The child has a temperature of 39.5 what to do Komarovsky. High temperature in a child

High temperature in children is a cause of panic and even hysteria in parents. Komarovsky is sure that parents often dramatize the situation and in every possible way interfere with the natural recovery of the child, using antipyretics with or without reason. A child’s temperature of 39 should cause alarm: we’ll find out how to bring it down (Komarovsky advises to be careful with folk remedies).

Parents face a dilemma: a high temperature can be life-threatening for the baby, but if you bring it down, you can significantly prolong the illness and delay recovery. Of course, the decision to use antipyretics should be made by the pediatrician, based on the diagnosis and individual characteristics of the child.

A high temperature is difficult for a child to tolerate: the baby rolls his eyes, groans, and breathes heavily. Loving parents cannot calmly look at the torment of their child and grab antipyretic drugs. Komarovsky, in response to the question of how to bring down a child’s temperature, be it 39 or higher, says that it is impossible to prescribe the correct treatment in absentia. Some children can withstand high temperatures, others almost faint from 37.5.

It is necessary to assess the child’s condition and do this, if possible, soberly. If the high temperature lasts for more than an hour, and the child’s condition causes concern among the parents, then an antipyretic drug should be taken immediately.

How to reduce a child's temperature

There are specific indications for which it is necessary to reduce the temperature. These include:

diseases of the nervous system,

temperature exceeding 39 degrees,

heat intolerance,

addition of other symptoms (shortness of breath, convulsions, etc.)

How to bring down a child’s temperature if the thermometer shows 39 or higher, Dr. Komarovsky will answer. The pediatrician suggests trying non-drug forms of treatment before giving your baby antipyretics.

Few parents are ready to create the necessary conditions for the child that will help normalize the temperature naturally. The pediatrician suggests reducing the room temperature to 16-18°C. This number is scary for some parents. In everyday life, it is believed that the sick person needs to create warm and comfortable conditions: wrap him in a blanket, close all the windows to avoid drafts, and avoid being in the fresh air. It is these steps, according to Komarovsky, that are fundamentally wrong. The pediatrician emphasizes that it is possible to reduce body temperature only by creating the necessary conditions so that the body has the ability to forcefully lose heat. But many parents believe that placing a sick child in a room where the temperature is only 18 °C is a real crime.

If the fear of overcooling the child is too strong, then you can at least reduce the room temperature to 20-22 ° C and increase the humidity. To do this, you should wash the floors in the room more often, use automatic humidifiers or indoor fountains. Without drinking plenty of fluids, it will not be possible to reduce a child’s temperature. If the baby is too small to persuade him to drink more, you will have to force the liquid into his mouth. This must be done carefully, making sure that the baby does not choke.

What to offer your baby as a drink? A raisin decoction is suitable for babies in their first year of life. Preschool children can be offered warm milk, tea, and dried fruit compote. Raspberry tea is widely used among people. It really promotes profuse sweating. But if the baby is already dehydrated, then raspberry tea will only worsen the situation. Therefore, first the little patient is offered compote, fruit drink or plain water, and only then raspberry tea.

What not to do

It is believed that you can reduce the temperature by offering your child a hot drink. This is a fundamentally wrong opinion, since hot liquid is not absorbed by the stomach, and the same can be said about cold drinks. The best solution is a liquid whose temperature is as close as possible to body temperature.

You cannot cool your baby outside. This leads to the fact that the blood vessels narrow, the skin cools, and the internal organs heat up. Heat transfer decreases, and the little patient’s condition becomes worse. Using ice and cold water is extremely dangerous for the health and life of a child.

The greatest harm to a baby's health comes from rubbing with vodka and acetic acid. Harmful substances enter the baby’s blood through the skin, further aggravating his condition. According to Komarovsky, poisoning with alcohol or vinegar due to illness can even lead to death. You should also not do cold enemas, ice compresses, and the like. Such measures can only be taken if the child has been given medications that eliminate vasospasm.

Children get sick at any age. The temperature rising to 37.5°C does not cause much panic. But what to do if the thermometer is already 39°C? What to do when the thermometer reaches the mark

38°C, but there are no other signs of illness? The answers are given by Dr. Komarovsky, a pediatrician with 30 years of experience, whose opinion is carefully listened to by mothers of children of any age.

According to the doctor, a temperature of 39°C is considered critical and parents should be extremely attentive to the baby’s well-being. Further increase in heat can cause serious harm to the child's body.

“It is unacceptable to limit yourself to self-medication - a high temperature is always a serious reason to call a doctor”

But if there are signs of an infectious disease, then how to bring down a child’s temperature of 39? Komarovsky believes that it is possible to help a child both without medications and with their help. However, there are a number of cases when medications are given without delay:

The child does not tolerate heat well
Having difficulty breathing
There is vomiting or diarrhea
Once the child already had convulsions due to fever
There are serious diseases of the nervous system, for example, cerebral palsy or epilepsy
Temperature rose above 39°C

If the baby feels normal - he does not have delirium, inappropriate behavior, or difficulty breathing, then you can wait to take medications. The main thing is to create special conditions that will help the baby cope with the fever. To do this you need:

Cool air and plenty of fluids are the main allies in the fight against high fever.

Cooling occurs through breathing and sweating. Tea with raspberries, honey or linden blossom is given only after the child drinks more than a liter of regular compote. Otherwise, the baby will have nothing to sweat with and the temperature will rise even more.

Rubbing with cold water is also not beneficial. They provoke vasospasm. The skin cools down, and the internal organs, on the contrary, overheat even more. If the child’s condition worsens, then it is necessary to move on to the next stage - taking medications.

According to Komarovsky, parents can only give their children paracetamol or ibuprofen in the dosages prescribed in the instructions.

At high temperatures, suppositories do not have the desired effect, but liquid products are absorbed quickly. However, there are times when even syrup cannot cope with intense heat due to spasm of the mucous vessels. The only way out is an injection of an antipyretic drug, which will be given by a doctor.

“Remember! You should not give your child aspirin or analgin - these medications harm the liver and blood-forming organs."

Paracetamol is given at intervals of 4 hours, ibuprofen - 6 hours, but no more than 4 times a day. Medicines are compatible with each other. When paracetamol does not work, you can give your child ibuprofen 40 minutes after paracetamol. If the temperature does not subside within 30-40 minutes after taking antipyretics, you should call a doctor.

As Dr. Komarovsky’s practice shows, a high temperature in a child without symptoms of an infectious disease causes even more bewilderment. Causes of high fever may include:

Baby overheating
Growing teeth
Roseola is a disease caused by a type of herpes virus. In this case, after 3 days of high fever, the child will develop a small rash. No special treatment is provided
Stress
Urinary tract infection

If your temperature rises and there are no symptoms, you should definitely see a doctor. Perhaps the doctor will see what is hidden from parental eyes. Perhaps it will simply confirm guesses, for example, about growing teeth.

If the doctor throws up his hands and does not find any visible signs of the disease, then Komarovsky suggests waiting 3-5 days and observing the child. After this period, it is necessary to take blood and urine tests to exclude hidden inflammatory processes.

