Fever 101

Not much is scarier than a baby blazing hot with fever. Many first-time parents aren't sure what to do. We talked to area pediatricians to learn more about fever and what you should do when you suspect one.

What is a Fever?

According to Wake Forest Pediatrics, a fever is an above-normal elevation in body temperature. "Your child has a fever if their temperature is higher than 100.3 degrees Fahrenheit measured rectally." If baby's fever is higher than you expected, don't be immediately alarmed. "Rectal temperatures are closer to core temperature, and are about a degree warmer than oral temperatures."

Any Tips for Taking Rectal Temperature?

A small amount of lubricant may make the process easier for both of you. If you're feeling unsure, bring a rectal thermometer to your next well baby visit. Ask the nurse to demonstrate and practice in front of her until you're comfortable.

Can I Use an Ear Thermometer?

Wake Forest Pediatrics doesn't encourage their use. "Ear thermometers vary widely in reliability. We've seen huge discrepancies in temperatures parents take at home with some of these thermometers and the ones we get in our office. I would especially discourage their use with children who can't yet articulate their symptoms."

When Should I Call the Doctor?

"If a baby less than two months has a rectal temperature of 100.4 or more, call your doctor immediately," says Wake Forest Peds. If your child is between three and six months with a fever higher than 101 degrees Fahrenheit, or if your child is older than six months with a fever higher than 104 degrees Fahrenheit, she should be evaluated by your doctor. Any fever lasting more than three days should be evaluated as well.

Though it's tough, try to stay calm when your little one has a fever.

"Remember, the degree of temperature doesn't indicate the severity of the illness. The child's level of activity and appearance are more important. Fevers only need to be treated to make your child more comfortable,' says the staff of Wake Forest Pediatrics. "Always remember - A HOT child needs COOL parents."

If your child has a fever, follow these guidelines from Wake Forest Pediatrics.

  • Call your physician if your child is under three months with any fever.
  • Encourage him to drink more fluids.
  • Dress her lightly.
  • Offer Tylenol or Motrin. Children under six months should not be given Motrin or Advil. Always check the dosage of any medication. NEVER give your child Aspirin.
  • Call if your child's fever is greater than 105 Fahrenheit, if it persists longer than 72 hours, or if your child is confused, irritable or difficult to arouse.