What to do for a baby the temperature has risen. Normal temperature in a newborn baby

An increase in temperature in an infant is a serious cause for concern among parents. But is it worth it to panic if the thermometer is a little over 37 degrees? When and how to bring down the temperature? Let's figure it out.

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In newborns (especially children under 3 months), the body's thermoregulation system is imperfect. The first few days after birth, the baby's temperature can stay at 37-37.4 degrees.

Don't panic!Up to a year, slight fluctuations in temperature are considered normal, especially if the child has just eaten or is capricious.

The way he is dressed can also affect the temperature of the baby: babies very easily overheat or, on the contrary, overcool. Lack of drinking can also cause a slight rise in temperature in a child up to one year old.

You can not measure the temperature of a baby:

• after meal;
• after a walk;
• after crying;
• after sleep;
• after swimming;

The temperature of a child under one year old is measured in different ways:in the armpit (norm - 36-37 degrees), in the groin fold, orally (norm - 36.9-37.4 degrees) and rectally (norm - 36.6-37.3 degrees). It is best to do this every day at the same time, when the baby is calm.

But, despite all of the above, the child's temperature must be monitored for up to a year, because an elevated temperature can also indicate an illness. If the baby breathes heavily, is capricious and cries a lot, or, on the contrary, is very lethargic, refuses to eat or signs of a cold appear, then it is unacceptable to ignore the fact that the child's temperature rises.

At a temperature of 38 and above, you should immediately call a doctor, since it is very difficult to independently determine the cause of a high temperature in a baby.

Causes of increased temperature in a child under one year old:

• overheating of the child;
• lack of drink;
• prolonged crying;
• teething;
• excessive physical activity;
• constipation;
• allergy;
• stress;
• preventive vaccination;
• colds;
• children's and intestinal infections;
• inflammatory diseases of the ear, throat, nose, kidneys, etc.

When to bring down the temperature of a child under one year old?

Remember that fever is not a disease, but a means of fighting the disease! If the child does not have respiratory and heart diseases, then it is recommended to give an antipyretic at a temperature above 38.5 degrees.

But if the child starts having seizures or has happened earlier, the temperature rises sharply at night, then the antipyretic should be given already at a temperature of 38 degrees.

If a child under 3 months old has a temperature above 38 degrees on a weekend or a holiday, call an ambulance. For children under 3 months, only a doctor should prescribe medication and dosage!

How and how to bring down the temperature of a child under one year old?

Before the doctor arrives, it will not be superfluous to try to bring down the temperature. non-drug methods... Due to the unsettled system of thermoregulation of the baby's body, such methods are usually quite effective.

First, ventilate the room more often, after taking the baby to another room.

Secondly, if the child does not have chills, remove warm clothes from him, it is best to leave him naked, just cover with a diaper.

Thirdly, dip a gauze cloth in room temperature water and squeeze it out, then wipe the child's face, neck, arms, legs, body.

Fourthly, give babies more often to drink.

Fifth, if the baby is asleep, do not wake him up without an important reason, for example, a visit to the doctor (feeding is not an important reason!).

If traditional methods do not help, and the temperature has exceeded 38.5 degrees, the baby should be given antipyretic... Needless to say, it is worth discussing this issue with your doctor in advance?

Antipyretic for babies can be in the form of syrup or suppositories.The action of the syrup begins 20-30 minutes after ingestion, suppositories - after 30-40. It should be remembered that suppositories have a more gentle effect on the gastrointestinal tract of the baby, but if the child has not emptied the intestines for a long time, then the use of suppositories can provoke colic.

And the syrup cannot be mixed with a mixture, milk or water.Read the instructions carefully, strictly observe the dosage by age, always check the expiration date of the medicine. If in doubt, call your therapist or ambulance for advice.

In any case, if the child's temperature has exceeded 38 degrees, you need to call a doctor to identify the causes and prescription of appropriate treatment. Antipyretic is not a cure for disease; it is just a way to fight a fever.

Health to you and your children!

Dear Readers! What did you do when your baby had a fever? In what ways did you bring down the temperature of a newborn baby? Looking forward to your comments!