Summing up

Komarovsky considers a high temperature with signs of an infectious disease or a child with a temperature of 38 without symptoms to be a good reason to immediately call a doctor at home. Parents should help the baby cope with the fever - drinking plenty of fluids, cool air in the room and, if necessary, taking antipyretic drugs will help do this. Analgin, aspirin, vodka, vinegar and cold compresses should be excluded from first aid remedies.

The first weeks of life a newborn’s temperature ranges from 36.6 to 37.3 degrees. Physiologically, this is a normal state of the baby’s body. Temperature stabilization occurs within a month, but exceeding these parameters should alert parents. A clear increase in temperature indicates an infection attacking the little man. Flu, ARVI, overheating, bacterial inflammation, intestinal poisoning - a pediatrician will help you find out the cause of the high temperature. The child’s body is struggling with negative invasion, but parents should know when and how to properly lower the baby’s temperature.

A rise in temperature to 38 degrees means that the baby’s body has turned on protection - the production of interferon has begun. By removing it, you slow down the baby’s recovery and reduce the amount of interferon. Not for all children, such a temperature means loss of strength, lethargy and severe malaise. Some children 1-3 years old already fall into apathy at 37.3, they are tormented by aches and chills. Other children continue to jump and have fun even at 40 degrees.

Taking into account these characteristics of the child’s body, pediatricians do not give clear recommendations on how to bring down the temperature, but they warn that reducing the high rate is necessary if:

temperature 38˚C in babies up to 3 months;
an increase in temperature above 38.5˚C against the background of normal well-being and behavior of the baby;
If the child has existing cardiovascular system disorders, convulsions, or problems with the respiratory organs, the reduction should begin from 38˚C.

Having discovered a rise in temperature in a child, parents should change the regime of his care and take a number of measures to alleviate the condition of the baby.

Preventive measures will eliminate psychological discomfort and ensure the correct start of treatment:

Prepare a drink (dried fruit compote, fruit drink, rosehip infusion) and drink your baby in doses, giving him two or three sips every ten minutes. You can give your child weak tea or diluted juice, or just boiled water. The main thing is to ensure the flow of fluid. Warm the drink to the child’s body temperature (plus or minus 5˚C) so that the liquid is absorbed quickly. The amount of liquid must be increased by adding 10 ml per kilogram of the baby’s weight to the normal daily intake. We calculate the total volume for each added degree, starting from 37˚C. For example, your baby weighs 10 kg and has a rise of up to 39 degrees: multiply the weight by an additional 10 ml and by 2˚C (10 kg x 10 ml x 2). We get an increase of 200 ml.
Try to reduce the temperature in the room where the child is located to 18 degrees. Ventilate the room when the child is away.

If you hear an unfamiliar term, do not be alarmed in advance; hyperthermia is an increase in temperature. Doctors define the “white” and “red” types of hyperthermia. The “white” appearance occurs due to vascular spasms and is characterized by a hot forehead, cold extremities and pale skin color. You cannot resort to rubbing and cold rubbing, especially with vinegar or vodka, with “white” hyperthermia. Necessary:

cool the air in the room to 18 degrees and cover the baby with a light blanket;
use the child’s usual antipyretic medicine;
use No-Shpu to relieve spasms and valerian to reduce cardiac stress.

Be sure to call an ambulance so that an experienced specialist can assess the little patient’s condition and provide appropriate initial treatment.

“Red” hyperthermia is expressed in severe redness of the skin, hot extremities - the child, as they say, is “burning.” With this type of temperature rise, it is not necessary to take No-Shpa; just wipe the baby’s hands and feet with warm water.

What medications should I give to reduce the temperature? Paracetamol

The main antipyretic substance for children is paracetamol. Preparations based on it are given in any form (suppositories, syrup, suspension) in the age-specific dose specified in the instructions for the medicine. The frequency of taking Paracetamol (and its analogues - Panadol, Cefekon, etc.) is 1 dose with an interval of 6 hours. The baby’s body’s reaction to paracetamol will help you understand the nature of the disease.

A bacterial infection or complications of ARVI are accompanied by a slight drop in degrees or do not change the thermometer readings. After giving your child some medicine for fever, an hour later, set the thermometer again: if there is a decrease in temperature, then the medicine was chosen correctly and there is no serious problem. A check after an hour and a half shows that the situation has not changed - a consultation with a pediatrician is required. You may need to use other medications.

The second line of children's antipyretics is represented by drugs such as Ibuprofen and its derivatives - Nurofen and Ibufen. Having determined that paracetamol is ineffective for 6 hours, give the child Ibuprofen in an age-appropriate dosage. Ibuprofen is taken at intervals of 8 hours, the course of treatment is up to 3 days. Be sure to adhere to the recommended dosage and frequency of use.

Let us now consider how to give antipyretics of various forms.

The dosage of syrup for removing a high indicator is calculated based on the child’s weight; the calculation system is specified in the instructions for the drug.
For speed of action, the syrup must be given warm. Hold the bottle in your hands or heat it in a water bath.
It is forbidden to take the syrup more often than recommended according to the instructions.
If the first antipyretic does not help (for example, paracetamol), syrup with ibuprofen is taken after 2 hours.

The area of contact of the suppository with the walls of the rectum is much smaller than the amount of syrup entering the stomach, which is why it acts more slowly. In addition, not all children react calmly to the process of introducing the product, however, in some cases only suppositories help:

degrees rose from 37 to 39 - absorption processes in the stomach are suspended;
the baby started vomiting, it is impossible to give antipyretic medications orally;
Taking the syrup did not change the situation - the suppository is administered two hours after taking it.

Having collected information about all methods, you can create a general table for monthly and older children. We tried to make the task easier for you and included in the table the necessary information for children from a month onwards, dividing them into medication and nursing methods. Such reference material can be a useful reminder for parents of infants and older children.

Child's age	When to lower the temperature?	How to relieve the condition using home methods?	Type of medicine
From 1 month 1 year	We do not remove until the 38˚С mark, but when this mark is exceeded, we begin to shoot down with available means.	Provide plenty of warm drinks, undress the baby and cover with a thin diaper. The room must be ventilated so that the child does not feel stuffy. While airing, place the baby in another room.	Paracetamol - suspension or siro Efferalgan syrup or suppositories Tsefekon D Calpol suspension Nurofen suspension or suppositories
From 1-3 years	The temperature does not drop from 37 to 38.5. Above the upper limit, we take measures to bring down the increase.	Provide your child with plenty of fluids. Give us warm tea, compote, fruit juice. Prepare a rosehip decoction, pour 1 tbsp. spoon of berries with boiling water and leave for 20 minutes. Cool until warm. Keep your baby in a bathtub with warm water for about 20 minutes, but make sure that convulsions do not start. Dress your child in light clothing.	Paracetamol in syrup or suppositories Nurofen - suspension or suppositories
Over 3 years old	High temperature, baby looks sleepy, lethargic, refuses to eat - start taking the temperature.	Constantly ventilate the room, monitor the air humidity, it should not be dry. You can increase humidity by hanging wet towels around your baby's crib. Increase the volume of drinking (warm tea, compote, fruit juice, water). Leave only panties and a T-shirt. Forbid your offspring to actively move, run, jump, let him just sit.	Paracetamol in any form (suppositories, syrup, suspension) Ibuprofen in different dosage forms

It is important to provide a sick child with plenty of warm drinks.

