{"id":8248,"date":"2026-01-07T08:00:15","date_gmt":"2026-01-07T14:00:15","guid":{"rendered":"https:\/\/www.osfhealthcare.org\/blog\/?p=8248"},"modified":"2026-02-11T12:08:11","modified_gmt":"2026-02-11T18:08:11","slug":"what-to-do-when-your-child-has-a-fever","status":"publish","type":"post","link":"https:\/\/osf-blog.live.imagescape.com\/blog\/what-to-do-when-your-child-has-a-fever\/","title":{"rendered":"Fever in Kids: What\u2019s Normal and What\u2019s Too High"},"content":{"rendered":"<p>Parenting is hard enough. Throw in a fever and your worry can skyrocket. The good news? While your child\u2019s temperature may make you wonder if they\u2019re sick, typically, a hot forehead is nothing to lose your cool over.<\/p>\n<h2>What is a fever?<\/h2>\n<p>A fever itself isn\u2019t actually an illness. It\u2019s a symptom and a sign that your body\u2019s natural defense against infection is working. When your child encounters a virus or bacteria, their immune system raises their internal temperature to fight it off.<\/p>\n<p>\u201cA fever tells us your child\u2019s immune system is doing exactly what it\u2019s supposed to do,\u201d said <a href=\"https:\/\/www.osfhealthcare.org\/providers\/brian-curtis-1465391\">Brian Curtis, MD<\/a>,\u00a0vice president, chief medical officer, OSF Medical Group. \u201cIt\u2019s one of the body\u2019s most effective tools for clearing an infection.\u201d<\/p>\n<div class=\"alignright cta\">\n<p>Fever won&#8217;t go away?<\/p>\n<p><a href=\"https:\/\/www.osfhealthcare.org\/care\">Get care now<\/a><\/p>\n<\/div>\n<h2>Common Causes of Fever in Children<\/h2>\n<p>Kids can feel warm for many reasons, including crying, playing too hard, teething or simply being in a hot environment. The only way you can tell for sure that your child has a fever is to take their temperature with a thermometer.<\/p>\n<p>A fever can happen for many reasons, including:<\/p>\n<ul>\n<li>Viral infections, like a cold, the flu, RSV or COVID-19<\/li>\n<li>Bacterial infections, like an ear infection or strep throat<\/li>\n<li>Normal immune response to a vaccine<\/li>\n<li>Allergic reactions<\/li>\n<\/ul>\n<p>When it\u2019s a fever from an illness, your child likely will show other symptoms, like tiredness, fussiness, chills, runny or stuffy nose or cough.<\/p>\n<h2>What temperature is considered a fever for a child?<\/h2>\n<p>You\u2019ll need to take your child\u2019s temperature with a thermometer to get an accurate reading of how high their fever is. The American Academy of Pediatrics (AAP) recommends using a digital thermometer. It\u2019s best to take the\u00a0temperature rectally for children ages 3 and younger.<\/p>\n<p>Here is an easy way to know when your child has a fever:<\/p>\n<ul>\n<li>Normal temperature: 97.7\u00b0F to 99.5\u00b0F<\/li>\n<li>Low-grade fever: 99.6\u00b0F to 100.3\u00b0F<\/li>\n<li>Fever: 100.4\u00b0F to 102.9\u00b0F<\/li>\n<li>High fever: 103\u00b0F or higher<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-18824\" src=\"https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2020\/10\/Fevers-in-children_Infographic_1080x1350_08-24_FIN-568x710.jpg\" alt=\"\" width=\"300\" height=\"375\" srcset=\"https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2020\/10\/Fevers-in-children_Infographic_1080x1350_08-24_FIN-568x710.jpg 568w, https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2020\/10\/Fevers-in-children_Infographic_1080x1350_08-24_FIN-240x300.jpg 240w, https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2020\/10\/Fevers-in-children_Infographic_1080x1350_08-24_FIN-768x960.jpg 768w, https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2020\/10\/Fevers-in-children_Infographic_1080x1350_08-24_FIN-400x500.jpg 400w, https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2020\/10\/Fevers-in-children_Infographic_1080x1350_08-24_FIN.jpg 1080w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2>How long does a fever last in children?