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When a Child Has a Fever: What to Do

As a parent, few things are more stressful than seeing your child sick—especially when they have a fever. While a fever is the body’s natural response to infection, it can still cause concern. Understanding what …

As a parent, few things are more stressful than seeing your child sick—especially when they have a fever. While a fever is the body’s natural response to infection, it can still cause concern. Understanding what causes fevers, how to care for your child, and when to seek medical attention can help you respond calmly and confidently.

Here’s what every parent should know when their child has a fever.


What Is a Fever?

A fever is defined as a body temperature of 100.4°F (38°C) or higher. It’s a sign that the body is fighting off an infection, such as:

  • Viral infections (like the common cold, flu, or COVID-19)
  • Bacterial infections (like strep throat or ear infections)
  • Post-vaccination reactions
  • Inflammatory conditions or teething (though less common as a primary cause)

Fevers themselves are not usually harmful—in fact, they can be a healthy immune response. However, how your child acts and feels is often more important than the number on the thermometer.


Symptoms to Watch With a Fever

In addition to elevated temperature, you may notice:

  • Fatigue or low energy
  • Chills or sweating
  • Decreased appetite
  • Irritability
  • Headache or body aches

These symptoms typically improve as the fever breaks, but monitoring how your child behaves during a fever is key to knowing if medical attention is needed.


How to Care for a Child With a Fever

  1. Keep Them Comfortable
    Dress your child in lightweight clothing and use a light blanket. Avoid overdressing, which can trap heat.
  2. Encourage Fluids
    Fever increases the risk of dehydration. Offer water, electrolyte solutions, or popsicles regularly to keep your child hydrated.
  3. Offer Fever-Reducing Medications (If Needed)
    Use acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) for discomfort or if the fever is making your child miserable.
  • Do not give aspirin to children due to the risk of Reye’s syndrome.
  • Always follow dosing instructions based on your child’s weight and age.
  1. Rest is Best
    Encourage quiet activities and let your child rest. Don’t worry if their appetite is reduced for a day or two.
  2. Monitor Their Temperature
    Use a digital thermometer to check your child’s temperature. Rectal temperatures are most accurate for infants under 3 years old.

When to Call or Visit Urgent Care

Contact your healthcare provider or visit urgent care if your child has:

  • A fever over 100.4°F in an infant under 3 months
  • A fever lasting more than 3 days
  • A temperature over 104°F
  • Seizures or difficulty waking
  • Severe sore throat, ear pain, or difficulty breathing
  • Signs of dehydration (dry mouth, no tears when crying, fewer wet diapers)
  • Rash with the fever
  • A fever that returns after going away

Even if symptoms are mild, trust your instincts—if something doesn’t feel right, it’s always better to get your child checked.


What Not to Do

  • Don’t use cold baths or alcohol rubs—they can make your child more uncomfortable.
  • Don’t force your child to eat if they aren’t hungry. Focus on fluids.
  • Avoid bundling them up in blankets to “sweat out” the fever.

Fever and Infections: When to Be Extra Cautious

Fevers are often linked to viral illnesses, which usually resolve on their own. However, bacterial infections like strep throat, ear infections, or urinary tract infections may require antibiotics. Your urgent care provider can help determine the cause and recommend the right treatment.


Peace of Mind for Parents

Fevers are a normal part of childhood, but they can still be unsettling. Knowing how to respond and when to seek medical help ensures your child stays safe and comfortable.

Call 305-344-CARE (2273) for expert pediatric evaluation, especially if your child’s fever doesn’t improve or you’re unsure what to do. Our team is here to support you every step of the way.

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Dr. Ballarini

Dr. Ballarini

Dr. V. Joseph Ballarini, DO, is a board-certified emergency medicine physician with over two decades of experience in high-acuity emergency departments across the United States. Dr. Ballarini earned his Doctor of Osteopathic Medicine degree from the Philadelphia College of Osteopathic Medicine in 2004. He holds active medical licenses in both Florida and Pennsylvania, and is certified by the American Osteopathic Board of Emergency Medicine. Beyond his clinical practice, Dr. Ballarini is an avid saltwater fly fisherman and conservationist. His passion for environmental preservation led him to found Tail Fly Fishing Magazine, a publication dedicated to saltwater fly fishing and marine conservation. Initially launched as a digital platform, the magazine expanded into print due to popular demand and now reaches readers in over 100 countries. Dr. Ballarini is fluent in both English and Italian, and is known for his holistic approach to patient care, emphasizing the interconnectedness of the body's systems. He is currently accepting new patients at his Miami Beach practice.

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