Non-infectious temperature is the consequences of teething, heat or sunstroke, intestinal poisoning and other diseases not caused by infection. Doctors do not recommend starting to lower the temperature to 38.5 degrees, since at this time the body itself is fighting the disease. How to remove a higher indicator:

Heatstroke and sunstroke are accompanied by a rise of up to 40 degrees. To reduce the child’s temperature, it is necessary to move the child to a cool, shaded place, provide him with something to drink (cool water) and give him an antipyretic drug based on paracetamol, which is most suitable for the child’s body. Place a cold compress on the baby's forehead.
When teething, the temperature does not rise above a dangerous limit, and therefore does not go astray. Give your baby more water, change warm clothes and put on something lighter, do not wear a diaper. If there are signs of fever, use Panadol, Efferalgan, Nurofen or Ibuprofen. Follow the dosage, give the medicine in the form of syrup or suppositories. Treat the inflammatory process on the gums with Kalgel or Kamistad gels.
Temperature during intoxication of the body is relieved with traditional antipyretics. In addition, the child needs to take an absorbent medicine. The baby needs to be given water more often, using clean water, sugar-free compotes, and special saline solutions (Regidron).

When parents' anxiety grows with each additional division of the thermometer, anxiety goes off scale, they make rash decisions. Most often, to bring down the fever, adults resort to traditional methods (wiping with vinegar, taking Aspirin), which is not worth doing at all. Such actions will not help the baby, but can also cause harm. What are the dangers of taking the wrong approach to solving a problem? The choice of a method of struggle is made on an emotional level, when it is difficult for the mother to be calm, and little thought is given to how competent he is. Let's consider the most traditional means.

The essence of the grandmother's method is to wipe the baby's forehead, hands and area under the knees with a towel soaked in vinegar. Indeed, such a procedure helps to reduce the temperature, but there is a dangerous point in it: penetrating through the pores of the skin into the body, vinegar vapors can cause serious intoxication. The upper layer of the epidermis in a child is very thin, volatile acetic acid easily overcomes it and penetrates the blood, poisoning it. This method is especially dangerous for infants, whose bodies are very vulnerable to any negative factors.

Rubbing with vinegar can be not only useless for a baby, but also toxic.

Alcohol and vodka are not suitable for wiping small children at high temperatures. The alcohol solution passes through the skin of the baby, enters the blood, and poisoning of the body occurs. In addition, the ability of alcohol to evaporate quickly can lead to spasms of skin blood vessels. Thermoregulation is disrupted, which leads to an increase in temperature in the child’s internal organs.

An extreme method, promoted by traditional healers and supported by irresponsible parents. It is suggested to lower the “hot” baby into a bath of cold water for half a minute. This execution is explained by the fact that when there is a sharp change in temperature, the body quickly copes with the “fever”. A completely wrong and criminal way. Externally, the degrees drop, but the heat collected due to the illness continues to burn the child from the inside, which can lead to serious consequences.

An effective remedy against high fever, but only for adults. The drug has many side effects, including serious complications causing death and damage to the brain and liver. It is strictly forbidden to give it to children. Use antipyretics specifically designed for young children to relieve fever.

Analgin is banned for production in many countries around the world. The ban was adopted due to the identified negative changes in the composition of the blood that occur after taking the drug. When a person who takes the drug suffers from liver or kidney disease, it can lead to anaphylactic shock and severe allergies. Analgin should absolutely not be given to infants under 7 months of age! It is better for your baby to take safe baby Paracetamol.

Instead of the prohibited Analgin, it is better to use safe Paracetamol

Parents should be aware of those situations when it is vitally important to quickly show an infant to a specialist. An immediate call to the ambulance is required for the following symptoms:

a dry diaper for a long time, drowsiness, crying without tears, sunken eyes, dry tongue, sunken fontanel in infants under one year old, bad breath - all these are signs of dehydration;
appeared convulsions;
purple skin rash and bruising on the eyes;
disturbances of consciousness (drowsiness, the child cannot be woken up, he behaves apathetically);
repeated vomiting (more than 3-4 times);
frequent diarrhea (more than 3-4 times);
severe headache that does not go away after taking antipyretics and painkillers.

You should immediately contact an ambulance for other reasons. Let's name the main factors for which you are obliged to make an emergency call:

your child is less than a year old;
antipyretic drugs do not help;
doubts about the baby’s dehydration (the baby drinks little or not at all);
the baby is vomiting, has diarrhea and a rash;
the condition worsens or other painful symptoms appear.

The characteristics of a child’s body are such that children tolerate an increase in temperature differently: some have fun and play at 40, others lose consciousness at 37 degrees. “Fever” is also dangerous for the fragile nervous system of a small person; it provokes the appearance of seizures. Prolonged high fever has serious consequences. Dr. Komarovsky is clearly inclined to believe that taking an antipyretic drug is mandatory for:

poor tolerance of high temperature by a child;
the presence of diseases of the nervous system;
temperature rise above 39 degrees.

In some cases, taking an antipyretic drug cannot be avoided

A well-known pediatrician recommends that parents do not rush to resort to medications to relieve fever up to 39 degrees. The main thing, says Komarovsky, is to force the baby’s body to lose heat on its own. The doctor offers two effective home methods:

Give the patient water often. An abundant supply of fluid will ensure the release of sweat. For children under one year old, prepare a decoction of raisins. For older kids, give dried fruit compote. You should not start with raspberry tea, since it itself works on heavy sweating. Give your child water or compote to drink first so that the body has something to produce sweat from. If your offspring refuses to drink prepared tea or compote, offer him what he likes best (boiled water, fruit juice, rosehip decoction). Be sure to serve any type of drink warm.
Periodically ventilate the room where the small patient is located.

With these simple steps you can lower the temperature at home and cope even with a rise to 39. Regarding rubbing with vodka or vinegar, Komarovsky gives useful comments.

The body temperature of a sweaty child will drop to 37 without rubbing, and if you start rubbing dry skin, you can lead the situation to disaster. Remember the following: if you rubbed a newborn with vodka, you added alcohol intoxication to the cold; if you used vinegar for wiping, you poisoned the baby with acid.

Important Takeaways

After hearing the opinion of a reputable pediatrician, it is easy to draw the right conclusions. Parents need to understand that rubbing is not a remedy that will help relieve high fever. It is also a bad option to use a cold fan to blow the child: the hot surface of the body, when faced with cold air, will respond with a spasm of the skin blood vessels.

Remember: if the baby is sweating profusely, change him into dry clothes or wrap him in a clean diaper, try to calm down. Make sure that you have correctly carried out the safest and most effective actions.