<\/h2>\n<p>Most fevers caused by common viral infections last about two to three days, though some can linger up to four, with or without other symptoms. What often worries parents isn\u2019t just the fever itself, but the way it seems to come and go. A child might wake up without a fever, only for it to spike again by evening. A fever may also appear to be breaking, then return a few hours later.<\/p>\n<p>This pattern is completely normal. Fever-reducing medicine works temporarily, so your child\u2019s temperature may rise again once the dose wears off. Immune systems also has natural cycles, so the severity of symptoms can rise and fall throughout the day.<\/p>\n<p>In addition, everyone\u2019s temperature naturally rises in the evening around 6 p.m. So, if your child already had a slightly higher temperature, this normal temperature increase can explain why their fever comes back at night.<\/p>\n<p>\u201cAs long as your child is drinking well, interacting with you and not showing concerning symptoms, these ups and downs are typically a normal part of the healing process,\u201d said Dr. Curtis.<\/p>\n<h2>Fevers With No Other Symptoms<\/h2>\n<p>A fever without obvious symptoms can still be caused by a mild viral infection. Keep watch for:<\/p>\n<ul>\n<li>Rash<\/li>\n<li>Runny nose<\/li>\n<li>Cough<\/li>\n<li>Ear tugging<\/li>\n<li>Decreased appetite<\/li>\n<li>Changes in urine<\/li>\n<\/ul>\n<p>If your child has a fever with no other symptoms for more than 24-48 hours, call your pediatrician.<\/p>\n<h2>When to Worry About Your Child\u2019s Fever<\/h2>\n<p>Kids tolerate fevers surprisingly well. What matters most is not how high the fever is, but how your child is acting and whether they have other symptoms.<\/p>\n<p>Here\u2019s when you should call your child\u2019s pediatrician:<\/p>\n<ul>\n<li>Newborn or infant age 3 months or younger: Any fever (a rectal temperature of 100.4 degrees\u00a0or higher) should be seen immediately.<\/li>\n<li>Infant or toddler ages 3 months to 2 years: Fever lasts more than 24 hours<\/li>\n<li>Children 2 years and older: Fever lasts more than 72 hours<\/li>\n<li>Any age: Fever higher than 104 degrees; Fever with other symptoms, such as a severe sore throat, severe abdominal or ear pain, severe headache, unexplained rash, repeated vomiting or diarrhea, unusual sleepiness or very fussy behavior; Fever that has worsened since a previous doctor\u2019s visit.<\/li>\n<\/ul>\n<p>If your child ever has a fever with a seizure, severe pain, trouble waking, a stiff neck, blue lips\/nails, nonstop vomiting or diarrhea or if they suddenly get much worse, take them to your nearest emergency department.<\/p>\n<p>\u201cIf something feels off or your parent instinct is telling you this isn\u2019t normal, trust that and get care,\u201d said Dr. Curtis.<\/p>\n<h2>How to Help Your Child Feel Better<\/h2>\n<p>Even if your child acts normally with a fever, their body is still working hard to fight some sort of infection. You can help their body to break the fever and get better faster by treating it.<\/p>\n<h3>Do:<\/h3>\n<ul>\n<li>Offer lots of fluids like water, sports drinks, formula or breastmilk and popsicles<\/li>\n<li>Encourage rest<\/li>\n<li>Dress them lightly<\/li>\n<li>Give a lukewarm bath<\/li>\n<li>Use acetaminophen or ibuprofen if your child is uncomfortable<\/li>\n<\/ul>\n<h3>Don\u2019t:<\/h3>\n<ul>\n<li>Let your child around other children as they may still be contagious<\/li>\n<li>Let them over-exert themselves, even if they are acting normally<\/li>\n<\/ul>\n<p>If your child\u2019s temperature is 100.4-102\u00b0F and they aren\u2019t showing symptoms like fussiness, dehydration or discomfort, you can often wait on fever medicine.