[Article] Fever

Sejak kemarin Freya demam tanpa disertai gejala-gejala lain (seperti batuk atau rash, dll). Tadi pagi gue ukur temperaturnya 38.2 C, tapi tingkah lakunya sih gak kayak lagi sakit. Makan tetep nafsu, tapi gue perhatiin sekalinya gue kasih air putih dia minumnya langsung banyak seakan2 kehausan (atau mulut kering). Mencoba membayangkan, sepertinya sih gue juga suka begini kalo kecapekan… badan agak anget, trus pingin minum terus… Hmmm, apa iya ya? Memang sih waktu hari Sabtu, dari jam 9.30 Freya udah aktif di Tumble Tots dan selanjutnya di acara ulang tahun buyutnya (nenek gue) dia nggak bisa diem… jalaaaan terus dari meja tamu ke meja makan, joget2, nyanyi2, main sama tamu2. Ah entahlah… Akhirnya nemu artikel ini, yang bisa kasih penjelasan supaya gak panik tapi tetep alert.


How can I tell whether my toddler has a fever?

Kiss or touch your child’s forehead. If you think he feels hotter than normal, you’re probably right.

A fever is usually a sign that the body is waging a war against infection. Taking your child’s temperature can confirm your suspicions and help you and your child’s doctor figure out the best way to get your toddler back on the road to health.

Most doctors — and the American Academy of Pediatrics (AAP) — agree that a normal body temperature for a healthy child is between 97 and 100.4 degrees Fahrenheit (36 to 38 degrees Celsius). If your toddler’s temperature is above this range, he has a fever.

When should I call the doctor?

You’re the best judge of whether your child is really ill, so call if you’re worried, no matter what his temperature is.

A temperature reading isn’t the only indication of whether a fever is serious. Your toddler’s behavior is a factor, too — a high fever that doesn’t stop him from playing and eating normally may not be cause for alarm. Keep in mind that your child will be hotter if he’s been running around than if he’s waking up from a nap.

Something else to remember: Everyone’s temperature rises in the late afternoon and early evening and falls between midnight and early morning. The natural cycle of our internal thermostat explains why doctors get most of their phone calls about fever in the late afternoon and early evening.

That said, a fever of 103 degrees F (39.4 degrees C) or higher is generally considered cause to check with a doctor. (If your child looks or acts ill, you’ll want to call sooner.)

The doctor will probably ask you about other symptoms when you call. The most important thing is how your toddler looks and acts — if he has lost his appetite, has little energy, is noticeably pale or flushed, or is extremely irritable, or if you notice other changes in his behavior and appearance.

Be sure to mention other symptoms, too, such as a cough, signs of ear pain, vomiting, or diarrhea — these can help the doctor make a diagnosis. She will then tell you how to care for your toddler and whether you need to come into the office.

Be on the lookout for any of the following symptoms, which could indicate a more serious problem when coupled with a fever:

•  Your toddler has small, purple-red spots on his skin that don’t turn white or paler when you press on them, or he has large purple blotches. Both of these can signal a very serious bacterial infection.

•  Your child is having difficulty breathing (working harder to breathe or breathing faster than usual) even after you clear his nose with a bulb syringe. This could indicate pneumonia or bronchiolitis.

What will the doctor do?

If your toddler is reasonably alert and taking fluids and has no other symptoms that suggest a serious illness, the doctor may advise giving him children’s acetaminophen or ibuprofen to bring down the fever.

If you’re able to keep your child’s temperature below 102 degrees F (38.9 degrees C) with the recommended dosage of acetaminophen or ibuprofen, you might want to wait 24 hours before bringing him to the doctor. Because fever is often the first symptom of an illness, a doctor may not find anything significant if your child is examined too early.

The doctor may tell you to switch to a different medication (for example, ibuprofen if you’ve been giving acetaminophen) if the fever isn’t lower within an hour, or you may need to bring your child in to be examined.

If your toddler has symptoms that suggest a serious illness or infection, you’ll be told to bring him in to be evaluated at the doctor’s office (if you call during working hours) or an emergency room.

If fever is a defense against infection, is it really a good idea to try to bring it down?

Since fever is part of the body’s defense against bacteria and viruses, some researchers suggest that the body may fight infections more effectively when its temperature is elevated. (Bacteria and viruses prefer an environment that’s around 98.6 degrees F, or 37 degrees C.) A fever also tells the body to make more white blood cells and antibodies to fight the infection.

On the other hand, if your toddler’s temperature is too high, he’ll be too uncomfortable to eat, drink, or sleep, and that will make it harder for him to get better.

