High temperature in a child - the main recommendations for parents. High temperature in a child, treatment of temperature in children
When a child's temperature rises, parents need not only to resort to the use of antipyretic drugs to lower it, but also to look for the root causes of this phenomenon. After all, the body temperature in a child can rise according to the most various reasons. This can be an infectious disease, overheating of the body, teething, etc. Despite the reasons for the increase in temperature, this phenomenon is a protective reaction of the body to influencing stimuli. Heat in a baby at the age of 10 months, it may indicate a variety of reasons, but in order to find them out, you will need to go to the hospital. Parents are allowed to give the child an antipyretic at a high temperature, but only the attending physician has the right to prescribe drugs to treat the disease.
Features of temperature indicators in children
After the birth of a child, his body goes through long haul adaptation to environment. This adaptation manifests itself in the form of constant jumps in body temperature. In this case, the thermometer readings can vary from 36 to 37.8 degrees. For children under the age of 6 months, such temperature fluctuations are normal, and parents should not take serious measures.
In children after 6 months, the thermometer values can also vary, but with a smaller range from 36.5 to 37.4 degrees. Pediatricians note that closer to 1 year in children, body temperature up to 37.4 degrees is normal. After a year, this value decreases and corresponds to 37 degrees.
It is important to know! If 10 month old baby the thermometer readings do not exceed 37.4 degrees, then parents have nothing to worry about.
If a 10-month-old baby has a thermometer reading above 37.4 degrees, then in this case, parents should also not panic and stuff the baby with fever pills. First you need to find out how much the thermometer shows. If his readings exceed 38 degrees and the baby's condition worsens significantly, then you should use antipyretics, for example, Ibuprofen or Paracetamol. If the value does not exceed 38 degrees, then you should not rush to resort to the use of antipyretics at all. Why? Many parents do not understand what a high temperature is and why it is growing, so we will pay attention to the answer to this question.
What is high body temperature
An elevated body temperature in a child is not at all an ailment, but only a symptom of a previous disease. An increase in the norm indicates that the body begins to fight the emerging disease. It should be noted here that its increase does not always indicate a disease, for example, teething.
An increase in temperature is a kind of protective reaction of the body that occurs through the action of various biochemical reactions. With an increase in the readings of the thermometer, the immune system fights against the foci of infection that caused the disease.
It is important to know! The temperature rises because the body seeks to heal itself, which is normal, and says that the child has strong immunity.
If during the disease there is no increase in the readings of the thermometer, but at the same time the child becomes pale, dull, weak and inactive, then this indicates serious problems immune system. At temperatures up to 38 degrees, the destruction of viruses and infections by the body's own forces is observed, but if its values \u200b\u200bexceed the mark of 38-38.5 degrees, then it is impossible to do without the use of antipyretics. This temperature suggests that the provoking disease is bacterial in nature, so you can’t do without antipyretic and antibiotic drugs.
Parents need to know what fever body is not a disease at all, but only a sign that a child is developing an illness. The reasons for this phenomenon should be established by the doctor after examining the baby in the hospital.
It is important to know! If parents notice a deterioration in the child's condition, then the thermometer readings should be monitored every 15-20 minutes.
Differences between elevated and high temperatures
Parents should distinguish between temperature readings in children. Words such as high and elevated have a significant difference. What it is, we will find out further.
Elevated temperature and its meanings:
- Subfebrile ranging from 37 to 38 degrees;
- Febrile, equal to 38-39 degrees.
Heat:
- Pyretic - 39-41 degrees;
- Hyperpyretic - over 41 degrees.
It is precisely a high body temperature above 39 degrees that is dangerous, if at the same time the baby develops febrile convulsions and fever. If the thermometer readings rise above 39 degrees, and at the same time the antipyretic drug does not have the desired effect, then you need to immediately call ambulance.
The danger of high temperature for children at 10 months
Pediatricians suggest that intense heat over 39 degrees in the first year of a baby's life can lead to the development of irreversible consequences. What kind of consequences may arise is not specified, because it can be both a mental disorder and chronic diseases of the internal organs. If you do not promptly resort to helping a baby up to a year, then a strong fever can become a serious problem that will leave an imprint for life.
In addition to the fact that the danger is hidden in intense heat, the very cause of the disease, especially of a bacterial nature, can directly affect health. Changes in the brain can occur only if the temperature rises above 41-42 degrees. The usual fever in a child does not pose a danger to his health, but only if the condition does not stabilize.
It is important to know! If for a long time the baby keeps subfebrile temperature up to 38 degrees, then you should see a doctor for a diagnosis. In this case, it is possible that the cause of subfebrile values are serious violations flowing in the internal organs.
Strong heat above 39 degrees is dangerous because there is a strong overload of the heart and vascular system, as a result of which a stop may occur. The problem is especially relevant if a child has been diagnosed with CHD or epilepsy since childhood, which can necessarily lead to serious consequences.
Causes of a strong fever in a child at 10 months
Often, parents in bewilderment seek to find the answer to the question that a child has a severe temperature at 10 months. The reasons that a child has a temperature of 38 degrees may be hidden in the following factors:
- overheat;
- teething;
- infectious diseases;
- inflammatory processes in the internal organs.
What is overheating
Overheating is the most common reason that at 10 months old the child's parents measured the body temperature at 38 degrees. What to do in this case, and is it worth going to the hospital? It is necessary to go to the hospital if the baby shows symptoms of malaise. Thermometer readings at 10 months of age do not mean that the child is sick. In some cases, a deviation of up to 37.8 degrees is allowed, as a result of which it is also not required to resort to medical care.
A high temperature in a child at the age of 10 months can be provoked by overheating of the body. Overheating can occur if the baby spent a long time in the sun, especially between 11 and 16 hours. If you think that overheating cannot occur in winter, then you are deeply mistaken. In winter, in a warm apartment, when the temperature in the room is not controlled, the child may develop a fever due to overheating, especially if the baby is actively playing. Determine the cause of overheating simple way. To do this, you need to apply a compress, ventilate the room, let the baby calm down and take a breath. If the body temperature returns to normal, then everything is in order, no other measures are required to improve the condition.
Teething: why there is a strong fever
From the age of 5 months, the baby begins to erupt teeth. This phenomenon represents stress for the body, but every child endures given period differently. For someone, this is a painful process in which the baby is naughty all the time and refuses any entertainment. For some, this is a slight pain on the gums, accompanied by a slight increase in body temperature.
