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Fever in children- a paediatricians guide

A child with a high fever in their mother's arms

Fakta och råd om feber hos barn – direkt av barnläkare. För många föräldrar är 40-gradersstrecket en magisk gräns. För en barnläkare finns det inga magiska temperaturgränser. Här får du läsa om vad du ska göra när barnet har feber och hur du skiljer farlig feber från ofarlig.

When is fever dangerous?

Fever itself is not dangerous, not even if it goes up to 41-42 degrees. Fever is because the body has an acute inflammation - which is the immune system's way of fighting an infection. Infections in children are usually self-healing, but may require treatment in hospitals. In some cases, infections in children are dangerous and require immediate treatment in the pediatric area.

Signs of serious infection in children with fever

A child with a serious infection seems ill. The child may be tired and lethargic or limp in the body and should go to the paediatric emergency room for assessment. Infants are hard to read, but an infant who has lost interest in eating must go to the paediatrician for assessment immediately. It may be a sign of serious infection.

All children get tired when their fever spikes, so it is the children who do not have normal fever spikes that could have a serious infection.

The combination of headaches, photosensitivity, vomiting and fever can be signs of meningitis, an infection that can be serious and require immediate hospital care.

Infant with fever

Babies under three months have small margins and it can be difficult to judge for those who are not experienced. Be vigilant when taking an infant who has a fever to the ER. The older the child becomes, the easier you can read it, and a feverish 6-month-old baby who eats and urinates doesn't need the ER. Therefore, the health center or local community doctor is a better option if you feel you need an assessment.

Colds are the most common cause of fever in children

The most common cause of fever in children is a cold. If the child has a cough, sore throat or moderate cough then the child is likely to have a cold. The wisest thing is to wait at home as long as the child drinks and urinates.

High fever can be a urinary tract infection

Renal pelvic infections are not a very common infection in children, especially in children under one year of age. Renal pelvic infections require antibiotic treatment, but children do not need to be particularly ill or have any urinary tract symptoms. So a child with over 38.5 degrees of fever for more than a day without cold symptoms needs to pass a urine sample for culture. You can do this at a health center or local emergency room. For infants, it is most appropriate with a baby cut.

Fever and swollen eyes can be sinusitis

Fever and a one-sided swollen eye are often signs of an ethmoiditis, sinusitis in children. The children do not need to be particularly ill or affected, but antibiotic treatment (often intravenous) is required and often also an X-ray examination of the eye socket to detect any complications.

Fever and struggle to breathe

Fevers and difficulty breathing or intense coughing may be due to colds, asthma, pneumonia or influenza. Look for a health center, local or pediatric emergency room depending on how difficult the child is finding it to breathe.

How much fever matters?

Over 38.5 degrees is what we usually say at the ER. 38.0-38.4 are normal limits. Below 38.0 is not a fever. As a paediatrician we have absolute temperature limits, we do not compare with the child's normal temperature, although we know that children can vary in their normal temperature where some are just below and some just above 37 degrees.

High fever over 39 degrees during winter is often flu.

When should I give antipyretics?

Fever itself is not dangerous to the child, even if it is very high. Thus, there is no reason to give an antipyretic just because the child has a fever. Unfortunately, antipyretics do not protect against febrile seizures, even if this was previously believed (it is now well researched), so this is not a reason to give them either. I give antipyretics to my children and the children in the pediatric ward in the following cases:

1. If the child is lethargic and uninterested in the surroundings it may be appropriate, to be able to distinguish between seriously and less seriously ill children.

2. If the child is so tired from the high fever that it cannot cope with fluids, this often helps with a fever reduction.

3. Om barnet är gnälligt eller säger att det har ont i halsen eller örat eller kroppen ger jag också alvedon eller ipren. Men då inte för att sätta ned tempen utan för att lindra smärta.

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Fever in children- a paediatricians guide
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79 thoughts on “<trp-post-container data-trp-post-id="219">Feber hos barn – barnläkarens guide</trp-post-container>”

  1. Hey! My little sister is in the hospital now and I started applying for the fever she has (think it was 40 or over) and feel much calmer after reading your text!