If your toddler’s fever isn’t affecting his behavior, you don’t need to give him anything to lower it. Offer him plenty of liquids to prevent dehydration, and don’t overdress him or bundle him up when he’s sleeping.

If your toddler’s body temperature is higher than normal because of extra clothes, a scorching day, or a lot of active play, help him cool down by taking off a few of his layers and encouraging him to rest or play quietly in a cool spot.

Which fever-reducing medicines are safe for my toddler?

You can use children’s acetaminophen or ibuprofen to bring down your toddler’s temperature.

Be very careful when administering medicine to your toddler. His weight will determine the right dose. Always use the measuring device that comes with the medicine or an oral syringe to give your child exactly the right amount.

Don’t give any fever-reducing medicine more often than is recommended. The directions will probably say that you can give acetaminophen every four hours and ibuprofen every six hours.

Never give your toddler aspirin. Aspirin can make a child more susceptible to Reye’s syndrome, a rare but potentially fatal disorder.

A final word of caution: Most doctors don’t recommend over-the-counter cough and cold preparations for babies and young children, but if your child is taking a prescription remedy, talk with the doctor before giving your child any other medicine, like ibuprofen or acetaminophen. Cough and cold remedies may already contain these products, so you risk giving your toddler too much medicine.

Are there other ways to bring my toddler’s fever down?

You can try to lower your toddler’s fever by sponging him down with lukewarm (not cold) water or giving him a lukewarm bath.

Never try to reduce a fever by sponging down your toddler with rubbing alcohol. Rubbing alcohol can be absorbed into your child’s bloodstream through the skin. It can also cool him too quickly, which can actually raise his temperature.

What should I do if my child has a seizure from his high fever?

Fevers can sometimes cause febrile seizures in babies and young children. A child having this type of seizure may roll his eyes, drool, or vomit. His limbs may become stiff and his body may twitch or jerk. In most cases, the seizures are harmless, but that doesn’t make it any less terrifying if your toddler’s having one.

Read more about febrile seizures and how to handle them.

Why does my toddler’s fever keep coming back?

Fever-reducing medicines bring down body temperature temporarily. They don’t affect the bug that’s producing the infection, so your child may run a fever until his body is clear of the infection. This can take at least two or three days.

Some infections, such as influenza (the flu), can last from five to seven days. If your toddler has been treated with antibiotics to fight a bacterial infection, it may take 48 hours for his temperature to fall.

My toddler has a fever and no other symptoms. What’s wrong?

When a child has a fever that isn’t accompanied by a runny nose, a cough, vomiting, or diarrhea, figuring out what’s wrong can be difficult.

There are many viral infections that can cause a fever without any other symptoms. Some, such as roseola, cause three days of very high fever followed by a light pink rash on the trunk.

More serious infections, such as meningitis, urinary tract infections, or bacteremia (bacteria in the bloodstream), may also trigger a high fever without any other specific symptoms. If your toddler has a high fever and no other symptoms, call the doctor.

Source: BabyCenter.com


17 thoughts on “[Article] Fever

  1. this is what we called “technology that works for you”……..
    can you imagine? what would mommies in the 70's would do in your situation…… pasti panic, confuse and perhaps asking the wrong person for info …… or buru-buru ke RS.

    I hope and pray for health in your family, specially little cute Freya :o)

  2. La..ada obat traditional dari orang Cina…duluuuuuuuuuuuuuuuuuuuuuuuuuu..waktu gue suka fever sampe step segala..oma gue suruh nyokap gue ambil segenggam tanaman namanya KUCAI sejenis daun bawang..suka ada di masakan cina..dan itu di gosok keseluruh badan gue…uuuughhhhhhhhh…baunya..tapi manjur..fever gone..tapi yang ada tiap nyokap gue mau ukur panas gue, gue bawaannya udah ketakutan aja..takut di lumurin daun bau itu..OH My..oh my..

  3. jadi inget si kecil… kmrn jg sakit tapi tobat dehhh gw ngejagainnya… gw bolos ktr sehari serasa lama banget… makan roti yg cuma 2 lembar & mnum susu segelas sampe 1 jam… abis mnum obat trus mau bobo' tapi dtungguin Mama… ditungguin pake dnyanyiin nyaris 1 jam itu mata kagak merem2, malah senyum2 sambil mencetin idung gw, sayang Mama katanya… be-te abis krn gw kagak bisa ngapa2in slain dkjain trus ama si kecil, akhirnya jam 4 sore gw telpon suami gw… gw suruh dia jg ikut merasakan pnderitaan gw dkjain si kecil alias gw ngomel2…

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