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Fast Fact
Most bacteria and viruses that cause infections in humans thrive best at 98.6 degrees F (37C). Raising the temperature a few degrees can give the body the winning edge. In addition, a fever activates the body's immune system, accelerating the production of white blood cells, antibodies, and many other infection-fighting agents.
Brain damage from a fever will not occur unless the fever is over 107.6 degrees F (42C) for an extended period of time.
Untreated fevers caused by infection will seldom go over 105 degrees unless the child is overdressed or trapped in a hot place. In a neurologically normal child, the brain's thermostat will stop the fever from climbing above 106 degrees F.
· About 4% of children will sometimes have seizures with fever. These febrile seizures are caused by rapid increase in temperature, not by the height of the temperature. Once a child already has a high fever and a febrile seizure, a febrile seizure is unlikely to reoccur with the current illness. In any event, typical febrile seizures are over in moments with no lasting consequences.
While 98.6 degrees F is considered the normal core body temperature, this value varies between individuals and throughout the day. The daily variation is minimal in children less than six months of age, about 1 degree in children 6 months to 2 years old, and gradually increases to 2 degrees per day by age six. A person's baseline temperature is usually highest in the evening. Body temperature, especially in children, is normally raised by physical activity, strong emotion, eating, heavy clothing, elevated room temperature, and elevated humidity. Rectal temperatures below 100.4 degrees F (38C) may be entirely normal (no fever). A rectal temperature of 100.4 or above should be considered a fever. Lower values might be a fever, depending on the child.
A fever does not necessarily need to be treated. If a child is playful and comfortable, drinking plenty of fluids, and able to sleep, fever treatment is not likely to be helpful.
Steps should be taken to lower a fever if the child is uncomfortable, vomiting, dehydrated, or having difficulty sleeping. The goal is to bring the temperature between about 100 and 102 degrees F -- not to eliminate the fever.
When trying to reduce a fever, first remove excess clothing or blankets. The environment should be comfortably cool (one layer of light weight clothing, and one lightweight blanket to sleep).
Two medicines are useful for reducing fever in children: acetaminophen (Tylenol) and ibuprofen (Children's Advil or Motrin). Acetaminophen is given every 4-6 hours, and works by turning down the brain's thermostat. Don't use under three months of age without first having the child examined by a physician. Ibuprofen is given every 6-8 hours, and helps fight the inflammation at the source of the fever. It is not approved for children under 6 months. Both medicines may be given for stubborn fevers, but be very careful about using the correct dose of each.
A lukewarm bath or sponge bath may help cool a febrile child (after medication is given -- otherwise the temperature bounces right back up). Cold baths or alcohol rubs cool the skin, but often make the situation worse by causing shivering, which raises the core body temperature.
Fever is a signal that something is going on in your child. Usually this is a minor illness, but it can be a serious infection, such as meningitis. Any child less than 90 days old with a fever should be examined by a physician right away, to rule out a serious infection (unless there was a DPT shot in the previous 24 hours). Children of any age who have a fever 104 degrees or more should also be seen, unless the fever comes down readily with treatment and the child is comfortable. Any child who has a fever and is very irritable, ill appearing, confused, has difficulty breathing, has a stiff neck, won't move an arm or leg, or who has a seizure should also be seen right away.
Even without the above symptoms, children under 6 months of age with a fever should be examined by a physician within 24 hours (again unless they just had a DPT), since they may have some infection that needs to be treated. Older children with a fever (6 to 24 months old) who are acting well and have no other symptoms should be seen if the fever lasts >48 hours (or >72 hours if they do have minor cold or flu symptoms).
I've heard of using "baby sign language" - even with hearing kids. Does it work? Does it help? Thanks so much for your input.
California
Many of the emotional meltdowns children experience between about 9 and 30 months old bubble up from the frustration of not being able to communicate. Their ideas far outstrip their language skills. The "terrible twos" are less terrible the more children learn how to get across their intense and conflicting thoughts.
Baby signs are a wonderful way to do this. Shaking the head or moving the hand is far easier to learn than the intricate manipulation of the lips, jaw, and tongue necessary for each new word. Large muscle coordination is learned before small muscle coordination - at about the same time kids want to express themselves.
Before their first birthdays, most babies are interested in learning a few high impact words: “No,” “bye-bye,” and the names of the important people and animals in their lives. Parents waving with each goodbye, shaking the head with each "no," and petting the back of the hand when talking about the kitty will make this much easier. You may also want to pick out signs to indicate each of the other family members.
The signs used by your family don't need to match anyone else's. Each sign is most effective if it is natural, simple to perform, and if everyone in the family uses both the word and the sign every time. In other words, don’t say "kitty" without petting the hand and don’t pet the hand without saying "kitty."
If you want to select new signs over the next several months, it will be important to watch and observe what your child seems to want to communicate about. Most children would like simple ways to express basic requests next, such as “I'm hungry”; “I'm thirsty”; “change me”; “pick me up”; “put me down”; or “take me outside”.
They might simply begin to touch the hand to the mouth whenever they say "eat," tilt the head back when they say "drink," and pat their bottoms when they say "diaper."
Transitions can also be tough for children at this age, so a simple sign for "all done" can be very useful (perhaps outstretched palms or tapping the wristwatch).
These very simple maneuvers create rewarding ways for parents to connect with their children. They make an already magical time even richer, deepening family bonds. As older children get involved, not only can baby signs lessen temper tantrums and frustration in the little ones, but they can ease sibling rivalry as well.
The book Baby Signs, by Linda Acredolo and Susan Goodwyn, is a terrific resource for parents with children under 3. For children who attend schools that use American Sign Language (ASL), ASL can afford the same benefits as baby signs as long as the signs are simple.
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