  2. Hey!
    Thanks for great information! I just wonder about the information about bleeding under the skin. Both of our children usually get it when they have vomited and now recently our youngest son of 19 months has been cold with fever and has vomited type 1 once a day, often in connection with the fever going up. He has then suffered red small bleeding under the skin of his face but it is nothing I worried about because I heard that you can get it in connection with vomiting but become a little thoughtful now that I read what you have written. But with the fact in hand now that the cold and fever are over we know that there was no serious infection but it is perhaps if the child did not vomit but get these bleeding that you have to react?

    1. Hi Karin! Small bleeding on the face associated with vomiting is no danger, just as you heard. They are because the blood pressure in the face increases with vomiting and small vessels may burst.

  3. What a great blog! I have two children soon 2 & 4 years. The girl who is the oldest has been cold with cough and fever this week and now the boy has had it. My question to you is: he had 39: 7 in temp now at bedtime, would he have received alvedon or not. I'd rather not give a fever reduction if the little ones don't hurt anywhere, so I chose and give him scab as usual, can it be harmful? (Would like to hear them even at night if the fever should rise)

  4. How should you act during the night if the child has a relatively high fever (40 degrees) in the evening? Should you wake the baby regularly and see if it is contactable or even take the temp? A whole night is quite many hours and I have been worried that the fever will reach dangerous levels before I can notice it. Often, of course, the child sleeps anxiously so that you thereby have contact several times during the night, but should you be sure to set the alarm clock at regular intervals to double check?

    1. As you say, the child often sleeps anxiously. I cannot recommend setting the alarm clock at regular intervals and have never met any child where I think a parent who wakes up with an alarm clock during the night would have helped.

  5. Hi I do not like the point that you should contact the health care center if the child has a sore throat and fever and not cough cough etc. You may have throat flux although you have a cough and do not need a fever. Have a daughter who gets vomiting cough sore throat and then throat flux So that with cough is not true. Mvh linda

  6. Hey! What a great side you have !! Just want to point out that it is not ok to call 112 for an ambulance because you can not drive yourself when no care is needed. You can ask someone familiar or similar or get a sick case. We are full anyway 🙂

  7. I just want from the depths of my (relatively newborn, with a 9-month baby) mother heart for a fantastic blog! You have helped me, my partner and baby so much! First at the first cold, then the first stomach ailment, and then now when I worry about a fever at the little one. It's like having a doctor to best friend who never dismisses one's thoughts or concerns but explains properly and takes everything seriously. THANKS!

  8. Hey! What about high fever and swollen eye?
    My daughter for almost 7 months has had a high fever (39-41C) for 3-4 days. Obviously, since we live in northern Thailand, we suspect Dengue fever, which already in June has infected 49,000 people and caused about 50 deaths, of which about half are children.
    So yesterday we went to the hospital where they gave her acetaminophen and a swab of body with lukewarm water to bring down the fever before they sent us home again.
    I explained my (justified) concern for Dengue, which the doctor quickly dismissed on the grounds that my daughter coughing and coughing was not one of the symptoms of Dengue. I wondered if there was no blood test, but the doctor refused.
    Today, the fever had not yet subsided, so we went back to the sick. This time they took blood tests which thankfully did not show on Dengue or Malaria, but WBC was at 12,800. Fully within the threshold, the physician thought even though the lab report's upper limit for "normal" shows 11,000.
    Back home I surfed a bit and found this site. Thanks for reading and valuable tips!
    A long while later, I lit the lamp and saw that one daughter's eye is quite swollen. I remembered what I had just read before bedtime about seeking medical care if the child has a fever and one eye is heavily swollen, but what should it indicate?
    The daughter is also very powerless at the moment and just wants to sleep. Can hardly cry anymore either.
    Healthcare here is not like home in Sweden and they do not have particularly good control of anything honestly. Thankful for a quick response because we are quite worried here and the health care does not help directly.

    Ps What does a Swedish doctor say about giving children a cure for paracetamol and bathing or swabbing the kid in lukewarm water in an air-conditioned room at the hospital to temporarily bring down the fever and then send the patient home?

    Thanks again for a great site! Only the expertise in black and white on this page beats the overall knowledge of the entire hospital in Pai City, Mae Hong Son Province.
    If the daughter does not improve until tomorrow morning, it will be a 3 hour trip to the University Hospital in Chiang Mai.
    Nice weekend!

