High temperature in a child: what should parents do? When a child has a temperature what to do What to do if a child has a temperature

Good day, young mothers and fathers!

All parents always want to see their beloved child cheerful and healthy. But, sometimes such difficult days come when he suddenly becomes sad, lethargic, pale, capricious, refuses to eat ....

At the very first signs of a slight malaise in a baby, we always touch the child’s forehead and try to measure his temperature. And of course this is correct! What to do when a child has a temperature of 38?

Some mothers, when they see the number 38 on the thermometer, begin to cry, while others fall into a state of "stupor".

Not all parents know how to do the right thing when the baby has a high temperature. Let's look into this problem together.

What factors cause hyperthermia?

• causative agents of viral infections
• pathogens of bacterial infections
• overheat
• heatstroke
• eruption of the first teeth in children under 1 year old
• intestinal infections (dysentery, salmonellosis)
• neuroinfections (meningitis, encephalitis)
• insect bites
• response to vaccinations (vaccinations against whooping cough or measles, influenza)
• childhood infections (measles, chickenpox, scarlet fever)
• consequences nervous excitement
• intracranial injury
• tumor processes
• urinary tract infections
• endocrine diseases
• taking certain medications

As we can see, there are a huge number of reasons that can cause a fever in a child. The correct diagnosis can only be made by a pediatrician after a thorough examination of the patient and additional examinations.

What is sick child?

Very rarely, an increase in temperature in babies up to 38 degrees occurs without symptoms. In acute respiratory diseases, there is a sharp increase in the child's body temperature to high numbers.

Influenza and SARS, as a rule, are accompanied by a runny nose and cough, sore throat, shortness of breath, and lacrimation. When examining a baby, you can see nasal congestion or snot discharge, redness of the back of the throat. In these cases, hyperthermia lasts for several days (on average 3-4 days).

If the baby's first milk teeth are cut, then he is very restless, crying, his gums are swollen, his throat is not red. Some babies may have diarrhea during teething (2-3 times).

Heatstroke

During the summer holidays, a lot of young mothers take their children at the age of one year to the sea. On planes flying to Turkey and Egypt, you can often see babies in strollers.

Modern mothers do not want to lag behind life in maternity leave and try to travel with their babies around the world. But very often such a vacation can turn into a tragedy. In young children, thermoregulation systems are not yet perfect, they easily overheat. Increased solar insolation can simply burn the delicate skin of a child. With heat and sunstroke, a child may experience nausea, vomiting, and in severe cases, loss of consciousness, depression of cardiac and respiratory activity.

A newborn can overheat in a stuffy room, in summer, dressed in a large number of diaper.

Tactics of parents with a high temperature in a child

1. Urgently call a doctor
2. According to most pediatricians, it is not recommended to reduce body temperature to 38.5 degrees with medications, because the child's body turns on its defense mechanisms, produces antibodies and thus fights the infection itself
3. Parents should ventilate the room more often, exclude sound and light stimuli
4. Limit the number of adults and young children around a sick child
5. Give the baby plenty of fluids (boiled water, compote of raspberries, raisins, chamomile tea)
6. If your baby is on breastfeeding it is necessary to offer him a breast or give a few drops of expressed milk, which contains useful immunoglobulins and antibodies
7. Do not apply ice to the child's head or do enemas with cold water
8. It is necessary to feed the child easily digestible food (vegetable puree)
9. If the baby is very lethargic and pale, then you can give him an antipyretic drug in the form of a candle or in syrup
10. Rubbing the skin with warm water (you can’t use diluted vinegar or vodka, as you can dry the baby’s delicate skin and cause toxic poisoning).

What to do if the child has a temperature for several days?

When a child's temperature rises to 38 degrees, many parents begin to panic, especially if it lasts for 2-3 days.

In this situation, it is necessary to understand that the resources of the baby are not unlimited, and more effective measures must be taken. Your doctor may prescribe antibiotics or antiviral medications for your baby.

Why is high temperature dangerous?

Hyperthermia in infants can provoke convulsions. You should always remember that if the baby, in addition to the temperature, has vomiting and diarrhea, this can lead to rapid dehydration of the child's body and the consequences can be unpredictable.

