Fever in infants is probably one of the more common worries among parents.
Worried about your child’s fever? Here’s a guide for parents
FEVER in infants is probably one of the more common worries among
parents. It is also normal for fever to occur in the wee hours of the
day, which means consultation from doctors during that time is generally
not possible unless the patient is taken to the emergency section at a
hospital.
The usual questions that crop up in a concerned parent’s mind are:
* Is my baby’s temperature low or high?
* Should I wake my child up for fever medication?
* Will my baby’s high temperature cause injuries to the growing brain?
HOW HOT IS HOT?
A fever is usually a sign that something out of the ordinary is going on in your body.
“It is our body’s reaction to an inflammation or infection. The release
of inflammatory mediators as a result of our body’s response towards
infection or inflammation contributes to fever,” says Dr Khoo Boo Aik,
paediatrican and neonatologist at Sunway Medical Centre.
Normal body temperature is around 37ºC. Dr Khoo explains that low grade
fever is in the range of 37.1 to 37.9ºC, while moderate fever is 38 to
38.9ºC.
A body temperature of above 39ºC is considered high fever.
MANAGE WHILE IT’S HOT
“Not all fevers are bad. It is a good indicator, telling us that our
body immune system or defence mechanism is working hard in trying to
control infection and inflammation,” says Dr Khoo.
However, fever may be absent in newborn or very young infants or
children who are immuno-compromised, even though they may have an
underlying infection or inflammation.
Therefore, it is important to examine these groups of infants or
children thoroughly. Doctors may need to carry out urine or blood
investigations in order not to miss the underlying infection, even in
the absence of fever.
Medication is recommended to suppress fever that causes discomfort or
to control the fever from spiking high enough to cause seizures,
especially in childrens with history of recurrent febrile fit or
underlying epilepsy.