Introduction: Fever is a symptom that accompanies the baby's growth. About 20% of the babies' main complaints are fever. The more you understand the fever mother, the more calm you can deal with your baby's fever.
Baby panics when she has a fever and has fever and anxiety. Do you have any?
In the emergency department, grandma, dad, and mother took Chenchen, who had been 15 months old, to the hospital for medicine and said that the child had a fever, 38.3 degrees. The doctor watched Chenchen run around in his clinic like a sick child. He checked his throat and listened to his heart and lungs, saying that the child had nothing to do. If there were no antipyretics at home, just prescribe a bottle of antipyretics and go back.
Grandma quickly said: Doctor, my grandson has a fever, nothing is wrong, hurry up and give the child an injection, it’s water, why is it okay if you have a fever? I heard others say that fever can burn your brain...
Many parents are more anxious than if their children have a fever. I just wanted to give my child medicine immediately, for fear that it would be too slow to take the medicine, so I wished to get an injection and infusion immediately to reduce the fever.
What is fever
Fever means that the body temperature is higher than the normal body temperature. What is the original body temperature of a child? Different places have different temperatures, and different children also have slight differences.
Check whether the child has a fever or not to measure the temperature in three places. One is the mouth: also known as the mouth temperature is generally 37 degrees, and the other is the armpit. The body temperature of the armpit is 0.5-1 degrees lower than the mouth, and it is around 36.5 degrees . It's still the rectum, and the rectal temperature is 0.5-1 degree higher than the mouth.
In most parents in China choose to use the underarm temperature for their children, which is usually between 36 degrees and 37 degrees. We say that children have a fever, and generally call it more than 37.1 degrees a fever. Doctors recommend taking medicine beyond 38.5 degrees also refers to the temperature under the armpit.
Note: The body temperature mentioned below refers to the axillary temperature
and the situation of each child may be different. It is recommended that parents measure the temperature of their children's armpits when their children are healthy every morning and when they are quieter at night when they are ready to go to bed. For three consecutive days, the average is the benchmark temperature of their children. It is normal for a child's daily body temperature to fall down on the child's basal body temperature and float to and .
The cause of fever
Fever cannot be called a disease, it is just a symptom of the disease, and sometimes it is not a disease, which can also occur due to some special reasons.
. The following 4 types of fever have nothing to do with illness
. Wear too much
. Now it is spring, and some children have already put on small skirts, but the grandmother who is afraid of the cold treats Xiaoqing as herself, and puts a thick coat on Xiaoqing. After arriving at school, the health doctor in the kindergarten used an electronic thermometer to measure the child's temperature to reach 38 degrees. When she saw the clothes Xiaoqing was wearing, she asked Xiaoqing to sit in the health room and take off her coat. After waiting for about ten minutes, she would take Xiaoqing's body temperature down to 36.8 degrees.
Especially after 1 year old, the child will leave, like to walk and jump, and the basic metabolic rate is higher than that of adults, and it is more active than adults. If you wear too much clothes at this time, it is easy to cause the child to experience a transient increase in body temperature.
. Teething period
child's baby's baby's baby teeth are already in the fetal stage, just buried under the gums and waiting for the right time to break out of the gums. In this process of breaking, children will feel uncomfortable, so they like to drool and bite things. It is easy to bite unclean things, and the process of breaking through the gums will cause some trauma, so it will cause fever.
At this time, because the child is not comfortable with teething, he may also have symptoms of irritability.
. Joint growth
Sometimes we find that the child has a fever for no reason and has no other symptoms. So after two or three days of the fever, it seems that the child has grown taller, which is also a fever caused by accelerated growth.
. After immunization, the
vaccine is antigenic, which will stimulate the baby's body to produce antibodies. The body will also release pyrogen, causing fever.
Generally speaking, hepatitis B, B encephalitis, measles, diphtheria, meningitis, melanin, melass, chrysanthemum, chickenpox, and influenza vaccines may cause children to have fever after injection.
. Generally, the fever temperature will not be too high, around 38 degrees, and the child's mental state is generally better. If you take antipyretics over 38.5 degrees, you can get rid of the fever, and it will be reduced in about two or three days.