<\/p>\n<p>Once a fever reaches 102-103\u00b0F, many children become more uncomfortable and benefit from medicine.<\/p>\n<p>One of the key things to do when your child has a fever is to keep them hydrated. Kids lose fluids faster when feverish. Watch for signs of dehydration, including:<\/p>\n<ul>\n<li>Dry lips\/mouth<\/li>\n<li>No tears<\/li>\n<li>Sunken fontanel (soft spot on the top of a baby\u2019s head)<\/li>\n<li>Fewer wet diapers<\/li>\n<li>Sunken eyes<\/li>\n<li>Lethargy<\/li>\n<\/ul>\n<h3>Fever-Reducing Medicine Guidelines<\/h3>\n<p>Always use the correct dose of fever-reducing medicine for your child\u2019s age and weight.<\/p>\n<ul>\n<li>Over 2 years: Follow the label instructions for the specific medication<\/li>\n<li>Under 2 years: Call your provider or pharmacist for dosing<\/li>\n<li>Under 6 months: Avoid ibuprofen<\/li>\n<li>Under 3 months: Avoid fever-reducing medicine unless advised by your provider<\/li>\n<li>All children and teens: Avoid aspirin. Aspirin use by young people with viral illnesses has been linked to <a href=\"https:\/\/healthlibrary.osfhealthcare.org\/Wellness\/BloodPressure\/90,P02620\">Reye syndrome<\/a>, a rare but serious disease.<\/li>\n<\/ul>\n<p>If your child\u2019s fever doesn\u2019t improve within one to four hours of giving medicine, call your provider.<\/p>\n<h2>What is a febrile seizure?<\/h2>\n<p>There are times when a fever can lead to a\u00a0febrile seizure\u00a0or convulsion, particularly in children between the ages of 3 months and 5 years. Although scary, febrile seizures usually only last a few minutes and are not dangerous, but you should still inform your child\u2019s pediatrician.<\/p>\n<h2>When is a fever too high?<\/h2>\n<p>Our brain knows when our body is getting too hot and is designed to regulate our temperature, keeping fevers due to infection from going over 103 degrees or 104 degrees. They rarely go to 105 degrees or 106 degrees.<\/p>\n<p>While these are \u201chigh\u201d fevers, you don\u2019t need to be alarmed because fevers from infections don\u2019t rise high enough to cause brain damage. Dangerously high temperatures (108\u00b0F+) come from external heat sources, such as a child being trapped in a hot car.<\/p>\n<h2>When to Call Your Pediatrician<\/h2>\n<p>If you can\u2019t get your child\u2019s fever down, are unsure how high it\u2019s been or are concerned about how your child is acting, call your pediatrician. They can help you decide what to do next based on your child\u2019s symptoms and age. When you call, have this info handy:<\/p>\n<ul>\n<li>Highest temperature<\/li>\n<li>When it started<\/li>\n<li>Last dose and timing of medicine<\/li>\n<li>Any symptoms in addition to the fever<\/li>\n<\/ul>\n<p>This helps your provider guide you quickly and may save an unnecessary office or emergency visit.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fevers are your child\u2019s natural defense to fight infection. They&#8217;re also uncomfortable and sometimes frightening. Here&#8217;s what you should know.  <\/p>\n","protected":false},"author":135,"featured_media":8258,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","footnotes":""},"categories":[129,116],"tags":[87,748,40,374,371],"coauthors":[1173],"class_list":["post-8248","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-miscellaneous","category-pediatrics","tag-cold","tag-fever","tag-flu","tag-headache","tag-pediatrics"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Fever in Kids: What\u2019s Normal and When to Worry<\/title>\n<meta name=\"description\" content=\"Worried about your child\u2019s fever? 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