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Toddler Fever

toddler fever This photo is licensed under cc by sa 2.0 by gitsul.

When your toddler is sick, it can be distressing not only for her but for the rest of the family as well.

Much of your toddler's distress when she is sick is due to a fever. If you find that she does have a fever, relieving it will make her feel much better.

If your toddler's fever gets too high, it can lead to dehydration. A high fever may also cause seizures in children between 6 months and 4 years.

This is why it is very important to control the fever as soon as you notice it.

If your toddler has a fever but is otherwise well and happy, you probably shouldn't worry too much about it.

All toddlers suffer from fevers at some stage, and in most cases the fever is a normal body response to common illness such as the common cold and flu.

You should however start to worry if you notice that in conjunction with their fever, your toddler has these symptoms.

How can you tell if your toddler has a fever?

I Want a Hug, Mummy...

A feverish toddler may look flushed in the cheeks. She may even feel warm or hot when you touch her. She might tell you that she feels cold, and she suddenly wants lots of hugs.

Clinginess and irritability are common in toddlers with a fever.

Through experience with my own children, I have been able to detect fevers by simply touching their skin around their neck, forehead and chest.

So far I have been able to correctly assess every time they've had a fever; however I always double-check and make sure that my assessments are correct by taking their temperature with a thermometer. You cannot simply rely on touch.

I personally use a digital thermometer. There are other types of thermometer available. These include: -

  • Mercury-filled: these thermometers are made of glass and inside the glass lies poisonous mercury. I wouldn't recommend this type of thermometer for toddlers because they simply cannot sit still long enough to get an accurate reading (about 2 to 3 minutes), and they can also be quite dangerous if it breaks and the mercury spills out.
  • Digital: this is my personal choice as you only need to leave it in place under the tongue or armpit for about 30 seconds. The readings are very accurate and you don't have to worry about all that mercury. They're also almost unbreakable.
  • Forehead patch: this is a strip that you hold against your toddler's forehead for about 30 seconds. The strip is heat-sensitive, but not as accurate as the digital thermometer.
  • Ear sensor: I think this one is probably the best choice as it is the easiest to use. It's very popular among parents of babies and toddlers. Pick this one if price is not a concern, as it's more expensive than the digital thermometer. You only need one second to get an accurate reading after you place the tip of the thermometer inside your toddler's ear. The downside to this one is that it's much bulkier than the rest.
  • To be sure that your toddler does have a fever, you have to take her temperature. Her normal body temperature is 37oC or 98.6oF (it will be about half a degree Celsius lower if measured in her armpit).

    What should you do if your toddler has a fever?

    You may have heard from some people (more likely from your mum, dad, or others from their generation) that you should wrap your toddler up in warmer clothes or blankets in order for her to "sweat off the fever".

    Fever? No Sweat!

    It's amazing how many parents believe that sweating it off actually works. It doesn't. Even though your tot may tell you that she's cold, (and she's apparently "freezing"), putting more clothes on her will only hold the heat in and therefore increase her temperature, not decrease it.

    If her fever is elevated too much, she is at risk of having a seizure. So I wouldn't listen to anyone that tells you this nonsense about sweating it off.

    Here's what you should do: -

  • Take off excess clothes. On a colder day, leave on a singlet or light t-shirt.
  • Encourage her to drink plenty of fluids. If she refuses, try offering fruit juice or ice blocks. Juicy fruits may also help if water is refused.
  • Give your toddler a dose of medicine containing paracetamol (for example Panadol) or ibuprofen (for example Nurofen). Paracetamol is the more trusted drug in Australia as it's been around for longer and is apparently safer than ibufprofen. **Warning: Do not give ibuprofen to your toddler if she has asthma. Remember to measure the dose correctly as each preparation has its own strength and dosage requirements. If in doubt, consult your doctor before giving any medication.
  • Cool her down by wiping her skin with a cloth and lukewarm (not cold) water.
  • Take her temperature every 3 to 4 hours.
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