If a child's temperature of 39 ° C easily gets lost and the general condition is controllable, then you should not worry too much. But the absence of accompanying symptoms should cause concern, since this is a rather high thermal threshold, signaling a sharp deterioration in the baby's condition. The source of any heat is the body's reaction to the occurrence of pathology, the invasion of a virus or infection. This leads to the destabilization of the processes of heat transfer and heat production, which are balanced in a healthy body.

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Causes

A moderate febrile temperature (39 degrees) may indicate a serious illness. There are few reasons for the rise in temperature, and they all have pronounced signs.

Hyperthermia

A sharp increase in body temperature above 38.5-39 ° C is a condition inherent in newborns and children of the first year of life.

The following factors can provoke the development of hyperthermia:

1. Overheating of the body. It is most often seen in babies who are dressed too warmly by caring parents. The imperfection of the thermoregulation system provokes in the baby a sharp increase in body temperature, disturbances in breathing and heart rhythm. The symptoms of overheating are easily eliminated by undressing the baby and giving water.
2. Teething reaction. Often accompanied by high fever. The child is nervous, refuses to eat, does not sleep well, he has increased salivation.
3. Viral or bacterial infection most often leads to an increase in temperature and is accompanied by cough, diarrhea, vomiting, and rash. The problem requires immediate consultation with a specialist.

Infectious diseases

A high body temperature that occurs against the background of the absence of symptoms of acute respiratory infections may indicate the development of such infectious diseases:

1. Stomatitis. The characteristic signs of the disease are purulent eruptions on the mucous membranes of the oral cavity. The child refuses to eat, gets nervous, cries.
2. Pharyngitis. The clinical picture of the disease is manifested by redness and rashes on the mucous membranes of the larynx.
3. Angina. Diseases of the throat, which is characterized by the presence of a white purulent plaque on the tonsils. The temperature with angina lasts until the breeding ground of pathogenic bacteria is eliminated. As a rule, the treatment of angina is rarely complete without antibiotics.
4. Otitis media is an inflammation of the middle ear. In a one-year-old child who still cannot speak, one can suspect the development of otitis media by high body temperature and characteristic gestures (the baby covers the sore ear with his palm or does not allow him to touch).
5. Roseola. The disease proceeds against the background of enlarged lymph nodes and moderate febrile temperature, which can only be brought down on the third day. After the fever has passed, characteristic pink spots appear on the child's body.
6. Intestinal infections (rotavirus, salmonellosis, enterovirus, dysentery). Pathogenic microorganisms, getting into the gastrointestinal tract of the child, produce toxic substances that provoke hyperthermia, abdominal pain, vomiting and diarrhea.
7. Tuberculosis. During the incubation period, as a rule, there are no signs of pathology, but after two weeks from the moment of infection, headaches, high fever, and cough may occur.
8. Pneumonia. With a typical form of pneumonia, the temperature begins to rise sharply, a cough with phlegm appears, and sometimes pleural pain is observed.
9. Measles. The disease develops very quickly and is accompanied by fever. After the incubation period, the child may experience a runny nose, dry cough, conjunctivitis, and other symptoms. One of the characteristic signs is the appearance of red spots on the hard and soft palate.
10. Chickenpox. Most often, in children, the period of the rash is painless, but an increase in temperature may be observed.
11. Scarlet fever. The disease begins with fever, headache and general malaise. Always accompanied by a sore throat and rash. On days 2-4, the tongue becomes grainy and bright red.

Acute inflammatory diseases

No less often, acute inflammatory diseases are the cause of high fever in infants, such as:

1. Meningitis. Most of the pathologies caused by dysfunction of the brain provoke fever. The child also has nervousness, nausea, hallucinations, and sleep disturbances.
2. Pathologies of the genitourinary system (cystitis, pyelonephritis). Symptoms: pain, cramps and cramps in the abdomen, child complaints about difficulty urinating.
3. Inflammatory processes in the abdominal cavity (appendicitis, pancreatitis, cholecystitis, intestinal obstruction). Their signs: pain on palpation of the abdomen, lack of appetite.