High temperature in children is a cause of panic and even hysteria in parents. Komarovsky is sure that mothers and fathers often dramatize the situation and, because of this, interfere with natural recovery, using antipyretics with or without reason. Should a temperature rise to 39°C cause alarm? What to do if something like this happens? We need to understand this in as much detail as possible.

A dilemma arises: a high temperature can be life-threatening for the baby, but if you bring it down, you can significantly prolong the illness and delay the moment of recovery. Of course, the decision to use antipyretics should be made by the pediatrician, based on the diagnosis and individual characteristics of the young patient.

A high temperature is difficult for a child to bear: he rolls his eyes, groans, breathes heavily... Loving parents cannot calmly look at the torment and grab antipyretics. Komarovsky, in response to the question of how to bring down a child’s temperature, be it 39 or higher, says that it is impossible to prescribe the correct treatment in absentia. Some kids can withstand the heat, while others almost faint from 37.5°C.

It is necessary to assess the patient’s condition and do this, if possible, soberly. If the high temperature lasts for more than an hour, and the condition causes real concern, you should take an antipyretic drug immediately.

There are specific indications for which it is necessary to reduce the temperature. These include:

diseases of the nervous system;
The thermometer reading is above 39°C;
heat intolerance;
addition of other symptoms (shortness of breath, convulsions).

A well-known pediatrician suggests trying non-drug forms of treatment first before giving medications. Few parents are ready to create the necessary conditions that will help normalize the temperature naturally. The doctor suggests reducing the room temperature to 16–18°C. This number is scary for some parents. In everyday life, it is believed that the sick person needs to create warm and comfortable conditions: wrap him in a blanket, close the windows to avoid drafts, and avoid being in the fresh air. It is these steps, according to Komarovsky, that are fundamentally wrong.

You can lower your body temperature by creating optimal conditions so that the body has the ability to forcefully lose heat. But parents believe that placing a sick baby in a room where the temperature is 20°C or more is a real crime.

If the fear of overcooling the child is too strong, then you can cool the room to at least 20–22 ° C and increase the humidity. To do this, you should wash the floors in the room more often, use automatic humidifiers or indoor fountains. You also cannot do without drinking plenty of water. If the child is too young to persuade him to drink more, you will have to force the liquid in. This must be done carefully, making sure that the baby does not begin to choke.

What to offer your baby as a drink? A raisin decoction is suitable for babies in their first year of life. For preschool children - offer warm milk, tea, dried fruit compote. Raspberry tea is widely used among people. It actually promotes profuse sweating. But, if dehydration has already begun, raspberries will only worsen the situation. Therefore, first the little patient is offered compote, fruit drink or plain water, and only then raspberry tea.

It is believed that you can reduce the temperature by offering your child a hot drink. This is fundamentally wrong, since hot liquid is not absorbed by the stomach. The same can be said for cold liquids. The best solution is water that matches your body temperature.

You cannot cool the baby outside. This leads to the fact that the blood vessels narrow, the skin cools down, and the internal organs heat up. Heat transfer decreases and the condition becomes worse. Using ice and cold water is dangerous to health and life.

Rubbing with vodka and acetic acid causes the greatest harm to health. Harmful substances enter the blood through the skin, further aggravating the condition. According to Komarovsky, poisoning with alcohol or vinegar due to illness can be fatal. You should also not do cold enemas, ice compresses, and the like. Such measures can only be taken if the child has been given medications that eliminate vasospasm.

Fever is a typical sign of infectious diseases. At the same time, parents have different opinions about whether it is necessary to lower the temperature, when and how to do it. What does E. Komarovsky think about fever and how does he advise to act when it appears in young children?

By increasing the temperature, according to Komarovsky, the body activates the production of substances that resist pathogens. One of the main such compounds is a special protein called interferon, which has the properties of neutralizing viruses. The amount of synthesized interferon is directly related to fever - the higher the numbers on the thermometer, the greater the amount of interferon produced. Its maximum level in the blood is observed on the second or third day of elevated temperature. Komarovsky emphasizes that it is during this time that most viral infections end.

In cases where the baby’s body is so weakened that fever during ARVI is not observed, or the parents lowered the temperature at the very beginning and did not stimulate the formation of interferon, the disease lasts much longer. In such situations, the virus is destroyed by antibodies produced in the child’s body, and recovery occurs around the seventh day.

When should you lower your temperature?

The famous doctor emphasizes that all children are individual, and therefore tolerate fever differently. There are kids who don’t mind playing at 39 degrees, and there are kids who feel very bad even at 37.5. That is why Komarovsky emphasizes that there is no universal recommendation at what levels of fever an antipyretic should be given.

According to Komarovsky, the main goal of parents should be to provide the baby with conditions in which his body can lose heat. Heat loss occurs in two ways - when the air that he inhaled warms up in the baby’s lungs, and also when sweat evaporates from the baby’s skin. Taking into account these ways, a popular pediatrician definitely recommends that all children with fever:

Provide cool air in the room. Komarovsky calls the most optimal temperature for a nursery +16+18 degrees. In this case, the clothes on the child should be quite warm so that the skin vessels do not spasm.
Give a lot to drink. This will allow the child to sweat more and eliminate blood clotting. Komarovsky advises feeding babies under one year old with raisin decoction, and older children with dried fruit compote. The doctor does not recommend giving tea with the addition of raspberries, which is popular among the people, to babies of the first year of life at all, and for children older than one year of age to use it only as an additional drink, since raspberries strongly stimulate sweating.

If the child refuses any drink, Komarovsky recommends giving any drink that the baby agrees to. The temperature of the liquid to drink should be approximately equal to body temperature, then it will be absorbed faster in the digestive tract.

A popular pediatrician does not advise using physical methods to cool a child's body, for example, using heating pads with ice, cold wet sheets and the like. All of them cause spasm of blood vessels in the skin, which leads to slower blood flow, reduced sweating and reduced heat loss. In this case, you will only reduce the temperature of the baby’s skin, but the temperature inside the body will still remain high, which poses a significant danger.

Komarovsky also strongly opposes rubbing with vinegar or alcohol. A sweating child already loses enough heat, which leads to a decrease in temperature. Rubbing with alcohol-containing solutions, according to the pediatrician, additionally causes alcohol poisoning for the baby, and rubbing with vinegar increases the risk of acid poisoning.

Komarovsky also does not advise trying to increase the evaporation of sweat using a fan. This also causes vasospasm. According to the doctor, when a child is sweating, you just need to change him into warm, dry clothes and calm down.

Komarovsky names situations where:

The child has a severe fever.
The baby has concomitant pathologies of the nervous system, which increases the risk of seizures.
The reading on the thermometer is above +39. Such a high temperature, according to a popular pediatrician, has more negative effects than advantages.

Komarovsky notes that failure to comply with conditions that help the child’s body waste excess heat reduces the effectiveness of any medications and increases the risk of adverse reactions.

The pediatrician calls paracetamol the most optimal antipyretic for children. Komarovsky considers its main advantages to be safety of action and ease of use, since the drug is available in many forms.