Teeth continue to erupt up to 3 years, so if the first tooth was problematic, then all the others will also proceed with the development of serious complications. If a child has a temperature of 38 degrees at 10 months, then it is possible that this is due to teething. It is quite simple to determine this, for which you should examine the baby's oral cavity and observe his behavior. If he pulls various toys into his mouth, and reddening of the gums is observed in his mouth, then you should not panic. In this case, it is enough to provide comfortable conditions for the baby, as well as try to reduce pain in the gums. To do this, you need to buy a special teether for your baby and lubricate the gums with a special gel. If a strong fever does not rise above 38 degrees, then you should not resort to the use of antipyretics.
Infectious types of diseases
What should parents do if the crumbs are found along with signs of high fever, symptoms such as a runny nose, cough and lack of appetite? If the baby has these symptoms, then a strong fever is a sign that an infection has entered the body. If the temperature is 39 degrees, then the child should be given an antipyretic, and then go to the hospital. Usually viral diseases are manifested by a rapid increase in the readings of the thermometer.
To exclude the serious consequences of infectious or viral diseases, you should immediately consult a doctor. Indeed, at an early stage of the development of the disease, it is much easier to diagnose the disease and cure it than to do it with the development of complications.
It is important to know! If the temperature of a strong fever lasts for 3 days, then the baby should stop giving antipyretics and consult a doctor.
Inflammatory processes of internal organs
The causes of an increase in body temperature in a child can be diseases such as CHD (congenital heart disease) or kidney failure. At the same time, it is not excluded that the symptoms of high fever will reach 39 degrees. It is strictly forbidden for parents to provide assistance in such a situation, except for the use of antipyretics. After all, first you need to identify what caused the intense heat, and only then take methods.
The temperature may rise due to poisoning and allergies, but in order to identify signs of these ailments, you need to see a doctor. In case of poisoning, you will need to rinse the stomach, and in case of allergies, exclude exposure to the allergen and take an antiallergic drug.
When do you need an ambulance?
An ambulance needs to be called only if the parents do not know what to do with a child whose symptoms of the disease are exacerbated. IN this case, with an increase in temperature, you should resort to calling an ambulance in such situations:
- for children under the age of 1 year with symptoms of high fever, when the thermometer displays a value above 38 degrees;
- for children aged 1 to 4 years, if the temperature is above 39 degrees;
- children over the age of 5 years, if the thermometer shows over 39.5-40 degrees.
In children at the age of 10 months, the body is not yet fully strengthened, so the impact on it of various negative factors contributes to a rapid increase in temperature. How younger child, the faster the deterioration process occurs. After calling an ambulance, you will need to provide the child with complete rest. It is forbidden to give him various medicines, except for antipyretics, especially to resort to antibiotics. If the baby develops a high fever due to a viral infection, then antibiotics in this case will not be effective.
After the arrival of the ambulance team, you should explain to them when and why this symptomatology arose. If the temperature does not decrease, then doctors will give an injection from a lytic mixture, after which the temperature returns to normal after 5-10 minutes. If before the arrival of the ambulance, the crumbs develop febrile convulsions, then the mother needs to open her mouth to the baby and stick in a spoon.
Summing up, it should be noted that a child at 10 months, although he has already strengthened immunity, but still his well-being should not be neglected. In case of intense heat, which is also accompanied by gag reflexes, it is imperative to solder the crumbs with liquids. This will prevent the development of signs of dehydration, which is also no less dangerous than the symptoms of a high fever.
All parents, without exception, are well aware of the fact that if the body temperature in children suddenly rises, then their body gives a signal that it is being attacked by unknown bacteria or viruses. Concomitant factors, such as: snot, cough, vomiting, diarrhea and others, will help to determine the disease that you had to face. But what if the child has a temperature without symptoms? How to act in such a situation, and when necessary medical assistance baby? Let's figure it out.
Fever without other signs of illness
Knowing full well that a slight increase in temperature is normal reaction child's body to an external irritant, parents often begin to panic if the temperature rises during the day, and there are simply no other signs of the disease. The child does not complain headache, for a sore throat or in the abdomen, but the thermometer rises above 37 degrees. We want to inform you about the possible causes of an increase in body temperature and advise how to behave during this period, and what right decisions accept.
Vaccination for children under one year old
The most common reason for rising suddenly during the day is a reaction to vaccination. Literally a day after the introduction of vaccination, and in some cases even after a couple of hours, the body can rise to 38.5 degrees. At the same time, there are no other symptoms of the disease in the baby. That is, the baby feels fine, the only thing that can manifest itself is lethargy.
Teething in children under one year old
may be caused by teething. The child becomes capricious, and when touching the forehead, the mother discovers with horror that the baby has a temperature of 38 C and above. Therefore, if your baby has reached the age of 10 months, when active teething is observed in the life of children, then it is possible that the cause of such an anomaly is the teeth. In this case, the gums become red, slightly swollen, there is profuse salivation and sometimes snot. Although these signs may not be. All children react differently to teeth. Often, when teething, the child's immune system is weakened, and the body becomes an excellent prey for viruses and infections, diseases will not pass by. Therefore, up to a year, sluggish and suspicious, we advise you to call a doctor at home.
Overheating of the body
In only born children, thermoregulation of the body is not sufficiently developed. This process can be restored throughout the year, or even more. Therefore, their normal temperature can be considered 37.1 C. Parents should understand that if the body temperature in the maternity hospital, for example, had an indicator of 37.2 C, then they need to focus on just such an indicator - this is the norm for your baby and you should not be scared. But often young mothers make the mistake of wrapping the baby tightly and keeping it in a warm room for a long time. Or, for example, the temperature outside is above 30 C, and the little one is wearing an elegant, knitted suit. At the same time, he is in a wheelchair under straight lines. sunbeams. And if you measure the temperature of his body, then the indicator on the thermometer can even exceed 38 degrees. Such a high temperature is caused artificially. 
In order for the baby's body temperature to drop in this case, the mother must immediately transfer the baby to the shade and remove all warm clothes from him. Soak a gauze pad in warm water and rub his body. And be sure to give the baby a drink. Otherwise, the child may have a heat stroke, which is very dangerous if the baby is young.
The room in which the baby is located should be well ventilated and have the right level of humidity. If the reason for the temperature was precisely overheating, then after these simple manipulations, it should drop closer to normal in just 1 hour.
