Patient's question:
My baby has had a fever for a day. Using Motrin only works for 8 hours. How can I determine if the baby's fever is caused by indigestion?First follow-up question: How do I reply to the audio? The green arrow doesn't work. There's also a small black arrow pointing up next to it.
Doctor's answer:
Hello! First of all, I wish your child a speedy recovery! Below, I will discuss "childhood fever."1) Temperature Monitoring—Measure the temperature every 4 hours. For high-temperature children, measure it every 1–2 hours. If excessive sweating, pale complexion, or weakness occurs after taking fever-reducing medication, promptly offer oral rehydration solution and contact a doctor.
2) Environment—Keep it clean and quiet, with a temperature of 18–20°C. Ventilate the room at least once a day (by moving the child to another room) to reduce the concentration of pathogens in the air. Minimize visits from relatives and friends to prevent cross-infection, which also helps the child rest.
3) Physical Cooling—This is a reusable, safe, and effective cooling measure, suitable for early home care for high fever or a history of febrile seizures. It includes the following methods:
1. Cold compress on the head or using an ice bag as a head pillow.
2. Warm water bath—Note: The water temperature should not be too cold or too hot. When adding water during the bath, stir it away from the child. Stop immediately if the child’s condition worsens or if there are abnormalities in mental state, complexion, or breathing.
3. Warm towel compress—Soak a large towel in water around 30°C and wrap it around the child’s body, leaving only the face and soles exposed for about 10 minutes. Follow the same precautions as above.
4. Alcohol bath—Use 30–50° alcohol, dampen it with gauze, and wipe the body in the following order: Upper limbs: armpit (one side) → upper arm (outer side) → forearm; armpit → upper arm (inner side) → palm; Lower limbs: hip (one side) → thigh (outer side) → sole; groin → thigh (inner side).
4) Medication Cooling—Use antipyretics as prescribed by a doctor.
1. Nasal administration of Metamizole, suitable for children under 6 months.
2. Oral antipyretics, such as Acetaminophen or Tylenol.
3. Intravenous antipyretic drugs, such as Lysine Penicillin.
Note: All antipyretic medications must be used as prescribed by a doctor, with at least 4 hours between doses (for children with febrile seizures, follow medical advice). Newborns should not receive antipyretics (only physical cooling is needed). Measure the temperature 40 minutes after medication to check its effectiveness.
5) Visit a Pediatric Hospital—Monitor the child’s mental state, condition, complexion, and breathing. For children with diarrhea, collect stool samples for laboratory testing.
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