The
hypothalamus is in charge of regulating your body's temperature.
It determines what your normal body temperature should be.
During an infection your hypothalamus receives signals to
actually change its normal set point. This is why traditional
cooling efforts are ineffective.
In
contrast, hyperthermia due to heat exposure is an emergency
situation and would be treated differently than a fever.
Treatment
of fever
Fever
is a very normal response to infection. In general, medication
is given primarily to help the child feel better. Contrary
to what you may have been taught, how high your child's fever
is and how it responds to medication is not a good indicator
of the severity of the illness.
Fever
can be treated with the use of medications such as Children's
Tylenol or Children's Motrin. It is imperative for you to
read the dosage instructions carefully and the time interval
required between doses. Many forms of Tylenol and Children's
Motrin are available and dosages vary accordingly. Some doctors
recommend rotating between Children's Motrin and Children's
Tylenol. Consult you doctor for any specific medication instructions.
Fever
should not be treated with cold baths or alcohol baths. Both
can be dangerous and are ineffective in reducing fever. Cooling
efforts such as wearing light clothing and reducing air temperature
may help provide comfort. These will however be more effective
if used after medication is given.
Treatment
of hyperthermia
If
your child has been exposed to extreme temperatures such as
would occur from being left in a hot car or very strenuous
exercise, this is an emergency. Your doctor should be called
promptly or your child should be taken to an emergency room
and an ambulance called if necessary.
When
should I call my doctor?
Call
your doctor immediately if:
- Your
child is younger than 3 months
- Your
child has a fever above 105°F
- Your
child looks or acts extremely ill
- Your
child has had a seizure
Call
your doctor within 24 hours if:
- Your
child is 3-6 months old
- Your
child has a fever between 104° - 105°F
- Your
child has had a fever for more than 24 hours without an
apparent cause
- Your
child has had a fever for more than 3 days
- Your
child has accompanying symptoms that may indicate a bacterial
infection such as earache, stiff neck, headache, or sore
throat