If a baby at the age of 1 month has an increase in temperature to 38 degrees, which lasts for several days, and there are no clinical symptoms of diseases, then he is shown hospitalization in an infectious diseases hospital, where a thorough examination and treatment will be carried out.

Young parents always have many questions about the proper upbringing and health of the baby. You can find a lot of useful information in specialized literature and video courses. Webinar “Hardening. Treatment of acute conditions (runny nose, cough, etc.) with non-drug methods ”can help you with this.

chesnachki.ru

What to do when a child has a high temperature?

Good afternoon, dear readers!

You must have dealt with fever in your children. What to do when a child has a high temperature? What thermometer readings should be considered normal for babies?

Parents do not always have answers to all these and similar questions. But with a fever in babies, you need to act quickly and without delay, otherwise it will be too late. What can we as parents do for our children?

What thermometer readings should be considered normal?

Readers will probably answer this question in unison: 36.6 degrees. But this is the case if the temperature is measured in the child's armpit. This is the traditional accepted way of measuring. You can use an electronic thermometer by taking measurements rectally or orally.

In this case, the result will be a degree higher. Did not know? An electronic thermometer is convenient to use for babies: the result will be ready in a minute. However, the downside is the fact that the measurements will not always be accurate.

If measurements are taken in newborns, then the indicators can range from 37 to 37.4 degrees. How to understand that a child is sick? Should I give him an antipyretic?

You and I, dear readers, are well aware of how uncomfortable it can be for both an adult and a baby at a high temperature:

• chills appear;
• activity decreases;
• cold hands and feet;
• breathing is difficult;
• the skin takes on a bluish tint.

These are the signs that should make you Dear Parents, seriously worry about the health of the child and be sure to consult a doctor. In infants, all processes in the body proceed much faster, and delay can lead to serious consequences.

Why does fever occur?

An infectious disease is usually accompanied by additional symptoms: runny nose, pain in the abdomen, heart, cough, etc. Often a sore throat gives high thermometer readings, while the baby’s throat will be bright red, and swallowing is difficult.

How to bring down the temperature with medication

First, all parents should remember that antipyretic drugs do not cure, but only allow them to calmly wait for the doctor to arrive and alleviate the child's condition.

When can you take medication? Doctors advise giving infants antipyretic drugs when the temperature reaches 38.5-39. After 38 degrees, the body begins to produce interferon, which has a detrimental effect on viruses.

And a temperature above 39 degrees can threaten with hyperthermia, in which convulsions, vasospasms, etc. occur.

What drugs can we, as parents, use to alleviate the condition of the crumbs? It can be paracetamol in the form of rectal suppositories, syrup or suspension. Well brings down the temperature "Nurofen", which includes ibuprofen.

The pharmacy can advise you on a wide variety of antipyretic drugs. Be sure to pay attention to the age of the child from which they can be used.

If the temperature does not drop, call ambulance. Doctors know what injection can be given to children in order to cause a significant decrease in thermometer readings.

Folk remedies to help

If there were no antipyretic drugs at hand, and it is temporarily not possible to buy them, use folk remedies. What, you ask?

Remember how your grandmother treated you as a child:

• rubbing with warm water;
• applying a towel soaked in cold water to the armpits or inguinal cavities;
• drinking plenty of warm compote of raisins or dried fruits (for babies from a year old);
• ventilation and humidification.

Quite often, parents resort to what is absolutely impossible to do:

• do not rub the child with alcohol: you can only increase intoxication;
• do not wet the entire body of the baby with cold water, which will lead to vasospasm;
• do not wrap children up and do not give them hot drinks.

When all measures have been taken to reduce the temperature, it's time to wait for the arrival of the doctor. I hope you didn't forget to call him?

If you want to learn more about how to reset a high temperature in a baby, I advise you to watch the video "System child health from A to Z". It's for real helpful information for young parents!

chesnachki.ru

The child is often sick, what should I do? Temperature in a child - doctor's advice.

Many mothers have a prejudice imposed by pediatricians that high fever is bad, it's scary, it threatens with convulsions, and it needs to be knocked down as soon as possible with Panadol or other antipyretics. Yes, the temperature in a child is serious, and indeed, some children develop convulsions, but the percentage of such children is small, and they develop convulsions for a reason related to the state of their brain and central nervous system. nervous system. As a rule, such children have a disturbance in the functioning of the nervous system, and against the background of high temperature, it makes itself felt in the form of convulsions. Diseases of the nervous system need to be treated and this is a separate issue. Here I just want to emphasize that most children do not develop seizures when they have a high temperature!

