Hope Noah is feeling better today.
I got some info on fever in children - I've missed out some of the information because you already know what the cause of Noah's high temperature is but it's all in the fact sheet in the link:
http://hcd2.bupa.co.uk/fact_sheets/html/fever.html
Fever in children
Published by Bupa's health information team, April 2009.
This factsheet is for people who have a child with a fever, or who would like information about it.
As with adults, a child's body temperature will usually be between 36.5°C and 37.5°C. A fever is a body temperature above 37.5°C.
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About fever in children
Children frequently develop fever, usually due to viral infections that clear up without treatment. But a fever can occasionally be a sign of a more serious illness, such as severe bacterial infection (septicaemia), urinary tract infection, pneumonia, and meningitis.
Fever isn't an illness in itself, but is usually caused by a viral or bacterial infection. Fever is thought to be part of the body's natural defence mechanism.
Some illnesses trigger the immune system (the body's defence system) to produce certain chemicals. These chemicals affect the heat-regulating centre in the brain, which is known as the hypothalamus.
Symptoms of fever in children
If your child has a fever, he or she will have a body temperature above 37.5°C on two recordings taken at least two hours apart. As well as having a high temperature, your child may also be:
- clammy
- sweaty
- irritable and crying
- flushed
- tired
Your child may also complain of a headache or aches and pains. A rapidly rising fever may cause chills - periods of shivering.
In some children aged between six months and six years, a sudden increase in body temperature can lead to seizures (also known as fits), which are called febrile convulsions. During a febrile convulsion, part or all of your child's body may shake and twitch, and his or her eyes may roll back in the head. Although simple febrile convulsions can be frightening, they usually last less than 15 minutes and your child should make a full recovery within one hour.
It can be hard for you to know when to call your GP or out-of-hours medical service. Generally, trust your instincts and contact your GP for medical advice if you suspect something serious or if you're in any doubt.
You should contact your GP or go to hospital if your child:
- is unusually sleepy
- has an unusual rash
- has a stiff neck
- has difficulty breathing
- has had a febrile convulsion (particularly important if it lasts longer than five minutes)
- doesn't seem to be getting better after a febrile convulsion
- has more than one convulsion, one after another
Your child might not have any of the above symptoms, but may just not appear to be 'right' or behaving as they usually do.
Call for emergency help if you feel it necessary.
Always seek medical advice if your child develops a fever soon after an operation, or after recently returning from foreign travel.
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Treatment of fever in children
In most cases, your child's fever will be due to a viral infection and will get better within a day. Monitor your child's fever by regularly checking his or her temperature.
Self-help
Many parents and carers spend a lot of time trying to bring fevers down in their children, the theory being that this will decrease the chance of febrile convulsions. But some experts suggest that a fever helps the child to get better, and that it should be left to run its course.
Sponging with lukewarm water may reduce fever but can also cause shivering and goose bumps - uncomfortable for anyone with a feverish illness - so only sponge your child's forehead, not his or her whole body.
Sweating and shivering can cause dehydration so encourage your child to drink plenty of fluids. As a guide, your child's urine should be pale yellow - if it's darker your child may need more fluids. Your child will also need to drink more if they have diarrhoea or vomiting.
Medicines
Recent guidelines recommend that either paracetamol or ibuprofen can be used to reduce temperature in children with fever. However, children's paracetamol (eg Calpol) and ibuprofen (eg Nurofen for children) shouldn't be given together. Only consider using the alternative medicine if your child doesn't respond to the first medicine tried. Medicines that are suitable for children can be bought from a pharmacy without a prescription. They must be dispensed by a pharmacist.
Never give aspirin to a child under 16 because it can cause a rare but serious illness called Reye's syndrome.
If your child has a bacterial infection, your GP may prescribe a course of antibiotics.