    1. Nice that she did not have dengue fever or malaria! Just as you are in, you have to search again if she is lethargic and taken. High fever and the swelling around one eye can be a type of sinus infection (ethmoiditis) that requires antibiotic treatment, initially often as a drip.

    2. Thanks for a very quick response. We found a private doctor who took a look at the lab report and the daughter and while cursing the doctors at the hospital he prescribed antibiotics as a cure for an infection. He did not know what kind of infection, however, and it did not matter, but she would receive antibiotics. After that, my little knot actually managed to get some rice and chicken and unusually much water to drink. Thanks again!!!
      However, I would still have answers to my question and the bathing / bathing to get the fever down quickly and then be able to send home worried parents. Can it be a good treatment method?
      Mvh, Tom with family

    3. If it is good to bathe with towels? If you do not feel safe with the treatment, it was not a good doctor's visit. Then the communication burst about why you did as you did if nothing else. To try to get the fever down on lethargic children and see if they are stimulated I think that does not sound strange or wrong, although wet cloths are not something I use so often.

  9. Johanna and Patrick Roos

    Thanks for a fantastic blog! Helping us tremendously right now, as we are in LA USA with our 11 month old daughter who has now had between 38.5-40.5 degrees of fever for two days.
    It all really started a week ago when she had a fever of 39.5 during one night and no other noticeable symptoms. Then we were very worried that this was due to overheating. Of course, we stay indoors during the worst sun hours 11-15, but even indoors it inevitably gets warmer than at home. Since then she has been completely symptom-free, but now, exactly a week later, had a temp that has risen from 38.5 on Thursday to lay at around 40 today Friday. During the day, a little translucent snout has also increased. We try to offer her everything possible to eat and drink, but the only thing that really works is mumps and fluid replacement. She has kissed her tongue at least 3 full diapers lately and is crying with tears. She has slept a lot during the day, but wakes up from time to time with a little cry and has been awake for about an hour. Then she has mostly sat or lay in our arms and looked at books or Ipaden and mostly enjoyed the sad, but on two occasions during the day, about 1 hour after we gave alvedon she has spiked and played a little and even laughing. Obviously, when we are abroad, we feel extra anxious as there are limited opportunities to seek medical attention. We therefore have four specific questions that we would be extremely grateful for if you could advise us on:
    1: Can the cause of the fever be overheating / dehydration and should we seek medical help?
    2: Is it ok to give fluid replacement (Semper's powder mixture) even though she does not have diarrhea or is stomach upset? This is, as I said, something she likes more than water ... She also rates juices of various kinds
    3: How much fluid should she get during a day with high fever? Last day she drank about 5 bottles of gruel a 250 ml at a time, as well as about 70 ml liquid replacement / water / juice. Is this enough or should we force her more?
    4: How can we determine if she has a sore throat or not? The reason we suspect this is that she is moaning in a way that may indicate that she is hurting somewhere, and that she looks "hungry / thirsty / interested" on the bottle but then turns her head off pretty quickly after taking a few sips.

    Many thanks in advance to Johanna and Patrick

    1. Hello, what fun our blog is helpful! I can't comment on your particular child, in order to be able to do that I have to look and examine her and it does not work in blog form. However, I can try to answer your questions from a general perspective.
      1. Dehydration itself does not cause a fever. Fever aggravates dehydration as fluid losses increase. Overheating can result in both elevated body temperature and dehydration. So. The most important thing is to treat the dehydration and protect the child from overheating. For whatever reason, you should seek medical advice if, despite a fever reduction and plenty of fluid replacement, you have a lethargic child who mostly wants to sleep, who does not kiss, or when you feel strong concern that the child may be seriously ill. If your child, on the other hand, spikes, kisses big kiss diapers, can play a few moments a day and gives good contact, you can wait at home for a few days despite high fever. If the child only has a fever (> 38 degrees) without diarrhea or cold symptoms, I think it should be assessed by a doctor if the fever does not go away within three days. Important to exclude is urinary tract infection.
      2. Liquid compensation can be absolutely given even if the child does not vomit or have diarrhea. Properly mixed, it is an excellent medicine for dehydration, regardless of the cause.
      3. The daily need for fluid (basal need) is estimated to be 150 ml / kg / day for the first 0-6 kg body weight, the baby weighs more than that (up to 20 kg) you add 50 ml / kg / day. Thus, a child weighing 10 kg needs 1100 ml / kg / day. In addition, you need to compensate losses in the form of fever, diarrhea and vomiting. Remember that a large part of the fluid need is absorbed through the food.
      In theory, it is fairly easy to figure out what a child needs to get. In reality, however, it is often difficult to calculate and give a certain amount. As is well known, the child has a (often strong) own will that does not at all fit with the actual need. So: give as much fluid as possible without the baby vomiting, if you think it is dehydrated. Here is a clear description: http://doktorcecilia.wordpress.com/2013/01/22/magsjukeskolan-del-tva-den-livraddande-vatskeersattningen/.
      4. Look at the neck. Is it red, swollen, do you see white deposits on the tonsils? If you are unsure but the child has a high fever and sore throat - go to a doctor to see. We usually want to treat a bacterial flux with antibiotics.