If the child is not in good spirits during a fever, and has symptoms of runny nose or congestion, it may be that the child has a cold virus that is already lurking in the body. When the child is injected with the vaccine, the body is fully energetic to produce antibodies, which causes these cold viruses to cause waves and cause cold attacks.
2. Fever caused by disease:
, Children's acute rash
says it is children's acute rash, which usually occurs in children around 6 months-24 months. Before the 6-month-old baby, there are antibodies brought from the uterus in the body, and the immunity is relatively good. After 7 months, all the antibodies brought from the uterus were consumed, so it was easy to get infected. Many babies get sick for the first time because they have acute rash in their children. Generally, the characteristic of acute rash in babies is high fever, which subsides after taking medicine. Generally, high fever will occur for three days.
Jing's mother went to her aunt's house two days ago. My cousin's child was just seven months old and was having a fever of more than 39 degrees. The parents were very anxious. After observing the child, she did not say that the symptoms of a cold were obvious. In addition, the fever was relatively high. I said: The child should be an acute rash in the young child. If the fever subsides in two days, the rash will gradually disappear. It’s nothing big, just give antipyretics when you get a fever.
is indeed not as expected by Jingma. At 9 o'clock this morning, my cousin called me and said: The child will not have a fever and now he has a rash. I asked me if I am afraid. I said it would be fine if it doesn't hurt or itchy. The rash will slowly fade in two days.
, respiratory tract infection
If it is an upper respiratory tract infection, it is generally what we call a cold. Children with cold will mobilize their body's immunity to fight the virus, so it will cause fever.
Laryngitis or otitis media, which are also upper respiratory tract inflammations can also cause fever.
. Bronchitis and pneumonia, lower respiratory tract infections may be higher and the fever will be more severe.
. Gastrointestinal infection
The main symptom is diarrhea. If it is a viral infection, the fever in autumn will not be too high, usually around 38 degrees. If it is diarrhea caused by bacterial infection, it may reach 39 degrees.
. Summer fever:
is a seasonal disease unique to infants and young children. It is more common in the south. Children will experience fever, thirst, and urine more, and sweat less.
is mainly caused by the fact that the child is under three years old, and his central body temperature regulation function is not perfect, and the heat production and heat dissipation functions are unbalanced. In addition, the sweat gland function is insufficient and he sweats less, so it is not easy to dissipate heat, and may sometimes burn to 38 degrees.
Generally speaking, if the air conditioner is turned on at home, the symptoms of the child may improve. Now, because every household basically has air conditioners, it is relatively rare.
When should children go to the hospital for fever
. Look at age
Children less than three months old have a fever (excluding too much clothing, too hot) and once they have a fever, they will be sent to the hospital immediately.
Because the child is young, his body temperature is poor, his body temperature may not be too high, and the disease is already serious. Moreover, the disease develops rapidly, and a cold can quickly develop into pneumonia. In addition, the child is young, so you should be very cautious when taking medicine, so it is recommended to seek medical treatment immediately.
html Children 13-6 months old who have a fever of more than 38.5 degrees are also recommended to send them to the hospital as soon as possible.
And the child is over 6 months old and has a fever. If he can eat, drink, sleep and play, his skin and urinate, he will have no abnormalities. It is recommended to observe at home first.
. Look at the spirit
If a child has a good mental state, it is generally not a big problem, such as playing the same way, laughing the same way, and crying the same loudly. You can usually observe at home.
If the child has no fever or not, he will stick to his mother and be listless, then be wary of the child's illness may be relatively serious. It is recommended to go to the hospital.
. Look at the skin
. The skin has no rashes, which is similar to before getting sick. It is recommended to observe
at home that the skin is abnormally red or very pale, or the skin and mucous membranes are covered with rashes. It is recommended to seek medical attention.
. Look at the second stool
There is no difference between the number of times and characteristics of the stool and the amount of urine and the number of times. That means you can also observe at home.
If the child defecates frequently, or even with egg flower soup-like stool, seek medical attention immediately.
