February 26, 2009,
W.H. asks from Buckeye, AZ on February 22, 2009
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.
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.
A.G. answers from Phoenix on February 23, 2009
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:
P.T. answers from Phoenix on February 23, 2009
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.
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K.H. answers from Phoenix on February 23, 2009
If you don't keep fevers down...they can spike up and the child can have seizures.
G.M. answers from Phoenix on February 22, 2009
It's better to let fevers run their course if you can. When it does get to 102, I would give motrin just like you did. If it stays below that, then just keep fluids down him. Fevers are our bodies way of 'burning' the bacteria/viruses out of our body. Getting rid of them. With my son, if his fever is 102, I do just what you do. I give motrin. I check him again in 6-8 hours, and if he has a fever again, the same temp, then I give him another dose. I usually don't give more than two doses a day. once in the morning, and once at bedtime so he can rest better.
If his temp gets above 104, then take him to the E.R..
My ER doc told me as long as I can keep the temp down, controlling it with Motrin/Tylenol, cool compresses etc., then he will be fine. But if I cannot get the temp down within a half hour, then something else is going on, and needs to be brought in.
Hope this helps, and hope your little guy feels better soon. OH, PS: With a temp that high, NO MILK. Milk will curdle in the tummy with a high temp. Just keep him drinking juice, apple, or punch etc.
B.C. answers from Phoenix on February 23, 2009
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.
C.C. answers from Flagstaff on February 23, 2009
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.
C.D. answers from Phoenix on February 23, 2009
You can't really make a fever really leave; it's there for a reason - to fight the bad guys in the body of your little one. However, you can and should make him comfortable. I prefer Tylenol or Ibuprofen, with the OK of their pediatrician. I also buy these cool patches (they actually get cold when the backing comes off) on their forehead - works like a wet washcloth but they can keep it on for a long time and even sleep with it on. Of course, Pedialyte and LOTS of water will help move it along, too.
But I vote for doing what I can to keep my kids comfortable so all thier energy can be for getting better. Lots of hugs help, too. I've been using a temporal thermometer - it is gentle and works like the one in the Dr. office. My kids are ill right now, and my little guy had a temp of almost 105 a couple of weeks ago, got better last week and is back up to 102.4 today. Dr. thought it was viral, but I got a notice of a huge strep issue in his classroom, so I wouldn't be surprised if the Dr. finds he has strep tomorrow. I just hope my 3 year old doesn't get it! She already has a sinus infection we just can't get rid of.
Good luck, and see what your ped says; then you can choose to agree to disagree. I like Tylenol better for fever, but will give them Ibuprofen at night, since it lasts twice as long. I'm told this thing needs to just run its course, (unless they find evidence of a bacterial infection, which is possible) but just to keep them comfortable.
Hope your little man is better soon.
M.V. answers from Phoenix on February 23, 2009
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.