Children have varying normal body temperatures that can change throughout the day. When a child’s temperature reaches 38°C (100.4°F) or higher, it is considered a fever, medically known as pyrexia.
Understanding Fever in Children
Fever is a common occurrence in young children and is a natural response to fighting infections. About 3 out of 10 parents seek help for their child’s fever yearly, highlighting the importance of knowing how to manage it.
It’s important to remember that fever itself is not an illness, but a symptom of an underlying issue, often an infection. Fevers can be caused by various viruses or bacteria, and they can range in severity. Most fevers in children are not dangerous and can be managed at home with rest and fluids.
However, it’s crucial to monitor a child’s fever and seek medical attention if it is accompanied by other concerning symptoms, such as difficulty breathing, persistent vomiting, or a stiff neck. In some cases, a high fever can indicate a more serious infection that requires medical treatment.
When managing a child’s fever at home, focus on keeping them comfortable with light clothing, a cool room temperature, and plenty of fluids. Over-the-counter fever reducers like acetaminophen or ibuprofen can also help reduce fever and discomfort, but always follow the dosing instructions and consult a healthcare provider if you have any concerns.
By understanding fever in children and how to manage it, parents can help their child recover comfortably and safely. Remember, fever is a natural response that can actually help the body fight off infections, so it’s not always necessary to try to bring a fever down completely.
Causes and Symptoms of Fever in Children
Viral infections, such as coughs, colds, and flu, are the primary causes of fever in children. Some fevers may indicate more serious infections or underlying health issues, like autoimmune diseases.
Recognizing Fever Symptoms

Symptoms of fever in children include feeling unwell, reduced activity, poor appetite, changes in skin color, headache, and digestive problems. Physical signs like being feverish to touch, shivering, or having a pale appearance are common.
- feverish to touch
- chilly or shivering
- pale appearance
- abdominal pain
- flushed skin
- nausea
Measuring and Diagnosing Fever in Children
It’s essential to use a digital thermometer to accurately check a child’s temperature. Different age groups require specific methods for temperature measurement, ranging from under the arm to in the ear or mouth. Forehead measurements may not be reliable.
Consulting a GP for Fever Diagnosis
To diagnose the cause of fever in children, consult a GP who may conduct further tests if needed. Medical history, symptoms, and physical exams aid in determining the cause. In some cases, urine samples or additional pediatric evaluations may be necessary.
For emergency guidelines, refer to the Self-Help section below.
Accessing GP Services for Children
GP appointments for children are available through remote video services and in-person consultations at designated centers. Contact for more details or to schedule appointments by calling 0330 822 3072 or 0800 665 577.
Managing Childhood Fever

To ensure the comfort of children with fever, provide regular drinks to prevent dehydration, avoid extreme temperatures, and monitor their condition. Keep them away from school while they recover.
Managing Discomfort with Medication
To alleviate discomfort in children with fever, administer paracetamol or ibuprofen as needed. Monitor medication intake to prevent accidental overdose and seek advice from healthcare professionals before giving medication to children with specific conditions.
Indications for Hospital Treatment
Symptoms that warrant hospital treatment for children with high fever include specific conditions like dehydration, unusual skin color, breathing difficulties, or other alarming symptoms. Seek medical advice for persistent fever or concerning developments.
- Less than three months old with high temperature
- Signs of dehydration or unusual skin color
- Difficulty breathing or other alarming symptoms
- Urgent care may be necessary for certain conditions or behaviors
Additional Information on Childhood Fever Management
Aside from monitoring symptoms and seeking medical advice when necessary, there are other important aspects to consider in childhood fever management.
- Ensure proper hydration by offering plenty of fluids to children with fever to prevent dehydration.
- Keep children comfortable by dressing them lightly and ensuring they get adequate rest.
- Use over-the-counter fever reducers like acetaminophen or ibuprofen as recommended by a healthcare provider.
- Avoid bundling up children too warmly as this can increase body temperature.
- If a child’s fever is accompanied by severe symptoms like difficulty breathing, seizures, or persistent vomiting, seek immediate medical attention.
Remember, each child is unique, and it’s important to tailor fever management strategies to their individual needs. By staying informed and proactive, parents can effectively manage childhood fevers and promote their child’s overall well-being.