Moreover, regarding paracetamol, a renowned doctor says that:

This drug is especially effective for viral infections.
Its effectiveness is not affected by the manufacturer and the form of release, but only by the dosage.
This is not a cure for the infection, but only a way to eliminate one of the symptoms - high fever.
It does not need to be used hourly, but should be given only when the temperature rises.
Paracetamol should not be used more than four times a day or for more than three days in a row.
Using it independently is a temporary measure to improve the child’s condition until a doctor arrives.
Any other antipyretics should be taken only after a doctor's prescription.

Children get sick at any age. The temperature rising to 37.5°C does not cause much panic. But what to do if the thermometer is already 39°C? What to do when the thermometer reaches the mark

“It is unacceptable to limit yourself to self-medication - a high temperature is always a serious reason to call a doctor”

The child does not tolerate heat well
Having difficulty breathing
There is vomiting or diarrhea
Once the child already had convulsions due to fever
There are serious diseases of the nervous system, for example, cerebral palsy or epilepsy
Temperature rose above 39°C

Cool air and plenty of fluids are the main allies in the fight against high fever.

According to Komarovsky, parents can only give their children paracetamol or ibuprofen in the dosages prescribed in the instructions.

“Remember! You should not give your child aspirin or analgin - these medications harm the liver and blood-forming organs."

As Dr. Komarovsky’s practice shows, a high temperature in a child without symptoms of an infectious disease causes even more bewilderment. Causes of high fever may include:

Baby overheating
Growing teeth
Roseola is a disease caused by a type of herpes virus. In this case, after 3 days of high fever, the child will develop a small rash. No special treatment is provided
Stress
Urinary tract infection

Summing up

Most often, those parents who are closely faced with the problem of severe hyperthermia in their children call a doctor to their home. Infectious and inflammatory diseases are often accompanied by high fever, sometimes developing up to thirty-nine degrees.

In general, babies tolerate this difficult condition well, but if a serious illness occurs, there will also be accompanying symptoms that complicate it. The most common symptoms include migraine, chills, or respiratory symptoms. Only a doctor can decide on the treatment of the baby, but parents should clearly know how to bring down the temperature of 39 in the child before his arrival.

Most often, significant hyperthermia in a child develops due to:

Bacterial infection;
introduction of viruses into the body;
respiratory infections;
food poisoning;
allergic reaction;
teething;
overheating;
nervous overstrain;
oncological diseases;
immune response to vaccination, etc.

These factors cause a strong fever in the baby, which reflects a sharp activation of the body’s defenses.

The vast majority of domestic and Western pediatricians are of the opinion that when hyperthermia reaches an alarming level of 38.5 degrees, then there is no point in waiting for further developments.

It needs to be lowered. Otherwise, various serious complications can occur, the most common of which is a seizure.

In the case of a serious infectious or inflammatory disease, the question of prescribing antipyretic drugs should be decided only by the attending physician. If there is no particular danger or, on the contrary, the pediatrician has not arrived yet, and the thermometer readings increase more than 39 degrees, then they need to be reduced.

To do this, it is necessary to clearly understand that a significant increase in temperature is a direct reflection of the body’s resistance. It is the heat that helps him actively fight the infection.

However, its manifestations that are too strong can have a negative impact on the baby, completely robbing him of his strength and leading to dehydration. How to bring down a child’s temperature of 39 and help him survive this serious condition? First of all, you need to provide him with a large amount of liquid.

To prevent dehydration, you should constantly give your baby water. Various fruit compotes, berry fruit drinks or decoctions of medicinal plants are well suited for this. The drink must be tasty, otherwise a sick child may refuse it due to poor health.

It is better to give him liquid from a spoon or a convenient bottle. When parents are confused because their child has a temperature of 39, Komarovsky believes that this is the only way to bring it down.

The famous children's doctor Komarovsky also recommends, if hyperthermia develops, to replenish the lost balance of electrolytes in the body. To do this, it is necessary to eliminate the lack of microelements. In such a case, raisins, figs, dried apricots and other dried fruits will help.

According to Komarovsky’s advice, it is strongly recommended to give the child a drink that has cooled down, but still retains heat. Therefore, before you start treating it with diaphoretics, you first need to provide the child’s body with a sufficient amount of fluid.

If only the baby’s forehead is hot, but his legs and arms are cold, this indicates the development of a negative vascular reaction. In this case, you should know that it is permissible to give a child at a temperature of 39 degrees antispasmodics (Drotaverine or Papaverine) in a pediatric dose, clearly indicated in the instructions for the drug.

It is imperative to open the window completely and achieve significant cooling of the room where the patient is lying. Dr. Komarovsky believes that the thermometer in it should show no more than twenty, or at most twenty-two, degrees.

This helps to balance the body's thermoregulation with the help of the air inhaled by the baby's lungs and the air released by them. In addition, it is worth making the air stream wet. It is advisable to wet the curtains, place a large basin of water in the room, or place a damp cloth everywhere.

All this puts him at significant risk. The heat, which has reached 39.9 degrees, no longer brings any benefit to the body, but causes coagulation of proteins, of which the human body largely consists.

In addition, it creates a significant burden on the cardiovascular and nervous system.

If the fever develops significantly, you should know that you can quickly bring down the temperature of 39 in a child by wiping with water at room temperature. It is not advisable to add any substances to it.

You need to remove everything unnecessary from the baby to avoid overheating. You should leave him in cotton pajamas or a nightgown made from natural fabrics. It is better to cover it with a light sheet.

You should not allow your child to run or scream if he is in an excited state, but it is also undesirable to force him to bed.

Any nervous and physical stress will only increase hyperthermia. It is necessary to sit him in a comfortable place, read to him or distract him with something interesting.

It is possible to reduce the manifestations of fever with the help of appropriate medications only if the child’s temperature of 39-39.5 is not brought down by rubbing and drinking. There are special medications, which include syrups, suspensions or tablets. They contain the appropriate doses:

Ibuprofen, It should be remembered that for children under 5 years of age, suppositories, syrups and suspensions are preferable to tablets.
syrup or suppositories with Nurofen,
Candles with Viferon,
Paracetamol,
Kalpolom,
Panadolom,
Efferalgan or Cefekon in the required dosage.

They should be taken strictly according to the instructions that come with the medicine. These are effective drugs that can reduce fever for a fairly long period. In addition, they produce an operational effect.

The safest choice in this case is Paracetamol. It quickly helps bring down the temperature, has an anti-inflammatory and analgesic effect, has a minimum of contraindications and adverse reactions, and also does not have a noticeable effect on the hematopoietic system and the central nervous system.

The dosage in tablets for fever in children from 3 to 6 years is 800 mg / day.

From the age of 6, the permissible dose is multiplied by 1.5-2. The minimum interval between medication doses is 4 hours. If the temperature does not decrease, the tablet can be given again. If the child’s temperature remains at 39 even after repeated doses, then other medications or home remedies are used.

Ibuprofen-based medications also help quickly relieve fever, but they are less effective in providing other benefits to the body. However, their advantage is that the antipyretic effect lasts for a very long period. The child should also take them no more often than every six hours.

