child who already has a chronic medical problem such as a heart disease, anemia, immune deficient state or cancers, they needs to be evaluated as there may be a link with the existing illness or else it could worsen the present medical condition.

-Due to the fact that a febrile child might not take adequate enough fluids, they might run into an episode of dehydration and in case the fever is associated with a vomiting and a diarrhea, it would warrant the child to be seen by a doctor.

If these events are tackled appropriately, many of the serious outcomes can be avoided along with unnecessary panicking.


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