16 answers

Fevers - Is It Better to Let It Run Its Course or Keep It down with Motrin??

My little boy woke up yesterday saying he felt sick. Sure enough, he was hot (had 102 temperature). All day long he was a model patient, sleeping/snoozing, or sitting on a chair watching his dad work in the garage. I didn't keep him on motrin all day long because I've heard that it is better to let the fever run its course (as long as not too high, of course. His ranged from 101 to 102 each time I checked). When he's feeling better from the effects of motrin, he's doing more, when he's not, he just wants to sleep and sip cool water and I feel his body gets more rest that way. I did give him motrin but not constantly. He is still sick today, another 102 reading this morning.

What can I do next?

So What Happened?™

Thanks everyone! I pretty much let it run its course, did give motrin occasionally (as in once each day) and Sunday afternoon (2nd day) he was up and about, acting normally & feeling fine except for the cough bothering his throat. This morning I got him up for school and he had 100.8 (no fever last night) so I kept him home from school. He is acting just fine today, no snoozing so he's definitely on the mend and going to school tomorrow.
I have been giving him decongestant (and occasionally the motrin if he complains of a headache or feeling awful) and making sure he kept sipping water & gatorade, mostly water, and eating. I also have an ice bag (you know the old fashioned cloth covered rubber bag with screw on top that you set on your head??) that he put to use a couple times for his comfort. His school nurse said the fever & cough virus is going around his school.

More Answers

If the child isn't horribly uncomfortable, you should let the fever run its course. The viruses and bacteria that make us sick usually function best at our normal body temperature. So, one of our body's best defenses is to raise the body temperature; a fever is not just a symptom of an infection, it's actually a pretty effective weapon that our body uses to treat itself. Most of the illnesses that we get are caused by viruses (colds and flus are both viral), which cannot be fought with antibiotics, so we should do our best to help our bodies fight those infections.

Generally, as long as the fever is below 102, I try not to give my kids anything to bring it down. Above 102 or so when they start becoming more uncomfortable, I give something and/or give a warm bath, which, because of the evaporation off of the skin, will help bring the temperature down a couple of degrees.

Some worry about febrile seizures, but they are pretty rare, and strongly genetic. No one in my family has had them, but I have a family friend that has them in her family, and all 4 of her children has had a febrile seizure. The seizures aren't generally harmful, though, and all of her children are now healthy adults. If you haven't seen febrile seizures in any of you family, you most likely don't have to worry about them.

Dr. Greene has a pretty good article on fever treatment at:

http://www.drgreene.com/21_832.html

What does your doctor say? I will let a low grade fever go, as long as they are not uncomfortable. I would ask your doctor what they think of 102' for the second day in a row.

If you don't keep fevers down...they can spike up and the child can have seizures.

Sounds like everyone is in agreement, let it runs it's course. The fever is what is fighting off the infection. If they are comfortable, I don't give it to them. If they are irratable and very achy I do. Also, if it is very high, over 104, I would give them a dose to bring it down. I almost always give them a dose before bed though.

My middle child had febrile convulsions (seizures) with a fever, and it is definitely the scariest thing to watch and then to have her not start breathing again on her own. I always use Tylenol/Motrin for anything over 100. The fever is a signal that his body is fighting an infection, but whether you let it go or treat it with over the counter medicines does not affect how long it will last or how quickly the body will fight the illness. It only affects the comfort of your child. It would be a good idea to take your son to the doctor to check for strep if the fever continues into day 3.

If there are fevers consecutive days there is another issue. Fevers cook germs but they will also start cooking your insides as well, including the brain. There are a lot of homeopathic remedies, like vicks on the feet and a few others that I can't remember. I think over 100 you should medicate.

I've heard both. My ped always says Tylonol or Motrin, but I go to a natural doc that says don't do it. Our bodies are made to fight through those kinds of things and all the medicine does is interfere with the body's healing process. I always put a cool wash cloth on my kids' heads and that usually makes them feel better. If his fever lasts more than a few days and he has other symptoms like coughing I would take him in to see someone though. It could be something else, especially this time of year.

You should be alternating Motrin and Tylenol. Too much of either isn't good. Make sure that you're giving the dose according to their weight and if the label says to consult your pediatrician, do so. You'll also want to check with your doctor and see how many hours you should go in between each dose. Also, make sure you don’t give him the Motrin on an empty stomach or he will throw it up. Our daughter had over a 103 temperature last week and we ended up in the ER because even though we were following the dosages on the Tylenol and Motrin bottles, we weren't giving her enough for her weight and the fever wouldn't come down.

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