For patients aged 3 months to 2 years, suppositories, syrup and suspension are used in accordance with the instructions. And for children over 3 years old - tablets. The dosage is 10 mg/kg body weight at a temperature of 38.5 - 39.2, and if the temperature is below this indicator, then 5 mg/kg. The daily dose of the drug should not exceed 30 mg/kg body weight.

Many parents are horrified when they see numbers on a thermometer that stop at thirty-nine degrees. Therefore, they lose their heads and begin to do things that only worsen the child’s situation.
It should be noted that in medicine, elevated temperature is divided into:

White, when there is a hot forehead, and the palms and feet are cold, while the face is pale;
red when the heat covers the whole body.

Therefore, it is necessary to reduce the temperature in different ways.

In the first case, it is not recommended to massage the child’s limbs, completely undress him, or apply wet and cool lotions to his body. The baby’s condition is due to vascular insufficiency and these measures will only strengthen it.
When red hyperthermia is observed, these actions can help, since in this case vascular spasm is not observed; on the contrary, they are dilated.

If a child’s temperature is persistent at 39 and does not react to anything, then you should not rub the baby with an alcohol or vinegar solution, as it contributes to dehydration of the body and negatively affects the condition of the skin.

If there is a large amount of the substance, or if there is damage to the body, it can enter the bloodstream and cause even more damage.

Also, you should not give your child hot drinks with raspberries, linden or honey, and then wrap them tightly. In this way, parents cause a diaphoretic effect and at the same time clog the air exchange, preventing the thermoregulation system from working at full strength. In addition, plant substances contribute to the creation of a diuretic effect, which, together with the diaphoretic effect, creates all the conditions for blood dehydration.

Many parents panic when they see that their child’s temperature is 39.4; they don’t know how to bring it down. Therefore, it is necessary to remember that one should not strive to eliminate the heat by any means.

Under no circumstances should you give your baby drugs such as Amidopyrine, Analgin, Antipyrine or Phenacetin. They are contraindicated for a child’s body, otherwise intoxication is quite possible, which will make the patient’s condition critical.

Since babies often have a fever, parents should be prepared for this and know the basic measures that should be taken to help them.
Even if the child is still an infant, the mother needs to prepare in advance for what she can and should do if he develops hyperthermia, since she will often have to deal with such a problem.
And, of course, self-medication when a young patient develops a fever is simply unacceptable. All necessary therapy is carried out only by a doctor.

There are also cases when everything has been tried, but hyperthermia does not disappear. Therefore, if a child’s temperature does not drop to 39 degrees, then this is a signal that specialist help is needed.
An urgent call to the Ambulance is necessary when:

The heat increases;
the child does not eat anything;
he refuses to drink;
he is getting worse;
his limbs twitch;
the child constantly vomits;
he has severe diarrhea.

If you do not call an ambulance in time, a seizure, cardiac or vascular failure, or organic brain damage may occur.

These symptoms indicate serious metabolic problems, rapid approach of dehydration, as well as the presence of dysfunction of internal organs, and most likely the doctor will prescribe an antibiotic.

While the medical team has not yet arrived, it is advisable to wrap the child in a wet sheet for about five minutes. Then he should be dried and dressed in a dry nightgown. In addition, the baby at this time needs to drink plenty of water at room temperature. The window must be open.

The need for a child to reduce his temperature, which has reached thirty-nine degrees, is very urgent for parents. But this must be done extremely competently and carefully so as not to aggravate his condition.

Intense fever indicates that the immune system cannot cope with a significant amount of pathogenic flora and the infectious process is gaining strength. All this provokes the development of severe inflammation, and often also allergies, which, in turn, contributes to the preservation and intensification of hyperthermia.

You also need to pay attention to the accompanying symptoms, because they are the ones that indicate the presence of a certain disease. High temperature is only one of them and in itself cannot give a specialist a complete answer to the question of what the child is sick with.

Jun 1, 2017Yulia Astafieva

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A child's temperature gives parents a lot of anxiety. They try to alleviate the baby’s condition as quickly as possible, using available means to reduce the thermometer readings. Dr. Komarovsky advises following rules that allow you to determine when to lower a child’s temperature and how to do it correctly.

According to the famous doctor Komarovsky, parents should not immediately grab antipyretic medications. The fever should be brought down only if it reaches critical levels (39 degrees and above). The exception is children predisposed to febrile convulsions or babies who do not tolerate increased body temperature.

Contrary to popular belief, fever does have some benefits for the body. High thermometer readings are a response to inflammation. By raising the temperature, the child’s body actively fights viruses and microbes. The production of a natural health protector, interferon, begins.

Komarovsky is of the opinion that the disease, in which the temperature was actively reduced, will last longer. By lowering the thermometer readings, parents alleviate the condition, but relieve the body of natural defenses and the subsequent development of immunity.

If a child develops a fever, Komarovsky suggests that parents adhere to the following recommendations:

Give your child more to drink. Boiled water, tea, unsweetened compote will do. Drinking frequently helps avoid dehydration. Viruses that cause inflammation are also removed from the body along with the fluid.
Do not use alcohol or vinegar rubs. Doctors consider them harmful to the child's body. Toxic fumes can penetrate inside, further worsening the baby's condition.
Provide cool air in the room. The optimal temperature is +16 -+18 degrees. This is a good physiological way to reduce a child's temperature. In this case, the baby’s clothes should be quite warm to prevent hypothermia.
Ventilate the room periodically. Fresh air makes breathing easier and reduces the concentration of pathogenic microbes.

If necessary, give your baby an antipyretic drug, Komarovsky recommends using paracetamol-based medications. They have proven themselves as a means of reducing fever during viral infections. It is convenient for infants to use paracetamol in the form of suppositories; syrup is suitable for older children.

If a child’s fever lasts for more than three days, it is accompanied by cold symptoms: cough, runny nose, Dr. Komarovsky advises to consult a doctor to make a diagnosis and prescribe the correct treatment.

How to reduce a child’s temperature: the opinion of Dr. Komarovsky

High temperature in a child not uncommon, but most parents begin to panic at this moment. How to help the baby? How to determine the causes of temperature rise? Are any medications needed?

When a child is sick, the parents feel very sorry for him. I’m sure many people say the phrase: It would be better if I got sick instead of you. I want to help the baby and improve his well-being. Of course, you need a good pediatrician and adequate treatment. It is very important that during illness the baby feels parental love, care and attention.

When a child's body temperature suddenly rises, many parents begin to panic. Many questions immediately arise: what to do? how to help the baby? Do I need to lower the temperature? Why did the temperature rise and what disease is it a symptom of? Do I need to call an ambulance or can I handle it myself?

