When to Treat a Temperature and When to Call the Doctor

 

There is nothing scarier than a burning hot baby. "Fever phobia" is real. But physiologically, a fever is actually a good thing. It means the body's immune system is working to kill a virus.

Here is how to handle the heat without panicking.

1. The "Under 3 Months" Rule

If your baby is under 12 weeks old and has a rectal temperature of 100.4°F (38°C) or higher, this is a medical emergency.

  • Action: Do not give medicine. Go to the ER immediately. Newborns cannot fight infections well and need full septic workups.

2. Older Babies: Look at the Child, Not the Number

If your child is 6 months old and has a fever of 102°F but is playing, drinking fluids, and smiling, you might not need to treat it.

  • You treat the discomfort, not the number. If they are miserable, give Tylenol. If they are happy, let the fever do its job.

3. No Cold Baths

Never put a feverish child in a cold bath. It causes shivering, which actually raises their body temperature. Lukewarm water is okay, but generally, medication and hydration are best.

Disclaimer: I am not a doctor. Always call your pediatrician if a fever lasts more than 24 hours or if you are worried.

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