Also, the cause of an asymptomatic increase in body temperature during the day can be excessively active games, during which the child jumps, runs, jumps, etc. The first symptom is a bright, unnatural blush on the cheeks. The child becomes lethargic, he already refuses to play, and when measuring body temperature, the indicator exceeds 38 C. If the reason for the increase is overheating of the body and there are no other signs of illness, then the mother should do the same manipulations as in the first case - remove excess clothes from him , wipe the body with a wet rag and give it a drink. Within an hour, the temperature will return to normal. Sometimes even 10 minutes is enough for the high temperature to drop.
Viral infection in children
With the development of a viral infection, initial stage The disease is manifested exclusively by a sudden rise in temperature. Naturally, parents begin to worry and find out possible reasons such a reaction of the body. At the same time, only for 2-3 days, such symptoms as a runny nose, a slight cough, a rash on the body, and redness of the throat begin to join. Therefore, if you are sure that the baby is not overheated, and there are no other symptoms other than fever, then you should not immediately give the baby a pill. It is better to give your baby water, systematically change his sweaty clothes, talk to him, provide him with comfortable conditions of stay. Remember that if a viral infection develops, antibiotics will not bring any benefit to the baby. In this case, only a doctor will prompt a competent treatment of the disease. In this case, medicines should be selected based on the age of the baby. If the child is not even a year old, then sparing therapy is due to him. For a baby older than 3 years, a wider range of drugs is suitable.
Sudden exanthema
It is worth noting another disease that refers to viral infections - a sudden exanthema. Most often, it can affect children from 10 to 24 months (from one year to 2-3 years). This pathology manifests itself as fever at temperatures up to 40 degrees. But there are no other symptoms. Only a day later, you can feel enlarged lymph nodes and a maculopapular rash. Such a disease fades after about 5 days. In this case, the child must be shown to the doctor.
How should parents behave if the baby has a fever and a fever, and no other symptoms are observed?
Naturally, if parents cannot find an answer, then it is best to call a doctor, especially for a child under one year old. But, doctors do not recommend giving antipyretics to the baby on their own. Never rely on your tactile sensations- it is best to measure the temperature with a thermometer to really make sure that the temperature is high, and the reasons for such a sharp rise in the indicator are not known. At the same time, it is not necessary to measure the temperature if the baby has just returned from the street, and before that he was actively playing. Also, you will get wrong indicators if the baby is crying and nervous, or if he just ate.
Therefore, first of all, calm the baby, let him drink plenty of compote, remove excess clothes from him and, if possible, wipe his body with cool water!
If the baby does not have chronic diseases or any other congenital anomalies, then the mother should do the following:
With an indicator of 37.5, do not give the baby any antipyretics - the baby's body independently comes to grips with the problem.
An indicator of 38 - 38.5 requires the mother to do the following manipulations: drinking plenty of water during the day, wet rubbing the body, comfortable conditions of stay,
An indicator of 38.5 and above should alert mom a little. In this case, you can give an antipyretic tablet - Nurofen, Panadol, etc. If the temperature does not drop and lasts a day, call a doctor.
When do you need immediate medical attention?
An increase in body temperature always signals that the body is actively fighting an infection that has penetrated into it. This is the answer to the question why children have a fever without any other signs of illness. Only in the case when the indicator does not exceed 38.5 and, as a rule, parents do not give antipyretics, and the indicator remains at such a boundary level for more than 5 days, then the baby should be shown to the doctor. After examination and laboratory tests of urine and blood, it will be possible to recognize the causes of such an anomaly, which will allow prescribing the correct treatment.
In addition, medical assistance is required in the following cases:
The child suddenly becomes lethargic, and skin turn pale
there is difficulty in breathing,
when, after taking an antipyretic, the indicator on the thermometer rises, or stands still,
convulsions.
Therefore, the main task of parents with a high disease is to constantly be near him and observe all the changes, both in his behavior and external signs.
Often parents do not give an account of the complexity of the situation. And sometimes, on the contrary, they act too actively, although the situation is not dangerous. That's why the main task parents is to remain calm and adequate. Don't get hysterical, but don't relax either. You should give the child water during the day, take his temperature, monitor his urine (the child should pee about 10 times a day in sufficient quantities) and stool, and in case of the slightest danger, call a doctor.
Infant and high fever
In children up to 10 months or more, body temperature can be kept within 37.5 degrees. This should not worry parents, because in infants, the thermoregulation system has been improving for more than 10 months. But only if the baby feels comfortable. That is, he is active, mobile, sleeps well, and eats. In this situation, the baby does not need any medical preparations and it is best to consult a pediatrician. Never wrap your baby up - it can cause overheating of the body!
Sometimes the baby can feel great, there are no symptoms that he is sick, and only an accidental touch to his body can raise the suspicion that the baby has a fever. After the measurement, the suspicions are justified and the baby really has an indicator of up to 38 degrees. Doctors define this condition of the child as subfebrile temperature. And if such an indicator lasts from about 10 days to several months, then in any case the body signals that it is in latent form problems are running. There are many diseases that are really characterized in this way - anemia, diabetes, worms, allergies, various hidden infections, and even brain pathology. Therefore, only data can determine them. laboratory research and adequate diagnosis.
Remember that children still have a fragile body, so the constantly elevated temperature of his body obliges you to show the baby to a specialist.
An increase in body temperature is possible with various diseases in childhood. At the same time, the question of whether to shoot it down causes a lot of conflicting opinions.
Some of the parents have heard that with a fever, the body fights the disease more actively, and if the temperature is brought down, the duration of the disease will increase. Others have heard that her elevated values, and drugs against it are very dangerous and threaten serious health problems.
As a result, some parents are afraid to bring down the temperature even in cases where this is required, while others give medicine to the crumbs even with a slight increase. Let's see what really needs to be done in these cases, and whether this symptom is a sign of the disease.
How to measure the temperature correctly?
Measurement in the armpit area is the most accessible and simple, therefore it is the most common.
However, there are other ways to measure:
- In the mouth (oral temperature is determined). For measurement, a special thermometer in the form of a dummy is usually used.
- In the rectum (determined rectal temperature). This method is used when the child is less than 5 months old, since children older than six months will resist the procedure. A thermometer (necessarily electronic) is treated with cream and inserted into anus baby about two centimeters.
- In the inguinal fold. The baby is laid on its side, the tip of the thermometer is placed in a fold of skin, after which the child's leg is held in a position pressed against the body.
It is important that the child has a separate thermometer, and before use it should be treated with alcohol or washed with soapy water.
