Taking care of an unwell child can be quite challenging, especially when they are experiencing vomiting and a fever. Luckily, most cases can be managed at home with adequate rest and fluids.

It is important to monitor your child’s symptoms and contact their healthcare provider if they worsen or if you have any concerns. In addition to rest and fluids, you can also try giving your child over-the-counter medications recommended by their doctor to help alleviate symptoms such as fever or pain.

Creating a comfortable environment for your child, such as a cozy bed with their favorite toys and blankets, can also help them feel better. Make sure to provide plenty of love and reassurance, as being unwell can be scary for a child.

Remember to take care of yourself too, as caring for a sick child can be emotionally and physically exhausting. Reach out to friends and family for support, and don’t hesitate to ask for help when you need it.

By following these tips and staying vigilant about your child’s symptoms, you can help them recover quickly and comfortably from their illness.

The Common Causes of Vomiting

Gastroenteritis, commonly known as a stomach bug, is often the main cause, triggered by various factors like viruses, bacteria, or parasites. Other culprits include food poisoning, migraines, motion sickness, food intolerances, allergies, and specific medications.

Handling Fever along with Vomiting

A blend of fever and vomiting is typically not a cause for alarm and can be handled at home. However, it’s advisable to consult a pediatrician if the fever exceeds 104 degrees Fahrenheit.

Dehydration Risk

One major concern with vomiting and fever is dehydration. Look out for indicators such as decreased urination, dry eyes, and reduced activity levels.

Treating Vomiting at Home

To prevent dehydration, focus on offering your child small sips of water or electrolyte solutions. Avoid dairy products, ensure they rest comfortably, and wait before reintroducing solid foods.

When to Seek Medical Help

Monitor symptoms like severe vomiting, blood in stool, intense headaches, or signs of dehydration. If the symptoms worsen or persist for an extended period, contact a healthcare provider.

Other important signs that may indicate the need for medical help include difficulty breathing, chest pain, sudden weakness or numbness, confusion, severe abdominal pain, persistent fever, or unexplained weight loss. It is important to seek medical attention promptly if you experience any of these symptoms.

Recovery and Care

Most illnesses causing vomiting and fever tend to resolve within a few days. However, if any concerns arise during the recovery process, do not hesitate to reach out to your healthcare provider.

References

• Nemours Children’s Health, KidsHealth: Gastroenteritis (Stomach Flu)
• Seattle Children’s Hospital: Vomiting With Diarrhea
• Gastroenteritis in Children. American Family Physician. February 2019
• American Academy of Pediatrics (AAP): Food Poisoning & Contamination: Information for Families
• Seattle Children’s Hospital: Headache
• MedlinePlus: Motion sickness
• The American College of Allergy, Asthma & Immunology: Nausea and Vomiting
• Consumer Reports: Antibiotic Side Effects in Children: What Every Parent Should Know
• Mayo Clinic: Ibuprofen (Oral Route)
• American Academy of Pediatrics: Refusal to Take Medicine

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Disclaimer: The information provided serves general purposes and is not intended as specific medical advice. For personalized health concerns, please consult your healthcare provider.

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For babies under 3 months old with a fever over 38°C, immediate medical attention is recommended.

Key facts

• Fevers in children are common and are often caused by viral infections.
• Children with fevers may display symptoms like high body temperature, flushed skin, sweating, or shivering.
• Most children with fevers can be cared for at home.
• Infants under 3 months old with a fever require urgent medical evaluation.

What is a fever?

A fever in children is typically considered when the body temperature reaches 38°C or higher and is usually mild. Fevers, common in children, can usually be managed at home without the need for urgent medical attention.

It’s important to monitor the child’s temperature regularly and ensure they stay hydrated. You can use fever-reducing medications like acetaminophen or ibuprofen, but always follow the recommended dosage for your child’s age and weight.

If the fever persists for more than a few days, or if your child shows other concerning symptoms like difficulty breathing or dehydration, it’s important to seek medical advice promptly.

In addition to the symptoms mentioned above, fever in children can also cause headache, muscle aches, and a rapid heartbeat. It is important to monitor your child’s temperature regularly and seek medical attention if the fever persists or is accompanied by other concerning symptoms. Keep your child hydrated and comfortable, and make sure they get plenty of rest to help their body fight off the infection causing the fever. Remember to always consult a healthcare professional if you have any concerns about your child’s health.

What causes fever in children?

Fever is a natural defense mechanism against infections in children, primarily triggered by viral causes. However, bacterial infections can also lead to fevers. On rare occasions, vaccinations may induce a fever. In some cases, fevers in children might be related to other medical conditions like inflammation, immune disorders, or medication. It’s important to note that teething does not cause a fever.

How is the cause of fever in children diagnosed?

During consultations, doctors will inquire about your child’s symptoms, medical history, travel history, medication regimen, and vaccination status. Physical examinations often involve assessing temperature using thermometers. Some situations may require additional diagnostic tests.

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In addition to history taking and physical examination, the most common diagnostic tests for evaluating the cause of fever in children may include:

• Blood tests to check for infections or inflammatory markers
• Urinalysis to look for urinary tract infections
• Chest X-ray to assess for pneumonia or other lung conditions
• Throat swab for streptococcal infections
• Fecal tests to check for gastrointestinal infections

These tests can help doctors determine the underlying cause of the fever and guide appropriate treatment. It is important to follow your healthcare provider’s recommendations for further evaluation and management of your child’s fever.

