What parents should know first
For babies younger than three months, a measured fever needs prompt medical assessment. In older children, watch the child—not only the thermometer: breathing effort, responsiveness, fluid intake and urine output are especially useful.
How to measure and record fever
Use a reliable digital thermometer and note the reading, time, method used and any medicine already given. Touch alone cannot accurately confirm or rule out fever. A written timeline is more useful than trying to remember several readings during the consultation.
What can usually be done at home
Offer frequent fluids or feeds, use light clothing and allow rest. Fever medicine should be based on the child’s weight and prior medical advice. Avoid combining medicines or starting antibiotics without a pediatric assessment.
Arrange a pediatric review when
The fever persists, repeatedly returns, is accompanied by ear pain, persistent cough, vomiting, painful urination, worsening rash, reduced intake or a child who is not returning to usual activity between fever episodes.
Seek urgent medical help for
- Baby under three months with fever
- Breathing difficulty or bluish lips
- Seizure, unusual drowsiness or poor responsiveness
- Very little urine, dry mouth or inability to keep fluids down
- Stiff neck, severe pain or a rash that does not fade when pressed
Emergency note: When a child is severely unwell, use the nearest appropriate emergency service rather than waiting for an online reply or routine appointment.
Questions commonly asked in clinic
Is a higher temperature always more dangerous?
No. The number matters, but age and the child’s overall condition are often more important. A mildly raised temperature in a very young baby may be more urgent than a higher fever in an alert older child.
Should I sponge my child with cold water?
Cold water or ice can cause discomfort and shivering. Focus on fluids, light clothing and medicines only as advised for the child’s weight.
Can I start an antibiotic left from a previous illness?
No. Many childhood fevers are viral, and the wrong antibiotic or dose can cause harm and make future treatment more difficult.