    2. Johanna and Patrick Roos

      Thanks for the elaborate and good response! We went to a doctor with Betty yesterday, and she got some kind of penicillin against her throat (even though it wasn't throat flux). Tonight she slept much better than she did since she became ill, and since she woke up this morning (09.30!) She has appeared that she was no longer ill at all. She has been very cheerful and happy all day, and only came to rest to sleep 2 times 30 minutes, in between, played and talked. However, the temp is not down to normal. 39.4 in the morning, 37.7 in the day and 38.9 in the evening. This feels surprising given her mood, but I guess nothing to worry about as the general state is so good? With regard to fluid we struggle to get into her as much as possible, but some 1 liter (which I calculated with your table that she needs for her weight normally, and maybe even more because of the fever) is not the issue. Rather 500 ml and then we fight and offer everything possible in all types of bottles, spoon feed and syringe. Then she will surely want at least 350 ml of scabies tonight. However, she pauses as usual and shows no other symptoms of dehydration and is moody and happy as I said. Can I feel calm then? Also realize that she drinks less than 1 liter of regular days in Sweden when she is healthy. Then she gets as much water as she wants in connection with meals (which may be a total of 100 ml) as well as 250 ml during cooking and 250-350 ml during the night. Do we need to increase this and force her into normal cases as well? Thank you in advance

    3. Enough that the post is old but you are committing a serious and potentially fatal count error! 150 ml + 50 ml = 200 ml, not 1100 ml as you write! You mistakenly write 1100 ml / kg / day on a child of 10 kg which becomes 11 LITER fluid for a 10-kilo child on a day when it should be 200 ml / kg / day = 2 Liter fluid for a 10-kilo child per day!!!

  10. Very interesting reading about fever and reducing fever! I would love to see that you wrote more about what you could find in studies of whether severe fever reduction has or does not have any against fever cramps. I am more inclined to go to the child's general state for assessment of giving or waiting with Alvedon / Ipren. Do not want to give Alvedon unnecessarily if the child is well-nigh and still can play and eat etc despite sometimes high fever. My husband, on the other hand, is of a completely different opinion and cannot get enough of the child Alvedon quickly enough that it will not have fever cramps ?! Even at lower temp around 38 degrees. Would be interesting to know more about this ?!
    Also, the recommendation that you get to undress all the clothes and let it run around / or sleep in just the diaper so that it doesn't get too hot by the fever, is that correct? I myself want to wear a lot of clothes, because I often freeze when the fever rises! What advice is there on this?
    Thanks for a great page! Great reading! // three grandchildren

  11. Just want to thank you for a great and factual compilation! I am a doctor myself but for adults and find it difficult to assess every time the daughter gets a high fever.

    Thanks!

  12. Hello!
    God what a good blog! 🙂
    Just have to ask ... my son is one of those who gets fever cramps! But I read that it is unusual with 3-4 cramps or more? My son has 1-2 cramps at every fever occasion. He has had cramps for a year and fever about 6-7 times which means some cramps! Is this unusual and dangerous then?
    Thanks in advance!

    1. Children with repeated febrile seizures should consult a pediatrician for investigation and individual information. So if you haven't already been to a pediatrician: call a pediatrician and make an appointment. If you have been to one: call this doctor and ask your questions!