When should I take my child to see a doctor?

If your child shows concerning signs like excessive vomiting, rashes, febrile seizures, or severe symptoms, seek medical attention promptly. Urgent care is crucial for children with immune system disorders and high fevers. In case your child appears drowsy, has breathing difficulties, or develops a stiff neck, contact emergency services.

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Home remedies for fever in children

Aside from medications, there are also several home remedies that can help lower a child’s fever. One common method is to place a cool, damp washcloth on the child’s forehead to help bring their temperature down. Encouraging fluids, such as water, diluted fruit juice, or clear broth, can also help prevent dehydration. Additionally, ensuring your child gets plenty of rest can aid in the healing process.

Monitoring a child’s fever

It’s important to regularly monitor your child’s temperature when they have a fever. This can be done using a digital thermometer and taking readings at regular intervals. If your child’s temperature remains high or they develop other concerning symptoms, such as difficulty breathing or extreme irritability, it’s important to seek medical attention promptly.

By following these guidelines and paying attention to your child’s symptoms, you can effectively manage and treat their fever at home. Remember to always consult with a healthcare provider if you have any concerns or questions about your child’s condition.

What are the complications of fever in children?

Fevers may trigger febrile seizures in young children, often associated with viral infections. Consult a doctor to rule out serious infections. Fever management involves addressing the root cause.

In addition to febrile seizures, other complications of fever in children can include dehydration, especially if the child is not drinking enough fluids. It is important to make sure the child stays well-hydrated during a fever.

In some cases, high fever can also lead to confusion, irritability, and even hallucinations in children. It is crucial to monitor the child’s temperature and seek medical attention if the fever is persistently high or if the child is displaying concerning symptoms.

Can fever be prevented?

Reduce the risk of infections by teaching children proper handwashing, coughing/sneezing etiquette, and avoiding sharing personal items with individuals who are sick.

Resources and Support

Access information on child fever from the Royal Children’s Hospital Melbourne and the Sydney Children’s Hospitals Network, available in various languages. Contact the healthdirect helpline at 1800 022 222 (NURSE-ON-CALL in Victoria) for guidance 24/7.

Children with a fever typically exhibit a body temperature of 38°C (100.4°F) or higher, which often resolves without intervention.

Causes of high temperature

Use a thermometer to monitor your child’s temperature for detecting fever. Most fevers are caused by infections or illnesses, as the elevated body temperature can hinder bacteria and viruses’ survival. Common conditions that can lead to fevers include:

Children’s temperature may rise due to vaccinations, excessive clothing, or bedding, causing overheating.

When to get urgent medical advice

If your child:

• is under three months old with a temperature of 38 °C (100.4 F) or higher
• is between three and six months old with a temperature of 39 °C (102.2 F) or above

Contact your GP urgently. Seek medical advice if your child shows other signs of being unwell, such as persistent vomiting, feeding refusal, or drowsiness. If you cannot reach your GP, contact the out-of-hours service. If your child appears well despite a high temperature, displaying playfulness and attentiveness, severe illness is less likely.

It’s also important to monitor your child’s symptoms closely and trust your instincts as a parent. If you are ever in doubt about your child’s health, don’t hesitate to seek medical advice immediately.

How to assess if your child is unwell

Recognizing when a child is seriously ill can be challenging, but trust your instincts. If your child:

• appears normal in color
• is active and responsive
• breathes normally
• responds well and smiles

Keep an eye out for warning signs indicating severity.

Colour

• A pale appearance suggests escalating illness
• Mottled, ashen, or blue color requires immediate evaluation

Activity

• An unusual lack of response signals an issue
• Becoming unresponsive, weak, or exhibiting high-pitched crying may indicate an emergency

Breathing

• Rapid breathing (age-specific) requires medical advice
• Six to 12 months: over 50 breaths per minute
• Over 12 months: over 40 breaths per minute

Dehydration

• Dehydration symptoms warrant seeking advice

Treating a fever

If your child is running a fever, make sure to keep them hydrated by offering them cool water. For babies, it’s important to give them liquids like breast milk or formula to maintain hydration levels. Encourage drinking, even if they don’t feel thirsty, to ensure they are getting enough fluids.
To help your child feel more comfortable, consider dressing them in light clothing suitable for the temperature, keeping the room at a comfortable level, and if it’s warm, using a light sheet or opening a window. It’s advised not to use cool water sponging to try and bring down the fever.
Paracetamol or ibuprofen can be used as fever reducers and pain relievers for children, with different mechanisms of action. It’s important not to give both medications at the same time. If one doesn’t work, you can try the other after three hours. Antipyretics are not necessary if the child is not bothered by the fever or underlying illness. Always check the medication leaflet for the correct dosage and frequency based on the child’s age.
In some cases, a high fever in children may come with severe symptoms like breathlessness, vomiting, or a rash. Possible serious bacterial infections to be aware of are meningitis, blood infection, and lung inflammation from infection. It’s worth noting that severe causes of fever in children are rare.
The information provided on this page has been adapted from the original content on the NHS website.