How to reduce a child's body temperature without medication? From the point of view of the public, until the mother gives the child an antipyretic drug, it is considered that no action has been taken. And often if a doctor tells mothers that a child with a fever needs to be given plenty of water and will not give an antipyretic pill, this means that the doctor did not prescribe treatment. The science of physiology states that 2 processes constantly occur in the human body: 1) heat production - the human body produces heat; 2) heat transfer - the body releases heat into its habitat;

Viruses or bacteria that cause infectious diseases tend to increase heat production and body temperature. We can influence these two processes without the use of drugs, increasing heat transfer and reducing heat production. Therefore, before giving a child a pill, you need to understand what is happening. When a child is active and in motion, his heat production is higher, therefore, when the temperature rises, he needs to be calmed down and preferably put to bed. Thus, when the child is at rest, we reduce his heat production. When a person eats a lot, the process of active digestion of food is accompanied by an increase in heat production, so the child does not need to be fed during an elevated temperature until he asks. As for heat transfer, all parents should remember one main rule: the human body loses most of its heat during exhalation. Therefore, you need to strive to ensure that the air temperature is no more than 20 degrees. If a sick child is lying in a room where the air temperature is 19 degrees and he is cold, then he needs to be dressed warmer. But the most important thing that parents should understand is that the temperature of the inhaled air plays a major role in regulating body temperature in children.

You can help a child with a fever in 2 stages: 1. Without resorting to medications; 2. With the help of drugs .

If your child flatly refuses to swallow pills, then you can use other dosage forms of fever-fighting drugs (injections, suppositories, syrups). The specificity of the human body is that if the body temperature exceeds 39, this very often leads to vasospasm in the intestines or throat. Therefore, when parents insert a cut into the child’s rectum, instead of being absorbed, it lies quietly there.

One of the main rules for using suppositories for temperature control is that they should not be used at temperatures that go beyond 39, since their effect develops very slowly and ineffectively. But if a child at ten o’clock in the evening has a temperature of 37.6 and it slowly rises, then there is a high chance that at night it will become 39 and we can sleep through this moment, but if we light a candle at 37.6 and go to bed, then this will be completely justified. The most convenient form for children is syrup, especially if its temperature is approximately equal to body temperature; it is absorbed from the stomach instantly and no worse than injections. But if the temperature is over 39 and the child categorically refuses to drink or vomits, then you will have to give an injection. Vasospasm can occur not only at the intestinal level, but also in the stomach; at temperatures below 40, any medications administered through the gastrointestinal tract do not work in principle. In this case, you need to seek medical help and get an injection. The effect of the antipyretic drug should appear within 40 minutes. But if after 40 minutes there is no result, then this is a 100% indication to call emergency help.

You need to understand that if a child has a fever and the parents do not know what caused it, they need to consult a pediatrician. The situation that almost every mother faces is fever without other symptoms. In most cases, the reason for the rise in temperature in the summer is overheating, and when there is no heat outside it is viral infections. When viruses become the cause of an elevated temperature, the main thing is to create conditions for the child to cope with this virus himself. 1. Do not overload the body with food, because the liver is the main organ of the digestive and immune system. 2. Provide the body with sufficient fluid. 3. Maintain clean, cool and humid air in the room.

If you follow these rules, you should feel better on the 3rd day, and by the 5th day your temperature should be normal. But if a gradual decrease in temperature is not observed, and there is no improvement on the third day, you should consult a doctor. The doctor says that if the mother does not see other symptoms, this does not mean that they do not exist at all. Because there are a number of symptoms that the mother cannot see; only a person with medical knowledge can see them. education. Therefore, any unclear situation is a reason to consult a doctor. The doctor explains to the parents that the temperature is 37.7, cough and snot, this is definitely a viral infection. But if the temperature is all, it is most likely a viral infection, but it is still advisable to consult a doctor.

A child’s temperature is 39: how to bring it down - Komarovsky

A high temperature is difficult for a child to tolerate: the baby rolls his eyes, groans, and breathes heavily. Loving parents cannot calmly look at the torment of their child and grab antipyretic drugs. Komarovsky, in response to the question of how to bring down a child’s temperature, be it 39 or higher, says that it is impossible to prescribe the correct treatment in absentia. Some children can withstand high temperatures, others almost faint from 37.5.

There are specific indications for which it is necessary to reduce the temperature. These include:

diseases of the nervous system,
temperature exceeding 39 degrees,
heat intolerance,
addition of other symptoms (shortness of breath, convulsions, etc.)

What to offer your baby as a drink? A raisin decoction is suitable for babies in their first year of life. Preschool children can be offered warm milk, tea, and dried fruit compote. Raspberry tea is widely used among people. It really promotes profuse sweating. But if the baby is already dehydrated, then raspberry tea will only worsen the situation. Therefore, first the little patient is offered compote, fruit drink or plain water, and only then raspberry tea.

You cannot cool your baby outside. This leads to the fact that the blood vessels narrow, the skin cools, and the internal organs heat up. Heat transfer decreases, and the little patient’s condition becomes worse. Using ice and cold water is extremely dangerous for the health and life of a child.

The child has a fever. Komarovsky is a famous children's doctor, whose advice many mothers listen to. Today he will tell you when you need to lower your child’s temperature and how to do it.

The child has a fever. Komarovsky. like many other pediatricians, sometimes she cannot specifically answer whether it is necessary to bring down the baby’s temperature. After all, an increase in temperature, on the one hand, is a sign of the child’s body fighting the disease. However, on the other hand, high temperature is extremely dangerous for children, in particular for young ones. When the baby’s temperature rises, mothers begin to panic, and some immediately begin to stuff their child with medications. But this should be done as a last resort, and only if the cause of the fever is a virus.

Why is the temperature rising?

In cases where the baby’s body is so weakened that fever during ARVI is not observed, or the parents lowered the temperature at the very beginning and did not stimulate the formation of interferon, the disease lasts much longer. In such situations, the virus is destroyed by antibodies produced in the child’s body, and recovery occurs around the seventh day.

When should you lower your temperature?

How to act if a child has a fever?

Provide cool air in the room. Komarovsky calls the most optimal temperature for a nursery +16+18 degrees. In this case, the clothes on the child should be quite warm so that the skin vessels do not spasm.
Give a lot to drink. This will allow the child to sweat more and eliminate blood clotting. Komarovsky advises feeding babies under one year old with raisin decoction, and older children with dried fruit compote. The doctor does not recommend giving tea with the addition of raspberries, which is popular among the people, to babies of the first year of life at all, and for children older than one year of age to use it only as an additional drink, since raspberries strongly stimulate sweating.

If the child refuses any drink, Komarovsky recommends giving any drink that the baby agrees to. The temperature of the liquid to drink should be approximately equal to body temperature, then it will be absorbed faster in the digestive tract.

What not to do?

Antipyretic drugs

Komarovsky names situations where:

The child has a severe fever.
The baby has concomitant pathologies of the nervous system, which increases the risk of seizures.
The reading on the thermometer is above +39. Such a high temperature, according to a popular pediatrician, has more negative effects than advantages.

Komarovsky notes that failure to comply with conditions that help the child’s body waste excess heat reduces the effectiveness of any medications and increases the risk of adverse reactions.

The pediatrician calls paracetamol the most optimal antipyretic for children. Komarovsky considers its main advantages to be safety of action and ease of use, since the drug is available in many forms.