  13. How glad I got over your post! Do not want to give a fever reduction in "unnecessary". Have always had a belief that the body should work a little on its own - that is what it does in a fever. Still, many nurses / doctors seem to suffer a reduction in the smallest fever. That "children should not have a fever", it is too hard for their hearts / bodies .. I usually give when they get over 39 and have been told that I make mistakes that wait so long .. Feels good here afterwards that I gone after my gut feeling. Thanks oh hug!

  14. Thanks for this wonderful blog! My girlfriend linked it to me when I tried to defend that I did not go to the hospital with my 2.5 year old who had had a fever for five days. Talked to a friend who works in the emergency room and told me it was, fever up to 40.2 but the general admission was such that he ate (albeit a little and mostly ice cream :)), drank and kissed as he should, some periods during the days he played and he never lost interest in me at all.
    Her kid had also had a fever, for 6 days and it feels like something was going on as several people in the daycare also have a fever for as long. Well, several people complained to me that I would call magic in 1177 and they thought I would call VC counseling proposing that I go to the doctor with the kid even though I said he did not even have more than 37.6 in fever and was a giant girl.
    The doctor became annoyed at 1177 and the advisers at VC because it became a completely unnecessary trip for us as well. I am a worried chicken mum but not even I was worried yet people are chasing one. Well I actually had a question in all the witch too, because he still has a fever a few hours every night, and NOW I start to get a little worried 🙂 Is it normal? I mean yesterday he had 36.8 during the day and as soon as he slept for a few hours at night he was up in 40.2 again, so have been the last nights (still cough and snotty), then the fever goes down fun 4-5 time at night. And I'm frugal with Alvedon, he only got it three times (Fri, Sun, Tue night) late last Friday. Very incoherent text this but you probably list what I have written haha

    1. If he has a fever every night after such a long time and is still coughing, I would probably take him to the WC for a check so that there is no slight bacterial infection behind and ghosts. (Ear inflammation, for example)

    2. Yes I took him there on day five, the doctor listened and looked at the throat and ears. Seven nights he had a fever but tonight he got no thanks. But the cough and the leash remain. Little rubbish, can imagine how covered you would be after such a week as well, they are so strong our little ones <3

  15. Hi, I would like to know more about the studies that reduce fever does not help with fever cramps. And does this also apply to children who have ep? Sincerely, Therese

  16. It's a bit tricky to see what temp is classified as a fever, especially when the children's (and my own) normal temp is around 35.5 / 36.0 and they / we are affected at 37 / 37.5 - the so-called "normal temp".

  17. Hi… Wonderful to get good info here… One question .. Alvedon after vaccination what do you think about it… My son is 3 months got the syringe yesterday….

    1. Thanks exactly what yes did, but regret the day after when yes read a study done in 2009 which says that the children who got Alvedon had worse vaccine than see who did not get !! Got a little tired must say yes ...

    2. I have also read some such study. Still, I trust that the vaccine will produce enough effect. For me, it is important to relieve pain in children for ethical reasons.

  18. Really good and informative post! Thank you :-) Just have one thought about this with antipyretic drugs. I sometimes give the children alvedon when they have a fever, not normally but when the little boy (2 years) last had 39.5 degrees, he got it in order to be a little more vibrant and thus easier to drink and eat, which I thought worked. Is it wrong to do so? That is my first question. My second one is if it is generally stupid to try to reduce the fever, it does perform a good job, right? Right now I saw the above answer… :-) Does that mean that the first question is answered.

    1. It is widely speculated that the fever plays a function, that it should be part of the infection defense, but no one has scientifically proven it scientifically. No one, on the other hand, has shown that it would be good for the defense of infection or anything else to lower the fever either. I prefer to only give medication when it fills a function, and it does not reduce fever as long as the child drinks ok I think.