A temperature reaction is not a disease as such, it is a reflection of disease processes in the body, a response to an inflammatory process, it is a sign that the child's body has encountered microbes, viruses and toxins, and is working in a more intensive mode to expel these microbes, viruses and toxins from the body. This is an attempt by the body to cope with a threatening situation and win. An increase in body temperature to 40 degrees threatens the growth and survival of some bacteria and viruses, at this moment the bactericidal activity of leukocytes increases, the formation of interferon increases.

If we intervene and begin to suppress, try to reduce the high temperature, it turns out that we do not allow the child's body to fight and develop immunity.

Often ill children treated with medicines are constantly brought to me, these children do not have the ability to fight microorganisms on their own, their immunity does not work, they all get sick as one without a high temperature, usually their temperature reaction does not rise above 37 degrees. That is, they get sick sluggishly and for a long time and cannot do without antibiotics. Such children respond very well to homeopathic treatment, in fact, homeopathic treatment helps to restore immunity and recover without antibiotics.

Children with good immunity quickly develop a high temperature, lie in a fever, burn like a candle, but with the right measures without giving antipyretic drugs, they quickly recover without serious consequences and residual effects.

In homeopathy there is a division into health groups according to Vithoulkas. Children who get sick with a high temperature, violently, but quickly and recover easily, without consequences for the body, belong to the first group of health.

Children who are ill sluggishly, for a long time, with residual symptoms, in which the temperature does not rise above 38 degrees, belong to the second health group. And children who do not have a high temperature at all when they are sick, or it rises only to 37 degrees, these are children who have chronic illnesses and several diagnoses, their health level goes down to the third step.

And the goal of a homeopathic doctor is to raise a frequently ill child from 2-3 health groups to the first, and when the child has a high temperature, and more pronounced colds, for a homeopath this is a reason for joy, which means that the immune system began to work and strengthened, and the child becomes healthier! For immunity, children are prescribed homeopathic medicines, vitamins and the correct regimen. I always give advice to parents on improving the health of children based on an integrated approach.

But then the child fell ill, the temperature rose. What should be done when the child has a temperature? Here are my recommendations:

1. Leave the child at home, organize bed rest for him. True, not all children obediently lie during the temperature, some restless children continue to play. In this case, you should not force them to lie in bed, but the environment for them should be safe: it should be calm and warm.
2. Make sure your child is drinking plenty of water and make sure he drinks well. It can be water, herbal teas that have a diaphoretic and diuretic effect, for example, tea with raspberries and honey, linden tea, ginger tea, a drink with lemon, fruit drink, compote. Drinking plenty of water makes the kidneys work more actively and remove toxins and waste products from the body.
3. Give your child natural vitamin C (from 1 to 3-4 grams per day). These are shock doses that enhance immunity. Vitamin C is water-soluble, so excess is easily excreted from the body, so you should not be afraid of an overdose. A sign that the child has taken an extra dose of vitamin C will be loose stools (diarrhea), in which case the daily dose of vitamin C can be slightly reduced. But usually the child's body absorbs natural vitamins perfectly and does not give any reactions, except for one ... it recovers faster!
4. To teach a child to gargle, a simple mechanical flushing of microbes from the mucous membrane and plaque from the tonsils is also important for recovery.
5. Feed the child on demand, do not overfeed him, do not force him to eat if he does not want to. You can offer your child fruit or some freshly squeezed juice.
6. In some cases, it is useful to make compresses on the head or externally cool the body by wiping it with a damp sponge or napkin.

From homeopathy, you can give such drugs as: Aconite, Belladonna, Bryonia, Ferrum phosphoricum, Rus toxicodendron, Eupatorium perfoliatum, Arnica.

Aconite - When body temperature rises suddenly and remains high, dry burning heat from head and face travels down body. There is worry and anxiety, panic and fear. When the child lies, his face is red, when he rises, his face turns pale. Strong thirst. The fever came on after walking in a dry cold wind, after being chilled, or after a sudden fright.