It is now easy to measure in infants with a pacifier thermometer
Also, when measuring, you must be guided by the following rules:
- In a sick child, measurements should be taken at least three times a day.
- Do not take the temperature if the baby is very active, crying, has taken a bath, is warmly wrapped up, and also if the air temperature in the room is high.
- If you take oral temperature, it should be done 1 hour before eating and drinking, or 1 hour after, as drinks and food tend to raise oral temperatures.
Normal values
Features of temperature in babies infancy are inconstancy and rapid increase in any disease. In addition, in infants under one year old, it is normally slightly higher than in older children.
The normal temperature for a child younger than 12 months is considered to be less than +37.4°C, and for a child older than 12 months - less than +37°C. These are indicators of temperature measurement in the axillary region, as well as in the inguinal fold. For rectal measurements, less than +38°С is considered the norm, and less than +37.6°С for oral measurements.
The most reliable indicators are obtained by using mercury thermometer, and electronic thermometers have a significant error. To find out how different the indicator of an electronic and mercury thermometer is, measure the temperature with two thermometers at once from any healthy family member.
Classification
Depending on the indicators, the temperature is called:
- Subfebrile. The indicator is up to +38 degrees. Usually, this temperature is not brought down, allowing the body to produce substances that protect it from viruses.
- Febrile. The increase is more than +38°С, but less than +39°С. Such a fever indicates the active struggle of the child's body with the infection, so the tactics of parents should take into account the condition of the child. If it is greatly worsened, antipyretic drugs are indicated, and vigorous and calm child medication may not be given.
- Pyretic. Indicators on the thermometer from + 39 ° С to + 41 ° С. This temperature is certainly recommended to be reduced with medications, since the risk of seizures increases.
- Hyperpyretic. The most dangerous temperature is over +41°С. Seeing such an indicator on the thermometer, you should immediately call an ambulance.
pros
- Allows you to quickly diagnose many diseases in early period and start timely treatment.
- With the influenza virus, high temperature is important for high levels of interferon, which allows you to successfully overcome the infection.
- At elevated body temperature, microorganisms stop multiplying and become less resistant to antibacterial agents.
- Fever activates the baby's immune system, increasing phagocytosis and antibody production.
- A child with a fever stays in bed, due to which his forces are fully directed to fight the disease.
Minuses
- One of the complications is the appearance of seizures.
- With a fever, the load on the child's heart increases, which is especially dangerous if the crumbs have rhythm disturbances or heart defects.
- With an increase in temperature, the work of the brain, as well as the liver, stomach, kidneys and other internal organs, suffers.
stages
To start the mechanism for raising body temperature, foreign substances that enter the child's body - pyrogens - are usually needed. They can be various infectious agents, represented by unicellular, viruses, protozoa, fungi, bacteria. When ingested, pathogens are absorbed by white blood cells (leukocytes). At the same time, these cells begin to produce interleukins that enter the brain with blood.
Once they reach the center of body temperature regulation, located in the hypothalamus, these compounds change perception normal temperature. The baby's brain begins to define a temperature of 36.6-37 degrees as too low. He commands the body to produce more heat and at the same time spasm the vessels to reduce heat transfer.
In this process, the following stages are distinguished:
- Heat is produced in the baby's body in greater quantities, but heat transfer is not increased. Body temperature rises.
- Heat output increases and a balance is established between heat production and its removal from the body. The temperature is decreasing, but not to the norm.
- Heat production is reduced due to the death of infectious agents and a decrease in the production of interleukins. The heat output remains high, the child sweats and the temperature returns to normal.
It should be noted that the temperature can decrease lytically (gradually) or critically (dramatically). The second option is very dangerous with vasodilatation and a decrease in blood pressure.
Is immunity really developed?
Numerous studies have confirmed that in some infections, elevated temperature contributes to more speedy recovery. It was also found that the use of antipyretics for some time prolongs both the time of the disease itself and the period of contagiousness. But, since these effects do not apply to all infections that occur with high fever, it is impossible to talk about the unambiguous benefits of fever.
Scientific studies have shown that active compounds produced at high temperature (among them interferon) in some cases help to recover faster, and in some diseases they have a negative effect on their course. In addition, for many children this is a very dangerous condition.
What will happen if you do not bring down the heat?
long time high temperature was considered a factor that could disrupt blood clotting and cause overheating of the brain. Therefore, they were afraid of it and tried to reduce it in every possible way. However, modern scientific research has shown that it is not the high temperature itself that leads to health problems, but the disease that manifests itself as such a symptom.
At the same time, doctors note that fever is dangerous for children with chronic pathologies internal organs, symptoms of dehydration, disorders physical development or illness nervous system.
The danger of hyperthermia lies in the large expenditure of energy and nutrients to maintain a high temperature. Because of this internal organs overheat and their function is impaired.
Maximum allowable values
It is determined primarily by the age of the baby:
If you see numbers on the thermometer above those indicated in the table, this indicates a high probability of a serious illness, therefore it is extremely important to urgently call a doctor with such temperature measurement results.
When are antipyretics needed?
It is usually recommended to bring down a febrile temperature if the child does not tolerate this condition well, however, there are situations when it is worth giving an antipyretic even with subfebrile indicators:
- If the child is less than 2 months old.
- When the baby has diseases of the cardiovascular system.
- In the past, the child had convulsions at a high temperature.
- If the child has diseases of the nervous system.
- When a child has hyperthermia caused by overheating.
Additional symptoms
High fever is rarely the only manifestation of a child's health problems. Other signs of disease join it.
red throat
Redness of the throat against the background of fever is characteristic of viral and bacterial infections affecting the nasopharynx. Such symptoms often appear with tonsillitis, scarlet fever and other childhood infections. The child complains of pain when swallowing, begins to cough, refuses food.
Runny nose
The combination of high fever and runny nose most often occurs with viral infections, when viruses infect the nasal mucosa. The child may also have symptoms such as weakness, refusal to eat, difficulty breathing through the nose, lethargy, sore throat, cough.
Cold feet and hands
The condition when, at elevated temperature, the child has pale skin and spasms of its vessels, is called white fever. To the touch, the limbs of the baby with such a fever will be cold. The child usually has chills. This condition requires immediate medical attention medical care. The child's body should be rubbed with the hands, but rubbing with water and other methods of physical cooling are prohibited. To relieve spasm of skin vessels, the doctor will recommend taking an antispasmodic, for example, No-shpu.
convulsions
Increased body temperature can cause seizures. For their association with fever, such convulsions are called febrile. They are diagnosed in children under 6 years of age with indicators above + 38 ° C, as well as in children with pathologies of the nervous system at any numbers.
