Child with a high temperature (fever)
A high temperature (fever) is very common in young children. The temperature usually returns to normal within 3 to 4 days.
How should I check temperature?
Normal body temperature is around 37 degrees celsius. A fever is a raised temperature of 38 degrees Celsius or higher. It is best measured using a digital thermometer if possible.
If your child has a temperature they may:
- Feel hotter than normal when you touch their chest or back
- Feel sweaty
- Look or feel unwell
What causes a temperature?
A temperature is the body’s natural response to fighting infections. Infections caused by viruses are more common than bacterial infections. There are many causes for a raised temperature including common childhood illnesses and vaccinations.
What should I do at home?
Do:
- ensure your child drinks plenty; for example water or juice - if you are breast feeding continue to offer frequent feeds
- offer food if they are hungry; do not worry if your child will not eat
- give Paracetamol if your child is distressed. Give the Paracetamol dose according to the instructions on the bottle. Repeat the dose every 4 hours (up to a maximum of 4 doses in 24 hours) until your child returns to normal. You could also use Ibuprofen if your child is still distressed.
- check your child in the night
- keep your child off school or nursery whilst they have a high temperature
- seek medical advice if you are worried
Do not:
- do not lukewarm sponge your child
- do not over or under dress your child
- do not give paracetamol to children under 2 months old
- do not give ibuprofen to children under 3 months old or less than 5kg in weight
- do not give aspirin to children under 16 years old
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When should I seek help?
If your child has any of the following, you should call 999 or return immediately to the Emergency Department:
- becoming difficult to rouse or is floppy
- going blue round the lips
- severe breathing problems - too breathless to talk, eat or drink
- has cold hands and feet and looks mottled (spotted)
- starts having a fit or convulsion
- develops a rash that doesn’t go away when a glass is pressed onto it (a non-blanching rash)
- is under 3 months with a temperature of 38oC or higher (unless 48 hours post vaccinations with no other worrying features)
Reviewed by Dr T Shaw in October 2023, next review in October 2026.
If you need this information in an alternative format, please contact the Patient Experience and Engagement Team on 01226 434922.
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