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Infant Fever, How to Act? 1

Infant Fever, How to Act?

Fever is one of the symptoms that most worries parents, however, they must understand that it is an ally against infections. Learn how to act if it appears and remembers: watch the child, not the thermometer.

Pediatrician in Noida

The child fever is one of the most frequent reasons for consultation by child specialist in Noida, both in health centers and medical emergency services and, no doubt is one of the causes most concern and anxiety generated family.

When we attend to families who come to consult about their children’s fever, the idea that the cause of the fever is an infection is widespread. And so, it is in most cases. However, some rheumatic processes and PFAPA or Marshall’s syndrome, frequently diagnosed as tonsillitis or recurrent angina, are other causes of fever in children of non-infectious origin, but they are very rare.

Feverish Convulsion

The only unpleasant, appalling and very stressful situation related to the fever that can happen to 3-5% of children (aged between six months and five years) is a febrile seizure. The febrile seizures typically are benign, do not leave sequels or the child is in the future increased risk of epilepsy.

It is normal for parents who have a child who has suffered a febrile seizure to try to avoid a second seizure by resorting to treating the fever with all kinds of measures. The most important thing is to know that the aggressive treatment of fever by resorting to physical means or using anti-thermal medications (ibuprofen or paracetamol) to lower the fever has not proven effective in avoiding these complications. In addition, the potential toxicity of these drugs, makes it contraindicated to give anti-thermal agents for this purpose.

Families of children who have had a febrile seizure will be instructed by their pediatrician in Noida on how to act and will tell them what treatment they should give the child in case the seizure does not give way spontaneously.

Lowering the body temperature by having the febrile child naked or taking a bath in warm water causes the temperature to drop temporarily while wasting all the energy (calories) that the child has used to move from a normal temperature to fever. In this context, the hypothalamus (your thermostat) will again force you to reach the right temperature to fight the infection and that will entail an extra expenditure of calories, which many times cannot be satisfied by the use of carbohydrates (sugars) and the child will be forced to burn fat, appearing acetone and worsening the general condition of the child.

Child Care with Fever

In a child with a fever, you always have to watch the child and not the thermometer. It is good to know its temperature, but this should not be the criterion of action in fever due to an infection. Neither the degrees of temperature reached nor the response to the antithermic agents serves to assess the severity of the responsible infection or to guide whether it is caused by viruses or bacteria. If you have doubts about the care of a child with a fever, here is an answer to your questions:

What medications do I give?

In a child with a fever, as it happens to adults, it is normal to feel pain or discomfort (headache, muscle aches from the shivering, feeling of bad body, etc.). To alleviate it, the analgesic (ibuprofen or paracetamol) must be provided) that best tolerates the child with appropriate doses to his weight and not his age must be provided. Very important: in a child with a fever you have to look for comfort, not look for a fever-free. Both ibuprofen and acetaminophen will relieve your pain and temporarily lower your fever. Someone might think that we killed two birds with one stone and that is the case, but the fever bird is very good for us (the problem is that we do not have pain relievers that do not lower the fever). If there is pain or discomfort, the analgesic that best tolerates the child should be given with doses appropriate to his weight and not his age or prescribed by child specialist doctor in Noida.

For treatment against pain or discomfort both ibuprofen and paracetamol can be given, but these medications should not be alternated. It should be remembered again that treating fever will not prevent febrile seizures in predisposed children. Those children who have previously had seizures will have the appropriate treatment indicated by their pediatrician doctor in Noida in the event that the seizure is repeated and does not give up spontaneously.

Feeding and hydration in fever

We must be aware that energy expenditure is very important in fever and at the same time assume that in this state there is no appetite. What is normal is that the feverish child is thirsty, so we must try to give him liquids that contain carbohydrates (fruit juices, smoothies, sugary milk …), so that he not only recovers the water he loses but also incorporate in this way the calories you will need. Foods with carbohydrates (fruit, vegetables, rice, pasta, cookies, bread …) will always be a priority before those rich in protein and fat (egg, meat, fish).

On the other hand, you should not bathe the child, if not for hygienic reasons, or leave him naked or put cold cloths. If shivering will have to shelter him. This means that your hypothalamus (your thermostat) requires you to increase your body temperature and one of the mechanisms is muscle contraction. Nor should we overdo it so as not to hinder the natural mechanisms of temperature regulation.

When faced with fever, when to see a doctor?

The important thing is to monitor the signs of severity that can be associated with fever, which are the ones that will tell us when we should go urgently to the child doctor in Noida. That is, knowing or suspecting if the infection causing the fever is serious or not.

Reasons for urgent consultation are:

  • Presence of petechiae.
  • Permanent irritability
  • Inconsolable crying
  • Convulsion.
  • Loss of consciousness.
  • Respiratory difficulty accompanied by rib cage or with the presence of whistles in the chest.
  • Absence of urine
  • Dehydration (dry tongue, absence of saliva, slightly elastic skin, sunken eyes, absence of tears).
  • Provided the baby is under three months old.