During febrile convulsions, the child's muscles begin to twitch, the legs can straighten and the arms bend, the baby turns pale, does not react to the environment, it is possible to hold the breath and turn blue of the skin. It is important to immediately lay the baby on a flat surface with his head turned to the side, call an ambulance and not leave the baby for a minute.
Febrile seizures are very dangerous. You need to call a doctor immediately!
Vomiting and diarrhea
Such symptoms against the background of elevated temperature usually indicate the development intestinal infection, however, they can also be caused by the use of certain products by a small child. In babies younger than 3 years old, the intestines have not yet fully matured, so those foods that are normally tolerated by older children can cause dyspepsia and fever.
In addition, the combination of fever with vomiting can signal not only the gastrointestinal tract. Such symptoms are characteristic of meningitis and acetonemic syndrome. In children younger than 7 years of age, vomiting may occur at elevated body temperature and without brain damage or digestive system. It happens at the peak of the temperature increase, usually once.
Abdominal pain
The appearance of complaints of pain in the abdomen against the background of fever should alert parents and cause an ambulance call. Serious diseases requiring surgery (for example, appendicitis), kidney disease, and diseases of the digestive tract can also manifest themselves in this way. To clarify the cause, the child will be prescribed tests and additional examinations.
No additional symptoms
The absence of other signs of the disease often occurs during teething, as well as in situations where the disease is just beginning (other symptoms appear later). High fever, as the only symptom, is often noted with kidney infections. You can confirm the disease with urine tests and ultrasound examination.
Causes
The elevated temperature is defensive reaction the body of the child for the ingress of pathogens into it, but can also be due to non-infectious causes.
Diseases
Very common cause fevers are infectious diseases:
Disease | How does it manifest itself besides high temperature? | What to do? |
The appearance of a runny nose, dry cough, complaints of sore throat, body aches, muscle pain, nasal congestion, sneezing. | Call a pediatrician, give plenty of fluids, if necessary, give an antipyretic. |
|
Chickenpox or other childhood infection | Rash, sore throat, swollen lymph nodes in the neck. | Be sure to call a doctor so that he accurately establishes the diagnosis and recommends the correct treatment. |
The appearance of pain in the ear, as well as discharge from the ear, cough, runny nose. | Contact a pediatrician to examine the child and prescribe the appropriate treatment for the situation. |
|
Infectious mononucleosis or strep throat | Severe sore throat, plaque on the tonsils, swollen lymph nodes in the neck. | Urgently call a doctor to clarify the diagnosis and immediately begin treatment. |
Urinary tract infections | Pain in the lower back or abdomen, painful and frequent urination, odor changes and appearance urine. | Contact a pediatrician to take tests, identify the disease and begin treatment. |
Intestinal infections | Bouts of vomiting and nausea, spasmodic pain in the abdomen, upset stool. | Give the child more to drink, stop feeding, call the pediatrician. |
An increase in body temperature is also possible with diseases of non-infectious origin, for example, with problems with hormones, pathologies of the nervous system and other health disorders. It may also indicate acute surgical diseases requiring immediate medical attention.
Teething
This reason very common in young children, but the indicators are usually up to + 38.5 ° C. In rare cases, the fever can be very high and the child refuses to eat and is lethargic.
Additional features, indicating precisely the connection between teething and high temperature, there will be increased salivation, reddening of the gums, restless capricious behavior of the baby. The child will chew miscellaneous items and hands.
Overheat
In case of overheating, parents notice a connection between the increase in temperature and the effect of heat on the child, for example, a fever appeared after a long stay in the sun. In infants, the use of excessively warm clothing can lead to overheating. Also, parents themselves can provoke overheating when slight increase wrap the baby.
The danger of overheating is associated with the risk of heat stroke. It is manifested not only by a high temperature, but also by a violation of consciousness, convulsions, disorders of the heart and breathing. Heat stroke is a reason to immediately call an ambulance.
Vaccinations
Preventive vaccination can cause a rise in temperature for several days after the procedure. In this case, the child may experience swelling and pain at the injection site. These symptoms indicate the development of immunity and are considered acceptable side effects of vaccinations. At the same time, antipyretics can be given even with a slight rise in performance.
When to call a doctor?
The doctor should be called in each case of fever, since only a specialist can determine what caused and how to treat the baby.
The doctor will prescribe effective methods treatment and will control the course of the disease
Indications for an immediate call to the doctor are the following situations:
- The temperature rose above the indicators considered maximum for a certain age of the child.
- The fever provoked the appearance of convulsions.
- The kid is disoriented, he has hallucinations.
- If there are other dangerous symptoms - vomiting, abdominal pain, difficulty breathing, ear pain, rash, diarrhea and others.
- The child's temperature is elevated for more than 24 hours and during this time the condition has not improved.
- The baby has serious chronic diseases.
- You doubt that you are able to correctly assess the condition of the baby and help him.
- The child got better, but the temperature rose again.
- The baby refuses to drink and the parents report symptoms of dehydration.
What to do?
Once the cause has been identified, it is necessary to determine how to deal with such a symptom. Taking into account the condition of the baby, his age, temperature numbers and related facts, parents and the doctor decide whether antipyretic drugs are needed.
Antipyretics
In most cases, such medicines allow, albeit for a short time, to improve the condition of the child, allow him to sleep and eat. With sore throat, otitis, teething, stomatitis, these drugs reduce pain.
Will rubdowns help?
Used in the past, rubbing with vinegar, alcohol or vodka is now considered pediatric harmful procedures. Doctors do not advise wiping the child even with a cool towel, because such actions provoke vasospasm in the child's skin, and this, in turn, will reduce heat transfer. In addition, alcohol-containing liquids, when rubbed, will actively enter the child's body, which is fraught with poisoning of the baby.
Rubbing is permissible only after using drugs prescribed by a doctor that relieve spasm of peripheral vessels. Only water is used for the procedure room temperature. In addition, you can wipe the child, provided that the baby does not mind, since with resistance and screams, the temperature will increase even more. After rubbing the child should not be wrapped up, otherwise his condition will worsen.