The number of urination decreases, and even if the child is dehydrated for half a day, he may seek medical treatment as soon as possible.
Treatment of fever
Physical cooling
If the fever is not up to 38.5 degrees and you are in good spirits, you can give your child more water without taking medicine, or you can take a warm bath.
Be sure to pay attention to the water temperature when taking a warm bath. Use a towel to wipe the child's skin while taking a bath to stimulate blood circulation. If the child is in good spirits, you can wash until 20 minutes. Generally, 20 minutes can reduce the body temperature by 2 degrees.
If the child is in a bad mood, it is generally recommended not to exceed 10 minutes. After taking a shower, pat your child's skin to retain a little moisture and continue to dissipate heat. Put on your clothes as soon as possible and keep warm.
Drugs Antipyretic
The two safest antipyretic drugs for infants and young children are acetaminophen (also called paracetamol) and ibuprofen.
Precautions for the following 5 points
. Which antipyrecare drug should I choose?
If the child is only 3 months old, acetaminophen is preferred. Because its applicable age is more than 3 months, while the applicable age of ibuprofen is more than 6 months.
If the child cannot take medicine, you can consider acetaminophen, because acetaminophen has a suppository that can stuff the butt, which can be used for anal medication.
If the child has broad bean medicine, he will not be able to use acetaminophen, and he can only choose ibuprofen.
Note: Many compound cold medicines have acetaminophen. For example, the pediatric acetaminophen contains acetaminophen. If the child takes these cold medicines, he should take antipyretics after 4 hours.
. When giving children medicine, be sure to pay attention to the drug tag. Calculate the dosage according to the baby's weight
For example, some children weigh 20 catties in 6 months, which is different from children weighing only 14 catties in 6 months. Children with 14 catties in 14 kg only need to drink 2.5 ml of ibuprofen suspension, while children with 20 catties in 3.5 ml.
, and different drug dosage forms have different concentrations. For example, the infant dosage forms of ibuprofen include two dosage forms: (50 ml/1.25 ml) and (100 mg/5 ml). It is important to note that the dosage of different doses is very correlated.
. Remove the waste amount of medicine
For example, a 7-month-old baby doctor recommends taking 3 ml every day, but consider that pouring into the measuring cup is 3 ml, and then sending it from the measuring cup to the spoon to the baby's mouth will waste some. If the baby doesn't cooperate, he will vomit a little, and waste some, so in the end, there may be less than 2 ml left.
Two days ago, my cousin's wife said that the child could not get rid of the fever-reducing medicine. I said I would help you pour the medicine. The doctor prescribed ibuprofen, saying that I would pour 3 ml each time I took 3 ml, I poured 4 ml in a measuring cup and fed it to the child with a spoon. Within half an hour, the child changed from 39 degrees to 38 degrees. Because I will definitely waste about 1 ml of the medicine, I increased the dosage of one ml.
Jingma recommends that babies use antipyretics with droppers, so that the dosage is more accurate and it will not be wasted too much when dripping directly into the child's mouth.
. It takes a certain amount of time to take effect for the dose
Give children antipyretic medicine not like us who are hungry, and once we eat a few mouthfuls of rice, the croaking stomach will stop screaming.
antipyretic drugs usually take half an hour to take effect slowly, or even after one hour, and generally take effect best in 2 to 4 hours, so as long as our dose is sufficient, parents should not be too anxious, 99% of the temperature can be lowered. Those who say that the temperature cannot be lowered either want to cool down immediately after taking it or the dosage of the medicine is insufficient.
Because many times our antipyretic drugs have no effect, it is likely that our dosage is not enough.
. Please be careful to have enough time to get the two antipyretic drugs
Generally speaking, acetaminophen should be at least 4 hours apart when the two antipyretic drugs are at least 6 hours apart, while ibuprofen is generally at least 6 hours apart. As long as you pay attention to the amount of medicine, you can usually use it for so long.
Message from a mother: Children's fever is a particularly common situation in infants and young children. Mothers do not need to worry, face it correctly and deal with it scientifically, so that the child can overcome the fever again and again and grow up healthy and happy.
