Your Well Being
 

Fever
Myths and Facts
 

As a student, being healthy is sometimes challenging. Your academic work can be affected by your life style. I am starting a series of articles to help you and me live well while we are away from home KUWAIT.

Part 4
Fever: Myths and Facts

I had received a lot of questions related to fever in children form parents.
Misconceptions about the dangers of fever are commonplace. Unwarranted fears about harmful side effects from fever cause lost sleep and unnecessary stress for many parents. Let the following facts help you put fever into perspective:
 

Myth: All fevers are bad for children.
Fact: Fevers turn on the body's immune system. Fevers are one of the body's protective mechanisms. Most fevers are good for children and help the body fight infection. Use the following definitions to help put your child's level of fever into perspective:

• 37.8°C to 39°C (100°F to 102°F): Low-grade fever. Beneficial.
  Try to keep the fever in this range.

• 39°C to 40°C (102°F to 104°F): Moderate-grade fever. Beneficial

• Over 40°C (104°F): High fever. Causes discomfort, but is harmless.

• Over 40.6°C (105°F): High fever. Higher risk of bacterial infections.

• Over 42°C (108°F): Serious fever. The fever itself can be harmful.

Myth: Fevers cause brain damage or fevers over 40°C (104°F) are dangerous.
Fact: Fevers with infections don't cause brain damage. Only body temperatures over 42°C (108°F) can cause brain damage. The body temperature goes this high only with high environmental temperatures, for example, if a child is confined in a closed car in hot weather.

Myth: Anyone can have a febrile seizure (seizure triggered by fever).
Fact: Only 4% of children have a febrile seizure. 

Myth: Febrile seizures are harmful.
Fact: Febrile seizures are scary to watch, but they usually stop within 5 minutes. They cause no permanent harm. Children who have had febrile seizures do not have a greater risk for developmental delays, learning disabilities, or seizures without fever.
 

Myth: All fevers need to be treated with fever medicine. Fact: Fevers need to be treated only if they cause discomfort. Usually that means fevers over 39°C or 39.4°C (102°F or 103°F).

Myth: Without treatment, fevers will keep going higher.
Fact: Wrong. Because of the brain's thermostat, fevers from infection top out at 40.6°C or 41.1°C (105°F or 106°F) or lower.

Myth: With treatment, fevers should come down to normal.
Fact: With treatment, fevers usually come down 1.1° or 1.7°C (2° or 3°F).

Myth: If the fever doesn't come down (if you can't "break the fever"), the cause is serious.
Fact: Fevers that don't respond to fever medicine can be caused by viruses or bacteria. Whether the medicine works or not doesn't relate to the seriousness of the infection.

Myth: If the fever is high, the cause is serious.
Fact: If the fever is high, the cause may or may not be serious. If your child looks very sick, the cause is more likely to be serious.

Myth: The exact number of the temperature is very important.
Fact: How your child looks is what's important, not the exact temperature.

Myth: Temperatures between 37.1°C to 37.8°C (98.7°F and 100°F) are low-grade fevers.
Fact: The normal temperature changes throughout the day. It peaks in the late afternoon and evening. A low-grade fever is 37.8°C to 39°C (100°F to 102°F).

Reading temperatures

A reading of 37.4°C (99.4°F) is the average rectal temperature. It can normally change from 36.9°C (98.4°F) in the morning to a high of 37.9°C (100.3°F) in the late afternoon.
 

A reading of 37°C (98.6°F) is the average oral temperature. It can normally change from a low of 36.4°C (97.6°F) in the morning to a high of 37.5°C (99.5°F) in the late afternoon.

I hope you found this information helpful.

Waiting for your questions.

See you in future articles

Dr Dalia M Y M Alabdulrazzaq,MD,B.M.B.Ch
The Hospital For Sick Children
University of Toronto
Ontario
Canada