Concerns About High Fevers

Updated on March 12, 2008
K.M. asks from Culpeper, VA
10 answers

I was just curious if anyone had heard anything about the risks involved with high temperatures and any longer term issues. My 21 month old daughter has been sick for about 8 days now. She started with diarrhea for about 3 days. It wasn't too bad about 4 or 5 diapers a day and she was playing and eating and drinking like normal. then she started running a fever, between 101 and 102 during the first day, she started eating less and playing less That night it reached 103.5 the next day we took her to the dr she refused to eat or drink anything. We were sent to the ER for dehydration and her fever spiked to 105. We stayed there until her fever went down to 102.4. WE have been giving her tylenol and Motrin every 3 hours and luke warm baths to try and keep it down. With all this she still kept her temp between 103 and 105 for a day and a half. Last night her fever broke. She was drenched in sweat and cool. So far this morning she has been eating and has had no fever. But i was concerned about the fact that she had ahigh fever for so long if there were and issues that we may not know about. I heard that 105 was the burn out point for white blood cells and I wasn't sure if I should take her to get a cbc done to check her blood count to see if she was low. I don't want to take her anywhere and have her catch something else if her immune system is wiped out. Any ideas? or am I just being overly concerned.

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So What Happened?

thanks for all the help. My daughter seems to be over the fever now but she have a swollen eye. One of her eyelids has gotten all red and swollen and looks like there is a pimple on the lower one but the upper lid is really starting to look swollen. It doesn't seem to bother her too much, she rubs it a bit but I've tried putting a warm cloth on it but she throws a fit whenever I try to do it so I've just left it alone. I don't know it this is still part of the same virus of something else that I should take her back to the doctors for.

So we went back to the doctor today and had her eye looked at. The biggest swollen spot looked like a blister last night but she rubbed and it popped during the nigh and had a nice crusty scab on it this morning. The doctor gave us some antibiotic ointment to put in it to keep it from spreading and took a swab to see what it was, but more then likely it was a stye. it looks much better today than it did so hopefully this is the last doctor visit for us for a while. Thank you all for your advice. I am really glad I got on this site.

More Answers

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K.W.

answers from Washington DC on

Hello...I don't think you are being overly concerned, a temp that high is cause for concern. I read that a temp of 104 for more than 5 days is unhealthy and you should be taken to the emergency room. Any normal Mom would take their child way before then although it is not necessary. Having a temp of 103 to 105 for a day and a half isn't long enough to have a long term effect down the road. If you are concerned about her CBC count, it won't hurt to question your Dr. to see if a test is necessary. My healthcare provider has a medical advice hotline and I use it for any and every little question I have...that's what it is there for. And since you pay your Dr. you should be able to ask any question about anything at any time. Exercise that right!!

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J.C.

answers from Washington DC on

My son spiked 104.5 one night a couple weeks ago and when I called the pediatrician they weren't terribly concerned. Obviously I was told to watch for the normal things (dehydration, make sure the fever can be lowered by meds & cool baths..etc). And he'd had a febrile seizure before so I asked about that - again, unconcerned unless he ended up having one for more than a minute or more than a couple in a short amount of time (ended up not having one). Anyway, his "normal" fever of 101-102+ lasted and we found his flu had progressed to a sinus infection, so we got antibiotics & alls well:)

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J.P.

answers from Washington DC on

i would take her to the doc it could be stye

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S.R.

answers from Washington DC on

I totally understand your concern. It's amazing, though, how resiliant kids are. I would just keep an eye on her for a few days. If you don't see anything out of the ordinary, then I wouldn't worry. If you do, call the doctor.

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K.D.

answers from San Francisco on

K.,

The neat things about young ones is that they are resilient. They can bounce back better and faster than us adults. Infants and young children can maintain a temperature higher than adults for longer periods of time without any adverse effects. You did a wonderful job in taking care of your daughter with the meds and the baths to do what you could to keep the fever from getting out of control. Keep in mind that a fever is there to fight off the cause of the fever be it viral or bacterial. The body tends to increase temperatures to make the inner environment hostile to the bad invaders. You have every right to be concerned. If you don't feel comfortable taking her out, then don't. It's your perogative and don't let anyone tell you different. As long as your daughter is resuming her normal activities you shouldn't be too worried :) (I have 3 girls of my own - 12, 5 and 9 weeks)

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M.M.

answers from Washington DC on

I would take her back to the ER. My son was admitted to the hospital with a fever of 103.6. They did a spinal tap among other things. We were unable to leave until he was no longer running a fever. This took about 3 days. Did they tell you what her wbc was? I would call your doctor and express your concerns.

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M.B.

answers from Washington DC on

Sounds like you followed your instincts to see a doctor already. Certainly keep in touch and ask him / her as many questions as you have. I don't know about more 'dangerous' side effects like killing off white blood cells, but my son (5 1/2)has some interesting dental problems that several dentists and pediatricians said could have been caused by high fevers during pregnancy or infancy. (He has slightly dark spots on his front teeth and no enamel formed on two of his molars.) I don't know if teeth can still be affected at 21 months--her teeth may already be fully developed. But definitely a good question to ask a doctor!

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R.O.

answers from Washington DC on

Hi, K..

As long as your daughter is fine now, I wouldn't worry. Body temperature itself doesn't cause any damage unless it is over 107. Infections don't usually cause temperatures over 106 or so--body temperatures high enough to cause permanent damage are usually the result of something else, like sitting in a hot car with the windows up. Fever is a sign of infection and it is the infection that is a cause for concern, not the fever itself. It sounds like your daughter's infection has passed, though, yes sometimes it takes a few days to rev back up to 100%. In other words, don't panic if you need to take her out somewhere, but if you need to keep her at home to feel secure about her health, no one will judge you negatively either.

D.S.

answers from Allentown on

Hi K.,

Take your baby to your pediatrician and see what is causing the fevers. Maybe a stool culture is in order.

Good luck. D.

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K.G.

answers from Richmond on

K.- from what I know, it is common for kids fevers to spike at night. And you should not see any repercussions from the fever for a few days as long as nothing else came with it (i.e. seizures, etc.)

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