Oncological pathology

The emergence and development of malignant tumors in a child may also be accompanied by a high body temperature.

In this case, there are additional symptoms, such as:

• lack of appetite, resulting in depletion of the body;
• general state of weakness;
• drowsiness and apathy;
• frequent bleeding;
• pallor of the skin;
• the occurrence of bruises and bruises at the slightest blows.

In this case, it is necessary to undergo a complete examination of the body as soon as possible in order to exclude the most terrible suspicions of oncopathology.

What to do at high temperature?

Until a specialist determines the nature of the development of fever, it is important to provide the most comfortable conditions under which the fever will not increase.

In the room where the child is, the air temperature should not exceed 20 ° C, and the humidity indicator should not exceed 60%. The air must be fresh. Several times a day, the room where the patient is located must be ventilated. No need to wrap up the baby, provide him with free movement in light clothes.

At high temperatures, the child must be given water as often as possible. Offer him clean water, herbal teas, diluted juices and fruit drinks, and when breastfeeding - milk.

For more information on what to do at elevated temperatures, see the video filmed by Ask the Doctor channel.

Drug treatment

Antipyretic drugs will help bring down the temperature above 39 in a child:

1. Paracetamol. The safest drug. For children aged 3 months and more, experts recommend using Paracetamol in the form of a suspension or suppositories. For children over three years old - pills. The antipyretic effect of rectal suppositories begins within 40 minutes after administration, and for drugs taken orally - after 20 minutes.
2. Ibuprofen. In addition to excellent antipyretic properties, it has a good anti-inflammatory effect. It is most often used in the complex treatment of bacterial infections. It is prescribed for children from 6 months.
3. Analgin. As a rule, it is injected intramuscularly, in the form of an injection. It is used in severe conditions when other drugs do not have the desired effect at a high temperature in a child. Can be administered to children from 1 year old.

Paracetamol (20 rubles) Analgin (13 rubles) Ibuprofen (7 rubles)

It is important for parents to remember situations when taking medications is ineffective and an immediate ambulance from a doctor is required:

• body temperature has risen above 39.1 ° C;
• fever caused the development of seizures;
• loss of consciousness and hallucinations is observed;
• vomiting, diarrhea, shortness of breath appeared;
• the child has a temperature of 39 ° C for more than a day when taking antipyretic drugs;
• it is impossible to independently adequately assess the condition of the baby;
• after visible improvements, the temperature rose sharply again;
• the child refuses to drink, signs of dehydration are present.

What shouldn't be done?

If a child's body temperature exceeds 39 degrees, it is strictly forbidden:

1. Independently determine the cause of the inflammatory process and begin treatment without prior consultation with a specialist.
2. Use alcohol wipes.
3. Apply ice. Such actions provoke vasospasm and worsen the baby's condition.
4. Give several antipyretics at the same time.
5. To wrap up the child and restrict his freedom of movement. The exception is chills.
6. Self-administer an enema.
7. Force-feed. At high temperatures, it is better to drink more than to eat.
8. Take a hot bath. Such actions can provoke a deterioration in the baby's condition.
9. Leave the child alone with a high fever. The reaction of the body is unpredictable, at any moment the baby's condition can deteriorate sharply.

Often the first sign of a baby's illness is a rise in temperature. Finding her, many mothers get scared and instantly rush into battle. On the one hand, this reaction is understandable. The younger the baby is, the more fears for his health. On the other hand, the temperature does not rise for no reason. Most often, it signals the colonization of the body with an infection and the inclusion of protective forces. That is, it should not be eliminated! How to be?

Normal temperature in an infant

The thermoregulation system in a newborn baby is not perfect. During the first three months of life, the child is sensitive to external temperature fluctuations, since he is not yet able to independently maintain a certain body temperature. That is why the baby quickly overheats or overcooles.

The baby's temperature at different times of the day is not the same:

• Deep at night and in the morning it is minimal
• Afternoon and evening - maximum

Also, the increase or decrease in temperature is influenced by physical activity, emotional uplift (for example, crying), overheating, etc.