Belladonna - when there is intense heat with great thirst and desire for cold water, which seems too cold. Constant dry heat, in which only the head perspires. But there may be cold extremities. Cracking headache with violent throbbing of the carotid arteries, dilated pupils, very pale face, delirium and restlessness. The child cannot stand being opened, is sensitive to light, noise and bed shaking. The tongue is red, dry, red at the edges, furred in the center. The cause of fever is a cold, draft, cooling of the head after washing or cutting hair.

Bryonia - dry, burning internal heat, with dry mouth and great thirst. Sudden sharp headaches and pains in the chest, which are aggravated by inhalation and movement. Bitterness in the mouth, tongue coated with a thick yellow coating. The child seeks peace and wants not to be touched. Fever comes on from getting wet, from cold drinks, from drinking in heat. Children do not want to be picked up and carried around.

Ferrum Phosphoricum - given in the initial period of fever and inflammation, the patient catches cold easily, feels sore with a feeling of bruising in the chest, shoulders and muscles, great exhaustion, can hardly move, throbbing headache, combined with sensitivity of the scalp, sweating stops. Fever without a specific localization or individualizing symptoms. Tonsillitis, pharyngitis, laryngitis, otitis media. The child is thirsty, wants cold drinks.

Arnica - heat in the upper half of the body, cold in the lower. Dry heat in the body, with apathy, great debility. When the heat becomes unbearable, the child tries to open up, opening up - it freezes. No matter what the child lies on, everything seems solid to him. The whole body hurts, as if beaten.

Eupatorium perfoliatum - severe dull pain in the body, aching, as if the bones were broken. Thirst or nausea, then violent terrific chill. Vomiting of bitterness during chills or during fever is possible. Burning heat. Sweat relieves all symptoms except headache.

Gelsemium - The chill is accompanied by dull pains, aching and lethargy, appears with or alternates with heat, the chill extends up and down the back. Cold hands and feet. The fever is accompanied by drowsiness. Thirst is absent. Cold sweat.

Chamomilla - heat with little thirst. Prolonged fever, the patient starts in his sleep. Heat and chill at the same time, one cheek red, the other pale. Strong excitement, anxiety, irritability, the child asks to be held. Fever can be caused by anger. Or related to teething.

Of the complex preparations in our pharmacy there is Grippax. This complex contains several components for the treatment of fever in low dosages. These are Aconite, Bryonia, Arnica, Belladonna, Phosphorus, Ferrum phosphoricum.

And then there is the homeopathic triad Aconite / Chamomilla / Belladonna 30c, also a remedy for the treatment of conditions accompanied by fever.

If your child is sick, he has a fever, use my recommendations, and after the child recovers, take on strengthening the immune system. If your child is often sick, do not rush to feed him with antibiotics or other strong medicines, try homeopathy!

Come to me for an appointment, together with you we will help your baby become stronger and healthier, and exclusively with the help of natural remedies!

You can book an appointment with me here...

balausa-kz.com

What to do with a high temperature in a child | Themselves Doctors

Is there any benefit to high temperatures? Undoubtedly! Fever is a response to infection, a protective mechanism that helps the body fight viruses, with an increase in body temperature, protective factors are produced in the body.

How and when to bring down the temperature of a child

• knock down, if above 39 degrees, your task is to reduce the temperature to 38.9 C in the ass (38.5 C in the armpit).
• to reduce the temperature, use paracetamol (acetaminophen), ibuprofen. Never use aspirin, especially if your child has chickenpox.
• undress the child (do not wrap!). Don't forget the cool, fresh air in the room.
• cool baths can also be used to lower the temperature (water temperature corresponds to normal body temperature).
• do not use alcohol wipes, especially on young children. Remember, alcohol is poison for a child.

Why don't paracetamol and ibuprofen always work?

The fact is that all drugs in pediatric practice are calculated on the weight of a particular child. The drugs must be taken, correctly calculating the dose for the weight of a particular child, using special measuring syringes Manufacturers, especially cheap paracetamols, for some reason underestimate the doses, and focusing on the recommendation - "from 6 months to 3 years" is also not reasonable, since one cannot the dose of the drug is suitable for a child weighing from 8 to 18 kg.

