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Fever in Children- When to Call the Doc

April 10, 2017


When I was a young mother I lived in Germany. Our German Pediatrician, Frau Doktor Dörffer, instructed me to let the fever ride unless lethargy started to set in. This was going against my western medicine nursing background but, being reassured by her, I let our kids ride the waves of uncomplicated childhood fevers. Sure enough, they did return to robust health afterwards. Whew!


 American Academy of Pediatrics Guidelines for Fever


Call you doctor right away if you child has a fever and


~  looks very ill, is unusually drowsy, or is very fussy


~  has been in a very hot place, such as an overheated car


~  has other symptoms, such as a stiff neck, severe headache, severe sore throat, severe ear pain, an   unexplained rash, or repeated vomiting or diarrhea


~  has immune system problems, such as sickle cell disease or cancer, or is  taking steroids


~  has a seizure


~  is younger than four months and has a rectal temperature of 100.4 degrees Fahrenheit (38C)


~ has a fever rising above 104F (40c) repeatedly for a child of any age


~  if the fever lasts more than a 1 day in a child less than 2 years of age


~  if the fever lasts more than 3 days in a child age 2 or older



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