Fever is one of the most common reasons parents visit our pediatric outpatient department. While fever itself is a natural sign that the immune system is fighting off pathogens, high spikes and prolonged fevers require careful medical evaluation.

Understanding the Thermometer Readings

A body temperature over 100.4°F (38°C) measured rectally or axillary is considered fever. In babies under 3 months, ANY fever is an emergency requiring immediate hospital evaluation, even if the baby appears normal.

Safe Antipyretic Medication: Paracetamol vs Ibuprofen

Never give aspirin to children due to the risk of Reye's syndrome. Use paracetamol (acetaminophen) strictly according to your pediatrician's weight-based dosage, not age-based estimation. Keep a dosage log to avoid accidental overdosing.

Tepid Sponging: The Right Technique

Use lukewarm water (never cold or ice water). Wipe the forehead, neck, armpits, and groin gently. Cold water causes shivering, which reflexively drives core body temperature higher.

Doctor's Clinical Insight: "Treat the child's overall behavior, not just the number on the thermometer. A playful child with 101°F is less worrying than an abnormally lethargic child with 99.8°F." — Dr. D Bhanu Prakash, MD, DM