How to take antipyretics correctly? (We calculate the dose of the drug)

Paracetamol (Panadol, Efferalgan, Cefekon D) single dose of the drug - 15 mg / kg. That is, for a child weighing 10 kg, a single dose will be 10 kg x 15 = 150 mg. For a child weighing 15 kg - 15 x 15 = 225 mg. This dose can be given up to 4 times a day if needed.

Ibuprofen (nurofen, ibufen) Single dose of the drug 10 mg/kg. That is, a child weighing 8 kg needs 80 mg, and weighing 20 kg - 200 mg. The drug can be given no more than 3 times a day.

The drugs reduce the temperature within an hour and a half, by about 1-1.5 degrees, one should not expect a decrease in temperature to the “normal” of 36.6.

samidoktora.ru

The child has a high temperature ... what should I do?

When such a situation arises in the family, panic often occurs, especially if the child is very small. It is important to know the rules for lowering the temperature and learn to understand when emergency medical intervention is needed.

In the first few days of life, the body temperature of a newborn may be slightly elevated (37.0-37.4 C in the armpit). By the year it is set within the normal range: 36.0-37.0 degrees C (usually 36.6 degrees C).

Increased body temperature (fever) is a general defensive reaction of the body in response to a disease or injury. In modern medicine, there is a distinction between fever caused by infectious diseases and non-infectious causes (damage to the central nervous system, neuroses, mental disorders, hormonal diseases, burns, injuries, allergic diseases, etc.).

The most common is infectious fever. It develops in response to the action of pyrogens (from the Greek pyros - fire, pyretos - heat) - substances that increase body temperature. Pyrogens are divided into exogenous (external) and endogenous (internal). Bacteria, entering the body, actively multiply and in the process of their vital activity, various toxic substances are released. Some of them, which are external pyrogens (introduced into the body from outside), are able to increase the temperature of the human body. Internal pyrogens are synthesized directly by the human body itself (leukocytes - blood cells, liver cells) in response to the introduction of foreign agents (bacteria, etc.).

In the brain, along with the centers of salivation, respiratory, etc. there is a thermoregulation center, "tuned" to a constant temperature of the internal organs. During illness, under the influence of internal and external pyrogens, thermoregulation "switches" to a new, higher temperature level.

Elevated temperature in infectious diseases is a protective reaction of the body. Against its background, interferons, antibodies are synthesized, the ability of leukocytes to absorb and destroy foreign cells is stimulated, and the protective properties of the liver are activated. In most infections, the maximum temperature is set within 39.0-39.5 C. Due to the high temperature, microorganisms reduce their reproduction rate and lose their ability to cause diseases.

How to measure temperature correctly?

It is advisable that the baby has his own personal thermometer. Before each use, do not forget to wipe it with alcohol or warm water and soap.

To find out what indicators are normal for your baby, measure his temperature when he is healthy and calm. It is advisable to measure it under the armpit and in the rectum. Do this in the morning, afternoon and evening.

If the baby is sick, measure the temperature three times a day: morning, afternoon and evening. Every day at about the same time throughout the illness, this is especially important for children at risk. Record the measurement results. According to the temperature diary, the doctor can judge the course of the disease.

Do not take the temperature under the covers (if the newborn is tightly wrapped, his temperature may rise very much). Do not measure the temperature if the baby is scared, crying, overly excited, let him calm down.

What areas of the body can be measured?

Temperature can be measured in the armpit, groin, and rectum, but not in the mouth. The exception is temperature measurement with a dummy thermometer. Rectal temperature (measured in the rectum) is approximately 0.5 degrees C above oral (measured in the mouth) and a degree above axillary or inguinal. In the same child, this variation can be quite large. For example: the normal temperature in the armpit or inguinal fold is 36.6 degrees C; normal temperature measured in the mouth, 37.1 degrees C; the normal temperature measured in the rectum is 37.6 degrees C.

A temperature slightly above the generally accepted norm can be an individual feature of the baby. Evening readings are usually several hundredths of a degree higher than morning readings. The temperature may rise due to overheating, emotional arousal, increased physical activity.

Measuring the temperature in the rectum is convenient only for small children. A five-six-month-old baby will deftly turn out and will not let you do this. In addition, this method can be unpleasant for the child.

An electronic thermometer is most suitable for measuring rectal temperature, which allows you to do this very quickly: you will get the result in just one minute.

