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Fever in Children
Fever is the body’s natural response to infection and is very common in children. Most fevers are due to mild viral illnesses, but a few signs mean a child needs to be seen.
Causes & risk factors
- Viral infections (colds, flu, viral fevers) — most common
- Ear, throat or chest infections
- Urine infections
- After some vaccinations (usually mild and brief)
- Dengue, typhoid or malaria in relevant seasons and areas
Common symptoms
- Raised temperature
- Feeling hot, flushed or shivery
- Tiredness and being off feeds
- Headache (older children)
- Irritability or poor sleep
- Reduced appetite
Tests & diagnosis
- Complete blood count (CBC)
- Dengue test (if suspected)
- Malaria test (if suspected)
- Widal test (typhoid)
- Urine test
Treatment & management
- Keep the child comfortable, cool and well hydrated
- Offer plenty of fluids in small, frequent amounts
- Fever-reducing medicine can be given for discomfort — doses are weight-based and must be confirmed with a doctor
- Do not overdress or sponge with cold water
- Watch closely and review if the child worsens
When to see a doctor urgently
- Any fever in a baby under 3 months — seek urgent care
- A drowsy, floppy or very irritable child, or one hard to wake — urgent
- A rash that does not fade when pressed, stiff neck or breathing difficulty — urgent
- Fever lasting more than 3-4 days, or a child not drinking or passing urine
Frequently asked questions
How high a fever is dangerous?
The number matters less than how the child looks and behaves. A child who is alert, drinking and playful is usually fine; a listless, floppy or very unwell child needs to be seen whatever the reading.
Should I always give fever medicine?
Medicine is for comfort, not to force the number down. Give it if the child is miserable, using the correct weight-based dose confirmed by a doctor, and focus on fluids and rest.
Explore more
Sources & further reading
- World Health Organization (WHO)
- MedlinePlus — U.S. National Library of Medicine
- Ministry of Health & Family Welfare, India
- Indian Council of Medical Research (ICMR)
Reviewed by Dr. Sanjay Anbu, MBBS. MedDroid is an AI medical assistant and can make mistakes. It provides general health information, not a diagnosis or medical advice — always consult a qualified clinician. In an emergency, contact your local emergency number immediately.