  19. Hi Cecilia, what a great blog! Ended up here after a tip from an acquaintance who perceived my concern that my three year old now had a 40 degree fever for five days (due to flu - snore, cough, headache; both the family's five year old and myself have the same but not quite as high temp). I know it's just to wait it out; last year it was the same and the health center didn't even want to receive us when she had a fever for seven days because they were so sure it was the flu. And they were right - at that time. (Although they did not believe me when I tried to get help for my own part in the same vein because of severe cough that did not give up, it turned out to be pneumonia.) A mother's reason and feeling do not always go hand in hand. Then it is great to see a wise doctor - and parents! - experiences and advice like this. So thank you!
    One question: we have been to the nursery a few times with our son when he was smaller, including when he had pneumonia. Then various doctors have said that you can give Alvedon and Ipren every other time, every 3-4 hours, when the fever is at its peak to cut the peaks and not have to come to "knockout", for a few days or a few days. So do they themselves with their children. If you say that in conversation with the medical advice, they will be completely frightened and say: no no no, stick to a variety! What do you really mean, do you think? Are there risks in doing what your colleagues suggest?

  20. Many years ago my then 6 year old son fell ill. Cried for short moments and had diarrhea that did not go over. I repeatedly sought help at VCT but was denied medical time. Referred to dietitian for diet advice. All questions were about fever and whether he ate. Did not have fever and ate. My despair grew and his tail became reddish and painful after all the diarrhea. On the 8th day he vomited up the breast milk he received early in the morning, was lethargic and had a 40 degree fever. Still, I didn't get to see a doctor. Seek desperate help through the children's clinic at the nearest laser. The first to take something was an SSK that advised me to use BVC to take a urine sample. He then had renal pelvic inflammation and in the aftermath we were forced into in-house examinations of children to exclude malformations. There was no such thing was a urinary tract infection that was not treated. Unnecessary suffering for the child and resource wastage as the cost of the country ladder became high.

    1. It is always just as sad to hear about parents who have been rejected from health care when they are worried about children's health. Wise nurse there and what a great mother you were for your child who fought you for proper care despite all the resistance.

  21. Very good summary. Good reading for new colleagues starting at the nursery and very good for parents in common! Thanks!

    / markus Nilsson
    Pediatrician CSK

  22. One question only ... You write that "Under 38.0 is not a fever." ...
    Does it really apply to everyone?

    I've always been told that the "normal-temp" is at 37-37.5 degrees in people, but both my mother, myself and my son have a "normal-temp" of 36-36.5 degrees, so when we has 38 degrees so we are usually VERY sick !!! In normal cases when I start to feel feverish my temp has instead dropped to below 36 degrees (that's when I usually feel "feverish", though I am not) before it turns and goes up ... When I passed 37, 5 I can do nothing and over 38 I am totally lowered and lying covered with a horrible chills.
    But it is not really strange considering that I have a "normal-temp" which is 1 degree below what you doctors consider normal ...

    1. I work at an emergency room and if you only knew how often I get to hear what his "normal temp" is and that they definitely hated really high fever at 37.8 degrees. We are all different! Saying "what you doctors think is normal temp" is just completely wrong. Not that the doctors in the hospitals have decided that! My temp ranges from 36.2 to 37.3 without it being anything weird. Completely normal! Women's temp also rises during ovulation.

    2. I really recognize myself in what you write! Me and my children are around 36.5 when we are healthy, we have 38 we are also very poor and bedridden. If our kids pass 37.5, it is just to stay home, because then they are bad.

  23. I have also been told to buy a thermometer and have used it once. My daughter, then 3 years old, screamed into the north and I felt it as an abuse. Never again! The inside of my wrist has always worked before, and it has to continue to do so. Should she be uncontactable or refuse water, then at first I will be worried.

  24. Hey!

    Thanks for a good and interesting blog. Continue like that. Think of the little I read that you are an extremely good pediatrician who takes both children and parents seriously, and combines this with medical knowledge.

    Sofia - leg.ssk

  25. Hey! What a pleasure to read. The daughter had a high fever last week. Measured 40.3 in the ear. First gave a fever reduction because I had previously been advised by pediatricians to give first if she could not drink. Now I have a bad conscience and thought that maybe I should have given earlier. Also, maybe the fever was higher because it is said that the ear thermometer is not completely reliable. Read on 1177 that one should seek emergency if children have more than 41 degrees and that the brain can then take damage. Thinking that maybe she had because I didn't take the temples so often because, as you say, I already knew she was feverish. So I felt worried about this and thought that I should have given a fever reduction earlier. But now that I've read what you write, I'm calmer!

    1. Sorry I missed your comment. No, the brain does not cause damage in over 41 degrees of fever. One does not need to seek emergency just for the sake of the temp. Nice that what I wrote could calm down!

