Fever: Friend of Foe?

Dr. Alison Levine is a pediatrician practicing in Boulder, CO. Dr. Levine started Fig Tree Pediatrics because she is passionate about fostering healthy, joyful lives for children and their families. Dr. Levine combines medical expertise with a holistic approach, prioritizing patient centered, wellness focused, personalized... more
Fever: Friend or Foe? A Parent’s Guide
As a parent, dealing with a fever can be nerve-wracking. Is it dangerous? Should you rush to the doctor? Maybe even the emergency department? Let’s break it down so you can feel more confident the next time your child feels warm.
First, take a deep breath. Fever isn’t the enemy—it’s actually your child’s body working hard to fight off an infection. According to the American Academy of Pediatrics (AAP), most fevers are caused by viral or bacterial infections and are part of the body’s natural defense system. Think of it as the immune system kicking into gear! (HealthyChildren.org)
When to Worry About a Fever
Most of the time, a fever is nothing to lose sleep over. But there are some signs that mean it’s time to call your pediatrician:
- Your baby is younger than 3 months old and has a rectal temperature of 100.4°F (38°C) or higher. (Newborns need extra care!)
- Your child looks really sick, unusually sleepy, or super cranky and nothing, even fever reducing medicine, seems to help.
- There are other worrisome symptoms like a stiff neck, severe headache, unusual rash, or repeated vomiting or diarrhea.
- Your little one shows signs of dehydration, such as a dry mouth, fewer wet diapers, or a sunken soft spot.
- Your child has a weakened immune system or experiences a seizure.
You'll notice that I didn't list a specific fever temperature that indicates an automatic trip to the emergency department or call to your doctor. Kids can get high fevers, even up to 106 degrees F, and not need to be seen right away. That said, another kid can have a fever of 101F and look much worse.
Look at your child - not the number. Look at the above list, rather than relying on a certain number to let you know if your child needs immediate attention. If your doctor says it's ok, if the fever is very high, you may want to try fever reducing medication like acetaminophen or ibuprofen to help your child feel better. Medicine doesn't have to take away the fever, but it should make your child a lot more comfortable within about an hour.
If you’re unsure, it’s always okay to call and check in with your pediatrician. (HealthyChildren.org)
Simple, Natural Ways to Help Your Child Feel Better
Many fevers don’t need medicine—they’ll go away on their own as your child’s body does its thing. But there are plenty of gentle ways to make your little one more comfortable:
- Keep them hydrated. Fluids are key! Water, clear broth, or even an oral rehydration solution can help. (HealthyChildren.org)
- Dress lightly. Layers aren’t helping; go for lightweight clothing and a light blanket if needed.
- Keep the room cool. A comfy, well-ventilated room helps with temperature regulation.
- Encourage rest. Their little body is working hard, so let them take it easy.
If your child is really uncomfortable or having trouble sleeping, you can use fever reducers like acetaminophen or ibuprofen. Just make sure to follow the dosage instructions based on their age and weight, and always double-check with your pediatrician if you’re unsure.
Fevers can feel scary, but they’re usually a good sign that your child’s immune system is doing its job. Keep an eye on their symptoms, keep them comfy, and trust your instincts. You’ve got this!