Fever means that the body temperature is higher than normal. The average normal body temperature is 98.6 F. Most people agree that a fever is a rectal temperature greater than 100.4 F or an oral temperature greater than 99.5 F. Temperatures below normal are usually not worrisome unless they occur in very young babies.

Fever itself is not an illness but is a sign that the body is fighting an infection. Fever itself is generally beneficial and not harmful to a child. Fever alone never causes brain damage unless the fever is very high (over 106 or 107 F).

Although fever doesn't usually cause damage, it can make a child uncomfortable. The usual reason for trying to lower a child's fever is to make him or her more comfortable. We recommend the following when your child has a fever:

• Always check temperature with a thermometer. Feeling the forehead for a skin temperature is not a reliable indicator of fever. In babies, check the temperature rectally. Ear thermometers are not accurate in babies. In older children, check the temperature by mouth or under the arm. Temperature strips applied to the forehead are not accurate.
• Call our office immediately for any temperature greater than 100.4 F rectally in a baby under three months old.
• Call our office if the fever is associated with seizures, neck pain, rash, difficulty breathing, inconsolable persistent crying, difficulty arousing your child, or if you are unsure if your child should see a doctor.
• Dress your child lightly.
• Encourage your child to drink extra fluids.
• Bathe your child in lukewarm water for about 10 minutes. Do not bathe your child in cold water or alcohol.
• You may give your child acetaminophen (Tylenol, Tempra, Panadol) every four hours when he or she has a fever and seems uncomfortable. If your child seems comfortable or sleeping well, do not feel that you must disturb him or her to give the acetaminophen.

Fever can be frightening in a child. If you have any questions or concerns, please call our office to discuss them.