  26. Very good and well written blog I think! Nice to read and nice with a knowledgeable sender (which it is not always in these contexts).
    Thank you for your effort!
    / Anna

  27. Hey!
    How do you do when your child doesn't like the sweet drink? My boy gets suffocation from juice, juice and soda.
    When I was breastfeeding (until he was 5) breast milk was always the solution. Then it could be cured 1-2 days in case of stomach ailment or high fever, now it is more difficult.

    1. Ice cream? Milk? Gruel? Small sweet biscuits or raisins in mini packets and drink more water? Fruit also contains a lot of water, melon and cucumber especially. Think about what he likes and try to get him both liquid and sugar.

  28. Thanks for your interesting post. My daughter had a very high fever about a week every month for a whole year without any other errors on her. The fever was just below or 40 degrees. Finally, the tonsils were operated on and the fever disappeared. I THINK it was the swine flu vaccine that was the trigger, because it was after the vaccination that it started. Daughter was three years old when the vaccine was taken.
    But that's good, as I said. However, I was told that now that the tonsils are gone, infections can settle around the ovaries instead, can there be any truth to that?

    1. The type of recurrent fever (high fever several days in a row without cold symptoms that recur many times) that you describe can be good to investigate through pediatric emergency room surgery (referral through a health center). There are unusual hereditary conditions that can be good to know that provide such. But if it ends after the tonsils have been removed, there is no need to investigate it further. Whether it was the swine flu vaccine or not, I was careful. You may need to contact the Swedish Medicines Agency and tell them about your suspicions, they monitor closely the suspected side effects after the swine flu vaccine and are the ones who can get an overview if many have received the same type of suspected side effect. On the other hand, I am quite sure: it is just a myth! (pretty weird and a little funny myth if you ask me 🙂)

    2. ENH doctor here. It may have been PFAPA (Periodic Fever, Apthous Stomatitis, Pharyngitis and Adenitis, about regular fever, cystitis, throat inflammation and swollen lymph nodes) that your daughter had. It is a (suspected autoimmune) disease that goes with regular sore throat and fever. Typically, it is very regular and it lasts 3-4 days regardless of whether you get antibiotics or not. You do not really know what it is due to, but it is harmless and usually grow away, or alternatively you have to operate the tonsils as in your daughter's case.

      Because it is such a nonspecific disease, it is quite difficult to determine whether it is PFAPA or something else, for example many viral infections and because it is harmless, there is also no major reason to root more in it. if you have already had the tonsils operated on!

  29. Superb well written! I share the link and hope that toddler parents read. It can alleviate a lot of anxiety and reduce "unnecessary" trips to the emergency room.
    Greetings
    Intern

    1. Thanks! I just want to point out that I want to help help parents decide when it is Good for their children to come to the nursery, and when it is not. Sometimes we can actually help, and I want all children to have the opportunity to help us when needed. But avoid a boring and potentially dangerous evening in the emergency when we can't contribute anything. (by the way, I am convinced that it is always the children who are most bored in the emergency, never the emergency)

    1. Folk education is what drives me to write this blog! Fun that a colleague from a neighboring specialty thinks I succeeded!

  30. Hi Cecilia!
    What a great blog you have! Interesting what you write about taking the temp. I reason just like you - that if my child has a fever I feel it, and see it on her. Just as in your case, it has never been wrong when I measure. However, I got scolded by the nurse at 1177 when I couldn't state exactly how many degrees it was about. "You always have to take the temples regularly to a sick child!"

    1. What a stupid nurse who scolded you! Since when did it become the task of the health service to bark at parents? Your daughter is to congratulate a wise mother!

  31. Hi.
    My daughter is, as I mentioned before, almost 9 months and so far we have been spared from everything called fever and diseases but I am afraid that that ticking bomb will soon explode ...
    How common is it with febrile seizures?
    Is it okay for me to link to you from my blog?

    1. Sure you get the link from the blog! How much you want. You can expect your baby to get cold in the first winter season in kindergarten. There it is teeming with cold virus ...

      How common is it with fever cramps? At the age of five, between two and five out of a hundred otherwise healthy children have had at least one febrile seizure. Of those who get a febrile seizure, two out of three do not get any more cramps and getting three or more fever spasms is unusual.

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