You can do wiping with cool water only after taking drugs that relieve spasms of peripheral vessels
Food and liquid
A child with a fever should drink often and a lot. Give the baby tea, compote, water, fruit drink or any other liquid that he agrees to drink. This is essential for heat dissipation through greater evaporation of sweat from the skin, as well as faster elimination of toxins in the urine.
Feed the baby should be given in small quantities. Let the child eat according to his appetite, but not much, because when digesting food, the body temperature will increase. Both dishes and drinks offered to the child should have a temperature of about 37-38 degrees.
Folk remedies
It is recommended to drink tea with the addition of cranberries: it stimulates active sweating. At the same time, such a drink should be given carefully - in babies up to a year old, it can cause allergies, and older children should not use cranberries for any stomach diseases.
Another wonderful folk remedy with an antiseptic and antipyretic effect is raspberries, which can be given to a child in the form of jam, juice or tea. But in cases where there is a risk of allergies, the use of raspberries is best avoided.
Cranberry juice is an excellent remedy for ARVI for both adults and children
How safe is the treatment?
How many days does the child have a high temperature?
It is not the fever itself that is dangerous for the baby, but the cause of the appearance given symptom. If the parents do not know what provoked the temperature rise in the baby and the next day after the increase in the condition did not improve, and additional alarming symptoms appeared, you should immediately seek medical help. In this way, you will establish the cause of the child's illness and be able to act on it, and not just on a symptom.
If the parents know the cause of hyperthermia, and it is not dangerous, the child was examined by a doctor and prescribed therapy, then the temperature can be brought down within a few (3-5) days, observing the child. If there are no positive changes in the course of the disease over the past three days, despite treatment, you should call the doctor again and undergo an additional examination.
Rules
- After choosing a specific drug to reduce the temperature, determine the desired single dose according to the instructions.
- Antipyretics should be taken only when necessary.
- The next dose must be at least 4 hours after the previous dose for paracetamol or 6 hours for ibuprofen.
- A maximum of 4 doses of the drug can be taken per day.
- The medicine taken by mouth is washed down with water or milk. It can also be drunk during a meal - so the irritating effect of medicines on the gastric mucosa will be reduced.
What medicines to choose?
Paracetamol and ibuprofen are the drugs that are recommended in childhood with a high temperature. Both drugs equally reduce pain, but ibuprofen has a more pronounced and prolonged antipyretic effect. At the same time, paracetamol is called safer and is recommended as the drug of choice for infants in the first months of their life.
For babies often give such drugs in the form of rectal suppositories or syrups. This is due to the convenience of using these forms - they are easy to dose and give to the child. In older children, preference should be given to tablets, syrups and soluble powders.
Medicines taken by mouth begin to work within 20-30 minutes after they are taken, and rectal suppositories- 30-40 minutes after administration. Suppositories will also be the most preferred option in the presence of bouts of vomiting in a child. In addition, syrups, powders, and tablets often contain additives for taste and smell, which can cause allergies.
You may hear recommendations to take paracetamol and ibuprofen together or in alternation of these drugs. Doctors believe that it is safe, but not necessary. The combination of these drugs works with the same effectiveness as taking ibuprofen alone. And if you gave this medicine, and the temperature does not decrease, you should not give paracetamol additionally, it is better to immediately call an ambulance.
Why shouldn't aspirin be given to children?
Even in adulthood, it is advised to avoid the use of aspirin at a temperature if possible, and for children under 18 it is completely contraindicated.
In childhood, aspirin has a pronounced toxic effect on the liver and is the cause of the development of serious complications, which doctors call "Reye's syndrome." With this syndrome, internal organs are affected, in particular the liver and brain. Also, taking aspirin can affect platelets, cause bleeding and allergies.
Aspirin has many side effects and not suitable for children
- In the room, lower the air temperature to 18-20 degrees to increase heat transfer (if the baby does not have a chill). You should also take care of sufficient humidity (60% is considered the optimal level), since dry air will contribute to the loss of fluid by the child's body and the drying of the mucous membranes.
- When choosing clothes for a child, make sure that the baby is not cold, but it is also unnecessary to overheat the baby. warm clothes shouldn't either. Dress your baby in the same way as you are dressed or a little lighter, and when the baby starts to sweat and wants to undress, let him give off more heat in this way.
- Limit the activity of the child, because some children run and jump even at temperatures above 39 degrees. Since movement increases the production of heat in the body, distract the child from active games. However, do it in such a way that the baby does not cry, because due to tantrums and crying, it will also rise. Encourage your child to read books, watch cartoons, or do some other quiet activity. It is not necessary to force the child to lie down all the time.
anonymously
Hello. Doctors say that everything is fine, as it should be, but cats scratch my soul and doubt that this is not normal ... So. everything is in order. The child is 10 months old, 4 upper teeth are climbing. Like many children in this case, the temperature rose to 38.5 on the first day. Killed with Nurofen. The next day there was a small temperature - from 37.2 to 37.5. She didn't give me any medicine. Today I measured it in the morning - 34.8 in the armpit, 33.5 in the groin .... I called an ambulance, the doctor came, examined, said everything was fine, such a low body temperature is quite natural after a high temperature during teething. Our pediatrician is of the same opinion. I'd like to know your opinion. Thank you in advance
Hello! To be honest, I did not observe such a relationship "an increase with a subsequent decrease in temperature" during teething. However, I do not exclude that this is possible. In this situation, I recommend that you focus on the well-being of the child. if he is cheerful and cheerful, sleeps well and eats - you should not worry. Another thing is if the baby has become weak, lethargic, drowsy, constantly sleeps and eats poorly, you can be alarmed and call the doctor again. You should not be ashamed of this at all, because sometimes mom actually knows better, because only she constantly observes her child and can note changes in his behavior and well-being.
Consultation of a pediatrician on the topic "Temperature in a 10-month-old baby" is given for reference purposes only. Based on the results of the consultation, please consult a doctor, including to identify possible contraindications.
About consultant
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Practicing pediatrician.
Interests: correct and healthy eating, treatment and prevention of diseases in children from birth to 18 years.
The most important point is the education of healthy children, therefore great attention focuses on hardening and preventive techniques.
Author of books and articles on children's health, upbringing and development, as well as the treatment and prevention of diseases in adult patients. Author of the "Modern Collection of Medicines" and other books on medical and pharmaceutical subjects. Collaborates with medical journals and publishers.
Thank you
Heat body in a child (fever) can be a non-specific sign of many diseases. She can talk about acute infectious diseases, teething, overheating and other conditions. In all these cases, help to the child should be different, so it is very important to establish the cause of the temperature rise.
