A fever isn’t necessarily a bad thing when it comes to illness; it’s a sign that the body is trying to fight off an infection. Most of the time, a fever is caused by a viral infection that just needs time to run its course. In pediatrics, we think of any temperature above 100.4 as a fever, especially in young infants. In babies younger than 2 months, a fever is a big deal, and most certainly merits a call to a pediatrician’s office.

Fevers can be very scary for many parents but it helps to remember that most fevers are not harmful. With time and supportive care, they will go away on their own in a healthy child.

The next question is whether to treat the fever. The number on the thermometer is only half of the equation. The child’s appearance and demeanor is the other half. A child who is alert and playful and interested in drinking, doesn’t necessarily need something like acetaminophen (Tylenol) or ibuprofen (Motrin, Advil) to bring the fever down. With children, it is important to make sure they are receiving the proper dosage of medication. In pediatric patients, we dose medicines based on weight as opposed to age, to ensure effectiveness and safety.

Children with fever are at risk for dehydration, so encouraging them to drink plenty of fluids is important. In infants, continuing with breast milk or formula is ideal, but oral rehydration solutions like Pedialyte can also be used. In older children, water and milk remain good choices in addition to something like Pedialyte.

Fever can be nerve wracking for parents, even ones who have been through it before. It’s always okay to call the doctor’s office and consult with the staff or ask if your child should be seen by their pediatrician.

Prevea has a 24-hour phone nurse, walk-in urgent care and same- or next-day appointments with a pediatrician. Learn more