So, take a thermometer (previously shake off the mercury to a mark below 36 degrees C), lubricate its tip with baby cream. Put the baby on the back, raise his legs (as if you were washing him), with the other hand, carefully insert the thermometer into the anus by about 2 cm. Fix the thermometer between two fingers (like a cigarette), and squeeze the baby's buttocks with your other fingers.

In the groin and in the armpit, the temperature is measured with a glass mercury thermometer. You will receive the result in 10 minutes.

Shake the thermometer down to below 36.0 degrees C. Dry the skin in the folds, as the moisture cools the mercury. To measure the temperature in the groin, lay the baby on the barrel. If you are taking underarm measurements, sit him on your lap or pick him up and walk around the room with him. Place the thermometer so that the tip is entirely in the skin fold, then with your hand press the baby's handle (leg) to the body.

What temperature should be lowered?

If your child is ill and has a fever, be sure to call a doctor who will diagnose, prescribe treatment and explain how to carry it out.

The exception is children at risk who previously had convulsions against a background of elevated temperature, children in the first two months of life (at this age, all diseases are dangerous due to their rapid development and a sharp deterioration in their general condition), children with neurological diseases, chronic diseases of the circulatory system, respiratory with hereditary metabolic diseases. Such babies, already at a temperature of 37.1 degrees C, should immediately be given antipyretic drugs.

In addition, if a child’s condition worsens against a background of a temperature that has not reached 39.0 degrees C, chills, muscle pain, and pallor of the skin are noted, then antipyretic drugs should be taken immediately.

In addition, fever exhausts and depletes the body's capabilities and can be complicated by hyperthermic syndrome (a variant of fever, in which there is a violation of the functions of all organs and systems - convulsions, loss of consciousness, respiratory and cardiac disorders, etc.). This condition requires urgent medical attention.

How to lower the temperature?

The child should be kept cool. Warming a child with a high temperature with blankets, warm clothes, a heater installed in the room is dangerous. These measures can lead to heat stroke if the temperature rises to dangerous levels. Dress a sick child lightly so that excess heat leaves without hindrance and maintain the temperature in the room at 20-21 degrees C (if necessary, you can use an air conditioner or fan without directing a stream of air at the child).

Since high temperatures increase the loss of fluid through the skin, the child must be given plenty of water. Older children should be offered diluted fruit juices as often as possible and juicy fruit, water. Babies should be breastfed or given water more often. Encourage small amounts (from a teaspoon) to drink frequently, but don't force the child. If the child refuses to take liquid for several hours a day, inform the doctor.

Rubbing.

It is used as an adjuvant in combination with other measures to reduce temperature or in cases where antipyretic drugs are not available. Sponging is indicated only for those children who have not previously had seizures, especially against the background of fever, or there are no neurological diseases.

For rubbing, use warm water, the temperature of which is close to body temperature. Cool or cold water or alcohol (once used for fever-reducing rubdowns) can cause not a decrease, but an increase in temperature and provoke trembling, which tells the "confused" body that it is necessary not to reduce, but to increase the release of heat. In addition, inhaling alcohol vapors is harmful. Using hot water also raises body temperature and, like wrapping up, can cause heat stroke.

Before starting the procedure, dip three rags into a bowl or basin of water. Put an oilcloth on the bed or on your knees, a terry towel over it, and a child on it. Undress the child and cover him with a sheet or diaper. Wring out one of the cloths so that water does not drip from it, fold it and place it on the child's forehead. When the cloth dries, it should be wetted again.

Take the second cloth and start gently wiping the baby's skin, moving from the periphery to the center. Pay special attention to the feet, shins, popliteal folds, inguinal folds, hands, elbows, armpits, neck, face. Blood rushed to the surface of the skin with light friction will be cooled by the evaporation of water from the surface of the body. Continue wiping the baby, changing cloths as needed, for at least twenty to thirty minutes (this is how long it takes to lower body temperature). If the water in the basin cools during the wiping process, add some warm water to it.

You can freeze water in small vials in advance and, after wrapping them in a diaper, apply to areas where large vessels are located: inguinal, axillary areas.

The use of antipyretics.

