What Should I Do if My Baby Has a Fever of 38 Degrees Celsius?

During a baby's growth and development, changes in temperature, especially during seasonal transitions, can often lead to fever if the baby's clothing is not adjusted in time. When a baby has a fever, if the temperature does not reach 38 degrees Celsius, it is generally not necessary to administer fever-reducing medication. Instead, physical cooling methods can be used, such as applying a cold compress.

If a baby's temperature is below 38.5 degrees Celsius when they have a fever of 38 degrees Celsius, it is advisable to temporarily avoid administering fever-reducing medication and instead opt for physical cooling methods or traditional Chinese medicine to lower the fever. Physical cooling methods can include applying a local cold compress, such as placing a cold towel on the baby's forehead and replacing it every 5-10 minutes, or placing a cool water bag under the baby's head, which can also be effective. Traditional Chinese medicine options include administering pediatric medicine such as Xiaoer Chiqiao Qingre Keli or Xiaoer Ganmao Qingre Keli, which can effectively reduce low-grade fever.

If the baby's temperature continues to rise above 38.5 degrees Celsius, fever-reducing medication such as ibuprofen suspension can be administered. Additionally, it is important to identify the cause of the fever, which is often related to respiratory infections. Medications such as Pudilan Xiaoyan Koufuye and Siji Kangbingdu Heji can be prescribed for treatment. If there is an increase in white blood cell count, it may indicate a bacterial infection, and antibiotics such as pediatric cephalexin granules can be prescribed.

1. Timing of Temperature Measurement: Body temperature can vary throughout the day, with the lowest temperature typically in the morning and the highest in the afternoon or evening. Babies are no exception, especially when they are exercising, eating, or experiencing excitement, which can elevate their temperature. Therefore, it is important to measure a baby's temperature when they are completely calm or at least 30 minutes after eating to obtain accurate results.

2. Methods of Temperature Measurement: For babies under 5 years old, rectal measurement is the preferred method for temperature measurement. After 5 years old, oral or axillary temperature measurement can be used. Ear temperature measurement using an electronic thermometer is convenient but should not be used for babies under 3 years old as it requires placing the thermometer directly into the ear.

3. Observing Symptoms Beyond Fever: Babies' temperature regulation is not fully developed, so they may have a high temperature even with minor illnesses, or a lower temperature with more severe illnesses. It is important to observe the baby's overall condition, including their facial expression, demeanor, and behavior, rather than solely relying on temperature to assess the severity of illness.

4. Handling Fever Rebounds: Fever rebounds can be alarming for parents, but they can often be attributed to the immature immune system in babies. As long as the baby remains active and responsive despite the fever, there is generally no need for excessive concern. However, if the baby appears lethargic or apathetic, it may indicate a more serious illness and prompt medical attention is needed.

5. Utilizing Simple Fever Reduction Methods: Parents may sometimes overlook simple yet effective fever reduction methods such as sponge baths, wearing lightweight and breathable clothing, keeping the room cool, and ensuring adequate fluid intake.

6. When to Seek Medical Attention: While rushing to the hospital may be the immediate reaction for many parents when their baby has a fever, it is often advisable to wait and re-evaluate the situation, especially if the fever is not too high and it is late at night. Providing the baby with plenty of fluids, fruits, and ensuring regular bowel movements can help to manage the fever at home. However, if the baby's temperature remains high or rises, especially for babies of different age groups (e.g., 3 months with a temperature of 37.9 degrees Celsius, 3-6 months with 38.3 degrees Celsius, or 6-12 months with 39.4 degrees Celsius), it is recommended to seek medical attention promptly.