Causes of temperature in infants according to Komarovsky

An increase in body temperature in a child is typical for ARVI, but also for any viral disease. An increase in temperature ensures stimulation of the body, as well as the production of elements that can effectively fight the pathogen.

Children's perception of temperature rise varies. Some do not show concern at 39°C, others faint at 37.5°C. This determines the lack of clear recommendations regarding actions to save a child when his body temperature reaches a certain value.

Other reasons for an increase in a child’s body temperature include teething, stress or nervous shock, excessive hypothermia, or overheating in the sun.

Komarovsky: fever, cough in infants

A child’s cough in combination with a high temperature indicates that the child is exposed to a cold virus or some kind of infection. In addition, the following reasons are possible:

entry of viruses and bacterial infections into the child’s respiratory tract;
the occurrence and initial stage of development of allergic or infectious diseases, in particular bronchial asthma;
acute form of irritation of the bronchi with chemicals, in particular paint or gasoline;
severe overheating of the child’s body due to an allergic reaction.

Depending on the established cause of the cough, ways to eliminate it are determined.

Cough in an infant without fever, Komarovsky

Komarovsky identifies two main types of cough: allergic and infectious. In addition, the doctor says that with the help of coughing, the child’s body eliminates the infection that has entered it. A child may have a hard time with his parents purchasing fresh perfume or a new means of cleaning the house.

If a child’s cough without fever is caused by intestinal infections, it will go away on its own. The main point in this case is the separation of sputum from the bronchi. It is necessary to constantly ventilate the child’s room and give him plenty of water. Also, do not overfeed him.

A dry cough without fever is much more dangerous than a wet cough. But both should not be left unnoticed. For high-quality sputum discharge, it is necessary to use special means. However, only a doctor has the right to prescribe such treatment methods. You should consult a specialist if the cough lasts more than three weeks.

Komarovsky: runny nose, fever in infants

According to Dr. Komarovsky, a runny nose in an infant in combination with a fever occurs due to a decrease in the level of his immunity. Simply put, the child’s body suffers from a lack of resources to resist pathogenic bacteria that block its nasal passages. In a child, they are quite narrow and therefore a minor viral infection is enough to cause a runny nose. In this case, the child is guaranteed to have a runny nose at an elevated temperature.

According to Komarovsky, a runny nose in a child with a fever can be the result of a strong temperature difference in the child. There may be a strong separation of sweat when the child’s body overheats, and the result will be a decrease in the protective function of the child’s body. Hypothermia can also harm a child.

A runny nose with fever can also be the result of allergic reactions. In this case, the face may swell, tears will flow, and severe itching will appear in the nose.

High temperature in infants, Komarovsky

A sharp increase in a child’s body temperature most often occurs due to exposure of the infant to viral and infectious diseases. In addition, the temperature may rise as a result of teething in the child, severe nervous shock that he is experiencing, as well as an allergic reaction or the consequences of stress.

Komarovsky advises parents not to panic if their child’s body temperature suddenly rises. A baby's high body temperature indicates that his body is working normally. There is no need to immediately try to solve the problem by using fever reducers. Fever itself is an effective protective mechanism of the child's body.

First of all, you should give your child plenty of fluids. Compotes made from dried apricots and dried fruits are best suited for this. A child’s drink must be heated. According to Dr. Komarovsky, it is necessary to saturate the child’s body with fluid, after which sweat production should be stimulated with the help of hot drinks.

The result will be profuse sweating of the child. The heat transfer from the baby's skin surface increases. Eventually your body temperature will drop.

Komarovsky: baby has fever without symptoms

In some cases, mild fever is a normal reaction of the child’s body to external irritating factors; in other situations, there are certain dangers. The reasons for fever without additional symptoms should be known to parents in order to monitor the situation and make the right decision.

The reasons for an increase in temperature without additional symptoms may be the following:

Overheating of the infant's body. This may be due to the baby being in the sun for a long time or in a stuffy room, his clothes being too warm, or as a result of long, intense games with him. In this case, the child’s body temperature may increase to 38.5°C. The child should be placed in the shade and unnecessary clothing should be removed. If the cause of the high temperature is overheating, its value will be restored within an hour.
A baby's body temperature may increase as teething occurs. In such a situation, it is possible for the temperature to reach 38°C within three days. The situation can be eliminated by using special gels to reduce fever, stopping intense games, as well as drinking plenty of heat and drinking.
Impact of the virus. Without symptoms, the situation is observed only on the first day. If the temperature reaches high levels due to the effect of a viral infection on the child, after three days the child begins to have redness in the throat, he coughs and has a runny nose. You should not rush to lower your baby’s body temperature with medications. It is necessary to guarantee the child constant access to fresh air, wet wipes, a constant ambient temperature of 22°C and plenty of drinking. No need to take antibiotics.
Consequences of vaccination. In some cases, the child’s body shows an individual reaction to the administered vaccine. It is possible for an infant's body temperature to rise to 38.5°C, after which it lasts for three days.

Measures must be taken individually, depending on the situation. It is recommended that if a baby’s body temperature rises, consult with a competent doctor and prescribe adequate measures, if necessary.

Dr. Komarovsky believes that if a child has a high temperature, the child should be provided with conditions in which his body will lose heat. This happens when the air inhaled by the baby warms and sweat evaporates from the baby’s skin. The doctor recommends following two conditions for children with fever:

providing cool air in the room. It is best that the temperature in the child’s room is between 16-18°. The child should wear warm clothes to avoid spasm of his blood vessels;
the child should drink a lot. As a result, he will sweat and his blood will not clot. Raisin decoction is best for infants; if the child is a little older, dried fruit compote is recommended.

If the child does not want to drink at all at the moment, it is best to find a suitable drink for him later. To quickly absorb the liquid you drink, the child’s body temperature should be approximately equal to the temperature of the liquid itself.

Komarovsky: how to reduce the temperature of a baby?

Komarovsky focuses the attention of parents on the fact that each child is individual and does not tolerate high temperatures in the same way. Therefore, it should be knocked down using various methods. One child can fully play when it is 39°C, another faints at 37.5°C. Therefore, there cannot be precise recommendations as to when exactly a child should be given a fever-reducing medication.

Komarovsky does not recommend rubbing a child with alcohol or vinegar. Sweating itself leads to a decrease in the child’s body temperature. Rubbing causes an additional risk of intoxication of the child’s body with alcohol or acetic acid.

Also, in order to avoid spasm of the child’s blood vessels, Komarovsky does not recommend increasing the evaporation of sweat using a fan. The child just needs to be put to rest and dressed in warm clothes.

Dr. Komarovsky advises reducing the temperature with antipyretic drugs in the following cases:

The baby does not tolerate increased temperature well.
The risk of seizures increases with concomitant pathologies of the infant’s nervous system.
When the child’s body temperature exceeds 39°C. There will be more benefit than harm.

Dr. Komarovsky calls Paracetamol the best way to lower a child’s body temperature. It is completely safe to use and comes in many forms.