If your baby has a temperature of 37 C, do not be alarmed, this is the norm! Moreover, even fluctuations of several degrees in one direction or another are permissible.

There is one more important point that parents must take into account. The normal body temperature of a baby is not the same in different areas! And sometimes this difference is very significant:

• In the armpit - 36 - 37 C
• Rectal (measured in the rectum) - 36.9 - 37.4 C
• Oral (measured in the mouth) - 36.6 - 37.2 C

Sometimes there are people with special indicators of body temperature from 35 C to 38.3 C. At the same time, they feel good and for them this is an individual norm.

Advice to parents: Check your baby's normal body temperature in advance. To do this, measure it at the same time in the morning, afternoon and evening for 3 days. The kid must be calm and healthy. Record all results obtained.

Now, if your baby gets sick, you can determine exactly how high the temperature is from his norm.

How and how to measure the temperature of an infant

When measuring temperature in a baby, it is advisable to adhere to the following rules:

• Use a safe thermometer! It is better to have several (2-3) different types in the house.
• Consider the general condition of the baby. After eating, prolonged and strong crying, the body temperature of an infant will be higher
• Do you have doubts? Measure the temperature more times (or several times) and calculate the average

There are several types of thermometers for measuring temperature in different parts of the human body.

• Mercury. Used only in the armpit! Sit down, take the baby in your arms, place the thermometer correctly, fix it securely with your hand. Waiting time 3-5 minutes
• Electronic. More secure. Easy to handle. Used to measure oral and rectal temperature. In the armpit, it gives an inaccurate result, since in this case it is difficult to ensure tight contact with the body. Waiting time is 1 minute. Usually equipped with a signal for the end of the measurement
• Temperature indicator. This is a strip with heat-sensitive squares or with divisions marked with numbers. During temperature measurement, their color changes. The last changed square with the corresponding number is the child's temperature at the moment. The strip is placed on the forehead of the baby. Waiting time 15 seconds. The exact result is not guaranteed.
• Pacifier thermometer. Suitable for mobile and nipple-tied babies

In what case should the temperature of an infant be brought down?

Having found an elevated temperature in an infant:

• Don't panic
• Measure it in any of the ways described above.
• Try to soberly assess the general condition of the baby.
• If the temperature is below 38.5 C (for crumbs under 3 months - below 38.0 C), the child tolerates it normally, then you do not need to use the medicine
• If the temperature is higher or equal to 39 C, it is necessary to give an antipyretic agent based on paracetamol once and monitor your well-being. Didn't help (the temperature remained the same or increased)? Give stronger medicine
• If a child is prone to seizures, has serious diseases of the cardiovascular or respiratory systems, immediately by any means try to bring down his temperature, and call a doctor!

How can a baby bring down the temperature?

Please note that a baby with a temperature should never be overheated! Therefore:

• Take off his diaper immediately
• Wrap it in a diaper or put it on lightly
• For chills, cold hands and feet, cover with a blanket

Be sure to water the child as much as possible. Best of all with water or fruit drinks. Feed on demand. Offer breasts more often.

Remember to ventilate the room.

All methods of lowering the temperature are divided into two groups:

• Non-medicated
• Medication

Non-medicated- provide a short-term decrease in temperature. They are especially effective in infants due to the superficial arrangement of blood vessels. Do not apply for chills!

The most popular are the following:

• Rubbing with cool water (chest, abdomen, back, axillary and groin areas, elbow and popliteal folds). Be sure to let it dry!
• Wet diaper wraps
• Bathing in lukewarm water
• Wet cloth on forehead
• Compresses (contains only water and a little vinegar)
• With prolonged absence of stool - cleansing enemas from clean water at room temperature

Medication - This is the use of drugs with antipyretic effect.

First of all, Paracetamol (Panadol, Efferalgan) is given. Release form at your discretion - syrup, suppositories, suspension. It is used after the child is one month old.

In the second - Ibuprofen (Nurofen, Ibufen). Any form of release. It is used after the child is six months old, no more than three days (because complications are possible!). Following the instructions is obligatory !!!