The drugs of choice for fever in children are PARACETAMOL and IBUPROFEN (trade names for these drugs can be very diverse). Ibuprofen is recommended in cases where paracetamol is contraindicated or ineffective. A longer and more pronounced decrease in temperature was noted after the use of IBUPROFEN than after PARACETAMOL.

AMIDOPIRINE, ANTIPIRINE, PHENACETINE are excluded from the list of antipyretics due to their toxicity.

Acetylsalicylic acid (ASPIRIN) is prohibited for use in children under 15 years of age.

The widespread use of METAMIZOL (ANALGIN) as an antipyretic is not recommended by WHO, because it inhibits hematopoiesis, can cause serious allergic reactions (anaphylactic shock). A prolonged loss of consciousness is possible with a decrease in temperature to 35.0-34.5 degrees C. The appointment of METAMIZOL (ANALGIN) is possible only in cases of intolerance to the drugs of choice or if intramuscular administration is necessary, which should only be carried out by a doctor.

When choosing the form of the drug (liquid medicine, syrup, chewable tablets, suppositories), it should be borne in mind that drugs in solution or syrup act after 20-30 minutes, in suppositories - after 30-45 minutes, but their effect is longer. Candles can be used in a situation where the child vomits when taking liquid or refuses to drink medicine. Candles are best used after a child's bowel movements, they are convenient to enter at night.

Medicines in the form of sweet syrups or chewable tablets can be allergic due to flavorings and other additives. The active substances themselves can also cause an allergic reaction, so you need to be especially careful when taking it for the first time.

If you are giving your child medications, especially those related to dosages for certain ages, you should carefully read the instructions so as not to exceed the recommended dose. Keep in mind that the doctor may change the dosage for your child.

When applied sequentially different forms the same medicine (suppositories, syrups, chewable tablets) must be summed up all the doses received by the child in order to avoid an overdose. Re-use of the drug is possible no earlier than 4-5 hours after the first dose and only if the temperature rises to high levels.

The effectiveness of a particular antipyretic is individual and depends on the individual child.

What not to do if your child has a fever

Do not force the baby to lie down. A truly sick child will be in his own crib. If your baby wants to get out of it, it is quite possible to allow him to do something calm. Try not to allow excessive activity: this can lead to an increase in temperature.

Don't give your child an enema unless a doctor has specifically ordered one.

Do not dress or cover your child too warmly.

Do not cover the baby with a wet towel or wet sheet: this may interfere with heat transfer through the skin.

When is it necessary to call the doctor again for the baby?

The measured temperature in the armpit was 39.0-39.5 degrees C, the rectal temperature exceeded 40.0 degrees C.

The child has had convulsions for the first time (the body is tense, the eyes roll back, the limbs twitch).

The child cries inconsolably, cries out in pain when touched or moved, groans, does not respond to external stimuli, or his body goes limp.

The child has purple spots on the skin.

The child has difficulty breathing even after you have cleared his nasal passages.

The child's neck seems tense, and he does not allow him to bend his chin to his chest.

The onset of a fever follows exposure to an external source of heat, such as being in the sun on a hot day or inside a car on a hot day. Heat stroke is possible and requires immediate medical attention.

A sudden rise in temperature occurred in a child with a slight fever, but too warmly dressed or wrapped in blankets. It should be treated like heatstroke.

The doctor told you to report immediately if the child develops a fever.

It seems to you that the child has something serious, although you find it difficult to say why you decided so.

The child has exacerbated chronic diseases (diseases of the heart, kidneys, neurological disease, etc.).

The child is dehydrated, which can be seen by such signs as: rare urination, dark yellow urine, a small amount of saliva, tears, sunken eyes.

The child's behavior seems atypical: he is unusually moody, lethargic or excessively sleepy, cannot sleep, is sensitive to light, cries more than usual, refuses to eat, pulls his ears.

A child has had a low temperature for several days and then suddenly rises sharply, or a child with a cold that started a few days ago suddenly develops a fever. Such fever may indicate a secondary infection, such as otitis media or strep throat.

Fever does not decrease with medication.

The temperature of 37.0-38.0 degrees C persists for a long time (more than a week).

The fever lasts for more than a day without any other signs of illness.

In all these cases, you must contact the doctor even in the middle of the night or go to the "Ambulance" point.