Features of temperature in a child
In the first days and months of a child's life, his body temperature can be very unstable. With any disease, it can quickly increase.To identify a fever in a child, you need to know what temperature is normal for him. To do this, you should measure it at least once in a calm and healthy condition. It is better to repeat this procedure in the morning and in the evening, since in the evening the temperature is usually 0.3-0.5 o C higher.
The temperature of a child in the first year of life may be higher than in older children and adults (as measured in the armpit):
1.
At the age of up to 1 year, body temperature up to 37.4 o C is allowed.
2.
A child older than 1 year usually has a temperature of up to 37 o C.
Newborn babies born prematurely are especially bad at keeping body temperature. Their thermoregulation processes are immature, so it should be remembered that they can not only easily cool down, but also overheat.
Body temperature can be measured in several places. The results of such measurements will vary:
- the temperature measured in the rectum (rectal) will be approximately 1 o C higher than in the armpit (37.6-38 o C - normal);
- the temperature measured in the mouth (oral) will be about half a degree higher than in the armpit (37.1-37.6 o C - normal);
- the temperature measured in the armpit and inguinal fold will be approximately the same.
To determine the rectal temperature is usually possible only in small child up to 4-5 months. Since the procedure is often unpleasant, a 6-month-old child will most likely not be able to fix a high temperature in this way due to his resistance to the procedure. It is best to measure electronic thermometer, the tip of which is smeared with baby cream. The thermometer is inserted about 2 cm into the rectum, while raising the legs of the child, as when washing.
In the armpit and inguinal fold, measurements can be taken with a mercury thermometer. Determining the temperature in the groin is carried out by laying the child on his side. The thermometer is placed so that its tip is completely located in the fold of the skin. Then the child's leg is pressed against the body with a hand. In the armpit, the measurement process is carried out in the same way as in adults.
Pathologically high temperature, depending on the degree of its increase, is conditionally divided into the following types(according to measurements in the armpit):
1.
Subfebrile (up to 38 o C).
2.
Febrile (above 38 o C).
How to measure the temperature of a small child
Rules for measuring temperature in children:
- the child must have his own personal thermometer, which is treated with warm water and soap or alcohol before each use;
- during illness, the temperature is measured at least three times a day (morning, afternoon, evening);
- measurement should not be taken when the child is tightly wrapped, crying or overly active;
- high room temperature and bathing also increase body temperature;
- food and drinks, especially hot ones, can raise the temperature in oral cavity at 1-1.5 o C, so the measurement in the mouth should be carried out one hour before or one hour after a meal;
- temperature determination can be carried out in the armpit, rectum or inguinal fold - with any thermometers; measurement in the mouth is carried out only with the help of special dummy thermometers.
Causes of high fever in a child
Normally, an increase in body temperature is a protective reaction of the body to any infectious or non-infectious diseases, injuries.Infectious agents, getting inside the body, produce toxins that cause an increase in body temperature. The body, in turn, also produces substances that contribute to the onset of fever. Such a mechanism is protective, since against the background of high temperature, all processes are accelerated. metabolic processes, many biologically active substances are synthesized more intensively. But when the fever becomes too severe, it itself can cause various complications - for example, febrile convulsions.
Why does a child have a high temperature:
- infectious diseases (ARVI, "childhood" and intestinal infections, other pathologies);
- non-communicable diseases (diseases of the nervous system, allergic pathology, hormonal disorders, and others);
- teething (this is one of the most common causes in young children);
- overheat;
- preventive vaccinations.
Features of elevated temperature in certain diseases
The high temperature in the child will be accompanied by others symptoms pathology. At various diseases fever will have its own characteristics.Infectious diseases
Typically, fever values infectious diseases- within 39-39.5 o C. But in some cases, the child's temperature rises above 40 o C. This largely depends on the type of infection and individual features child's body. In infectious diseases, a high temperature in a child is accompanied by other signs of pathology (cough, nasal congestion, vomiting, upset stool, and others).
Another common cause of fever is childhood infections. For example, in a child with a high fever, the appearance of a rash in the form of itchy blisters is hallmark chickenpox. Children attending preschool institutions are especially susceptible to such infections. For example, a high temperature in a child aged 3 who goes to kindergarten.
Overheat
When overheated, the connection of fever with exposure to a heat source can be clearly noted. For example, a child with a high temperature in the summer may be associated with prolonged exposure to the sun or in a car in hot weather. Infants can easily overheat when dressed in overly warm clothing.With a slight fever, the desire of parents to wrap the child warmer can also provoke a rise in body temperature to higher numbers. Overheating is very dangerous due to the likelihood of thermal shock, in which it is necessary emergency help doctor.
The signs of heat stroke are:
- severe fever that occurs after overheating;
- impairment or loss of consciousness;
- convulsions;
- respiratory and heart failure.
Teething
A high temperature in a child during teething is rare. Usually, the fever does not exceed 38.5 o C. But in some cases, the temperature can rise to very high numbers, accompanied by lethargy of the child, refusal to eat, and anxiety. Such a fever must be reduced. In a 10-month-old child, a high temperature may well be associated with teeth, especially if he actively rubs the gums, is naughty, and at the same time there is increased salivation.Vaccinations
After preventive vaccinations, a child’s high temperature, as a rule, does not last long. It usually rises within a day after vaccination, and can be combined with other symptoms: slight swelling and soreness at the injection site, the child may spare the leg and move less. These signs are a protective reaction of the body to the introduction of the vaccine and indicate an adequate immune response.If the temperature rises after vaccination, you can give the child an antipyretic once, without even waiting for the febrile fever numbers. You can also use physical methods cooling, but rubbing is not recommended (especially you can not wet the injection site). If there is no positive dynamics within 1-2 days, then you should think about another reason for the increase in temperature (for example, the onset of SARS).
When wiping, a towel moistened with water is used, which is placed on the forehead. As soon as it dries or heats up, the towel can be dampened again. Also, hands, feet, chest, neck, face are wiped with water. After wiping, you can not wrap the child, as the procedure can cause the opposite effect. Should not be carried out this procedure a child who has ever had convulsions due to high fever, or has diseases of the nervous system.
In addition to rubdowns, you can apply ice wrapped in a diaper to the armpits, groin areas. However, this method can only be used in older children. Do not get too carried away, as frostbite can occur in places where ice is applied.