Calling a doctor at a temperature in an infant

Before her arrival:

• Try to remember in detail all the methods of treatment and medicines that you have already tried in action. It is better to put all this on paper.
• Also write down the temperature readings (time and method of measurement, digital indicator)

Call a doctor immediately if:

• The temperature in the armpit is more than 38 C / 38.5 C
• The baby has a chronic illness
• Convulsions have begun, neck is tense (chin does not bend to chest)
• The child has not eaten anything for more than 6 hours in a row
• He is very lethargic and cries constantly.
• A severe runny nose began
• Vomiting, diarrhea opened
• A rash appears on the skin
• There is no urine for a long time or it changes color abruptly
• The methods used to lower the temperature did not give the desired result.

The younger the baby, the faster it needs to be shown to the doctor.

Additional facts about temperature in an infant

In conclusion, I would like to note that the height of the temperature in infants sometimes does not correspond to the severity of the disease. The reason for this is the imperfection of its protective functions. Therefore, he can react to the disease in different ways: a strong or moderate increase in temperature, its decrease. There are also times when the temperature remains normal.

However, remember: the success of treatment always depends on the timeliness of taking measures to combat the disease.

In a newborn, it is considered a frequent phenomenon that makes parents very worried about the well-being of the child. But it is worth knowing that thermoregulation, like other systems of a small organism, is at the stage of formation, so the temperature of the crumbs can change during the day.

It is known that the baby's body temperature is higher during wakefulness or feeding than during sleep. Often, 38 degrees makes mothers nervous, call doctors. In fact, there is no need for this if at the moment the baby is at the peak of activity. The child's body is prone to rapid heating, but due to the presence of the fontanelle, the cooling process also occurs quickly. In the first months of life in babies, everything is completely different, so you should not compare with your own indicators.

If we talk about the standard value, then the norm is considered to be the fluctuation of the thermometer from 36.3 to 37.2 Existing doubts can be easily checked, it is enough during sleep or motion sickness of the baby. In the event that it remains elevated and does not decrease for some time, you need to consult a pediatrician. It is worth worrying when the mark on the thermometer always exceeds 37.5 degrees.

The child's behavior changes, he becomes lethargic, cries a lot, which is why he practically does not sleep and does not eat well. At the same time, it testifies to the body's ability to fight viruses or infections that overwhelm the baby. It is this that sometimes stops parents from striving to lower the mark on the thermometer as soon as possible. If harmful bacteria are walking around the body, then you need to give him the opportunity to cope with them on his own. But it is worth remembering that the established norm is dangerous for an unformed child's body, therefore, it is necessary to consult a doctor. Only a pediatrician can examine the clinical picture and identify the cause.

An immediate visit to the doctor is mandatory in case of temperature cramps, in which the baby's arms, legs, chin and even eyelids begin to twitch. This condition is considered severe, as it often leads to loss of consciousness. Therefore, in such cases, you should immediately call an ambulance.

In other cases, you can try to cope with the fever with household methods, but in any case, after the high temperature in the newborn has decreased, you should seek help from a specialist.

Fever in a newborn: ways to reduce it

Household methods of lowering the thermometer mean the creation of conditions that are as favorable as possible for self-regulation. Firstly, the baby needs to be changed more often, and things should be selected from natural materials that absorb sweat well and allow the skin to “breathe”. Secondly, due to the heating of the body, the liquid evaporates faster, and therefore, the balance is disturbed, for the restoration of which the baby needs to increase the number of breast milk intake or give a little water. Thirdly, a child, like any adult, needs a stream of fresh air during an illness, so the room should be well ventilated.

The most common household remedy for lowering the temperature is considered to be a cool compress on the baby's legs. You need to moisten a soft napkin in water and wrap your legs, and on top of the compress is covered with a dry towel. Change the napkin every 10 minutes for half an hour. With proper care, it will be possible to bring down the temperature level by one degree.

And remember that with any questions of interest, you can (and should!) Contact a doctor who will give detailed advice. You can ask for the phone number of the attending physician in order to be able to contact him if necessary.