Introduction

Fever is common in childhood and often signals that the body is responding to an infection. A temperature of 38°C (100.4°F) or higher is generally considered a fever. The thermometer reading matters, but a child’s age, breathing, hydration and behaviour are equally important.

When to Seek Medical Help

A baby younger than 3 months with a temperature of 38°C (100.4°F) or higher needs prompt medical assessment, even if the baby appears well. For babies aged 3 to 6 months, contact a healthcare professional for fever; seek urgent advice at 39°C (102.2°F) or higher. For older children, seek advice if fever lasts more than three days, returns after improving, reaches 40°C (104°F), or the child is worsening.

Emergency Warning Signs

Seek emergency care for severe breathing difficulty, blue or grey lips, unusual drowsiness or difficulty waking, confusion, a stiff neck, a rash that does not fade when pressed, or a seizure. Do not wait for a higher temperature when these signs appear.

Care at Home

Offer fluids frequently and continue breastmilk or formula for babies. Watch for fewer wet nappies or less urination, a dry mouth, sunken eyes, or no tears. Dress the child comfortably and check on them regularly. Record the temperature, measurement method, symptoms and medicines given so you can share accurate details during a medical consultation. If they are distressed, ask a clinician or pharmacist about an age-appropriate fever medicine and the correct dose. Do not give aspirin to children or alternate medicines unless advised by a healthcare professional.

Conclusion

Most childhood fevers improve with supportive care, but children can become more unwell. Observe how your child responds, drinks and breathes. If you are worried, seek medical advice sooner rather than relying on the temperature alone.