With a fever, one should also not forget about drinking plenty of water. Losses of fluid through the skin and with breathing at elevated temperatures increase, so its deficiency must be replenished in a timely manner. Also, increased drinking helps to accelerate the elimination of toxic substances from the body. At high temperature at one year old baby drinking it can be difficult. If he refuses to drink, you can give him liquid little by little, but often.
Small children should be breastfed frequently, or given plain water, and six months old baby you can herbal teas (fennel, chamomile, linden), diluted juices and fruit drinks. An older child can also be offered compote, diluted juice or tea. Children should be especially actively watered with an intestinal infection, when high fever is accompanied by diarrhea. But don't be too hard a large number of fluids can cause vomiting.
At high temperatures, do not:
- force the child to obey bed rest if he does not want it, but it is also impossible to allow excessive activity, as this can lead to an increase in temperature;
- unnecessarily wrap or cover the child - this prevents the natural release of heat;
- do a cleansing enema if there are no appropriate doctor's recommendations (although this procedure has an antipyretic effect, you should not abuse it and do it yourself);
- use alcohol-containing liquids, warm water for wiping;
- covering the child with a wet sheet or towel, wrapping up after wiping - all this can lead to an even greater increase in temperature.
When and how to bring down a high temperature in a child - video
High fever in a child: treatment with medications
You can quickly bring down a child's high temperature with the use of medicinal antipyretics. Children are allowed to use drugs based on ibuprofen or paracetamol. Medicines may differ in the form of release (tablets, syrups, rectal suppositories, powders). Preparations in the form of syrups or suppositories are usually used in young children. For example, when baby the temperature is above 39 o C, it is convenient to reduce it with the help of rectal suppositories.
Some features of the use of various dosage forms:
- drugs taken by mouth begin to act faster - 20-30 minutes after ingestion;
- the effect of suppositories occurs after 30-45 minutes, but lasts longer;
- if the disease is accompanied by vomiting, it is better to use suppositories;
- medicines in suppositories are convenient to use when the child's temperature rises at night;
- preparations in the form of syrups, tablets and powders contain flavors and flavors, therefore, they often cause allergic reactions;
- if it is necessary to use various dosage forms of drugs (for example, during the day - syrup, at night - candles), choose products with various active ingredients to avoid side effects;
- reuse of antipyretic drugs is possible no earlier than 5-6 hours after the previous dose; in case of insufficient decrease in temperature, or its repeated increase in short time, you should not experiment - it is better to immediately contact a specialist for additional help.
Some homeopathic remedies can also be used to reduce fever. For example, when a child often has a high temperature so that there are no side effects from frequent use ibuprofen and paracetamol, they can be combined with homeopathic medicines.
If the fever is accompanied by pallor, cold extremities, then small doses of antispasmodics (No-shpa, papaverine) and antihistamines are additionally given. However, this is done only by a doctor.
At a high temperature in a child, it is impossible to use the same antipyretic drug for a long time. It is also contraindicated to take medicinal product through the mouth, and in the form of suppositories. This can lead to an excessive decrease in body temperature, and the occurrence of side effects from the drug.
Medicines not used in children
TO medicines that are not used in a child include:1. Currently, drugs such as amidopyrine, antipyrine or phenacetin are not used as antipyretics due to a large number side effects.
2. Means based on acetylsalicylic acid (Aspirin) are practically not used in children because of their ability to reduce the number of platelets in the blood, cause bleeding, allergic reactions, as well as a very serious complication characteristic of children - Reye's syndrome.
3. Analgin and other drugs containing metamizole sodium as an active ingredient also have a large number of side effects, such as hematopoiesis suppression, severe allergic reactions, excessive temperature drop with loss of consciousness. These products are not recommended for home use.
In what cases it is necessary to see a doctor
A doctor should be consulted in any case of fever in a child or adult. Only qualified specialist can make a correct diagnosis and prescribe, in addition to antipyretics, other medications(cough medicines, vasoconstrictor nasal drops). If necessary, etiotropic therapy is also prescribed, aimed at eliminating the cause of the disease. For example, a high temperature associated with the fact that a child has a sore throat, requires the appointment of antibiotics. The following cases require immediate medical attention:
- Extremely high body temperature figures - more than 39.5-40 o C.
- If the child has a high temperature for more than three days, and there is no persistent positive effect during the course of the disease, despite the ongoing therapy prescribed by the doctor. It is necessary to carry out a correction of the prescribed treatment, to carry out additional diagnostic procedures(for example, take x-rays of the lungs, take blood and urine tests).
- When new symptoms appear on the background of the temperature, such as a rash, severe cough, vomiting or diarrhea.
- Deterioration of the child's condition against the background of the onset of recovery, which may indicate the addition of another infection.
- If the temperature rise is suspected to be due to the child's overheating and possible emergence heat stroke.
- The occurrence of complications from the prescribed therapy. For example, if after taking a drug prescribed by a doctor, a child has an allergic reaction. You should call a specialist for the selection of new medications.
- The child refuses to drink, there are signs of dehydration: dry skin, rare urination, dark color urine and others.
- The presence of severe chronic diseases in a child, the course of which can worsen against the background of a strong fever (pathology of the heart, kidneys, nervous system, other diseases).
- If the child has a very high temperature, accompanied by refusal to eat, febrile convulsions, severe anxiety and groans, a rash, impaired consciousness, unusual behavior, swelling of the neck, limpness, difficulty breathing, shortness of breath, other signs of an extremely serious condition of the child, it is necessary to urgently call a brigade Ambulance.
Consequences of high fever in a child
One of the most common complications of high fever in a child is febrile seizures. They usually occur in children under 6 years of age with a temperature above 38 o C. Often such a reaction to fever appears in children with diseases of the nervous system.Signs of febrile seizures in a child:
- convulsive twitching of muscles, which can be both pronounced (with tilting the head back, bending the arms and straightening the legs), and small, in the form of shudders and twitches of individual muscle groups;
- the child stops responding to the environment, may turn pale and turn blue, hold his breath;
- often convulsions may recur during subsequent rises in temperature.
- lay the child on a flat surface and turn the head on its side;
- in the absence of breathing after the end of convulsions, begin to give the child artificial respiration;
- you should not try to insert a finger into a child’s mouth, a spoon or other objects - this will only harm and injure;
- the child should be undressed, the room should be ventilated, rubbing and antipyretic candles should be used to reduce body temperature;
- you can not leave the child alone during the attack.