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A child's illness is a kind of strength test for parents. It is important not to panic, but to take the right actions that will help the child quickly cope with the painful condition and will not delay recovery for a long time. First of all, this concerns the most common problem in diseases - temperature.

So what should you do if your child has a fever? First, it is important to identify the cause.

Causes of fever in a child

There are several causes of a feverish state.

Overheating

It occurs when the child is dressed too warmly at high air temperature. In addition, as you know, children love active activities, which also lead to an increase in body temperature. That is why overheating is not uncommon for children.

Overheating has practically no symptoms visible to the eye. Sometimes the baby's face turns red, while he himself looks tired, or vice versa, too restless.?

Overheating in a child is the cause of temperature, it happens both in summer and in winter

First aid for overheating is to protect the child from exposure to heat. Ventilate the room, remove all warm clothing and wipe the skin with cool water. Do not forget to provide your child with plenty of fluids, and throughout the next day.

If the cause of the temperature was really overheating, then the heat will pass within an hour. If the child's condition has not changed, the cause of the fever must be sought elsewhere.?

Teething

Teeth erupt at the age of 5 months to 2.5 years. The second period takes place at the age of 5-7 - at this time, molars begin to be cut in children.

If your child is in this age range and no additional symptoms of a fever are present, it is likely that teething is the cause of the fever. This can be accurately determined by the following signs:

• the child has inflamed gums;
• your baby constantly pulls into his mouth everything that comes to his hand;
• there is a loss of appetite.

In this situation, you should not panic: a couple of days after teething, the fever will subside by itself. However, do not forget that teething gives the child severe discomfort and pain, especially when it comes to fangs. You can help relieve your child's condition by using gum gels that relieve pain, as well as by ensuring that he rests and drinks plenty of fluids.

Teething is the cause of fever

infections

Infections are almost always accompanied by fever. You can determine the nature of the infection by the accompanying symptoms.

• Acute stomatitis is an infection that affects the mucous membrane of the mouth. In this case, ulcers and vesicles are observed in the mouth.
• Acute otitis media occurs when there is inflammation in the ear. Ear pain indicates this infection.
• Angina is a disease, the main symptom of which is a white coating on the tonsils, as well as pain in the throat. Occurs only in children older than one year.
• Pharyngitis is an infection accompanied by ulcers, a rash, and a red larynx.
• Bronchitis is a disease of the respiratory tract, accompanied by cough and sore throat, as well as general weakness.
• The flu is a common cause of fever in children. The infection strikes Airways. Symptoms: runny nose, cough, body aches, chills, headache and eye pain.
• ARVI or the common cold is characterized by subfertile fever, that is, a long-lasting temperature at 37-38 degrees. Do not forget about the typical symptoms of a cold: cough, snot and red throat.

Influenza in children is always accompanied by fever

In addition to the diseases described above, there are many other infections that affect various organs. In rare cases, the temperature can rise even in atypical situations for this: for example, with allergies or food poisoning. In addition, sometimes the causes of fever are associated with pathologies (example: - pathological inflammation of the tonsils). And if the baby has a stomachache in addition to the temperature, then this can generally be an indicator of appendicitis.

In any case, you should not make a diagnosis yourself.

Call a doctor who will accurately determine the nature of the disease and prescribe the necessary treatment. Otherwise, with improper treatment, a complication may occur, leading to worse consequences.?

Do I need to lower the temperature

Most pediatricians agree that the temperature should not be brought down until it has risen above 39 degrees. The fact is that fever indicates the fight against infection and the work of the immune system. However, when raised above 39 degrees, it can already be dangerous for the child, so it must be knocked down.

In children under 2 years old, this threshold is even lower - they need to bring down the temperature above 38 degrees. In addition, if the body loses fluid (due to vomiting or diarrhea), it is necessary to bring down the fever, even if the child has a temperature of only 37.

How to lower the temperature

When the child’s temperature rises above 40 degrees, the question “what to do” should no longer arise. You need to immediately call an ambulance, since the temperature is above 40 degrees - this is already a danger to the life of the baby. The same should be done if convulsions begin at a temperature in a child.

How to lower the temperature

If you have come to the conclusion that the temperature needs to be brought down, then the following methods will help you.

• Ventilate the room, keeping the temperature at 20 degrees (both day and night).
• Maintain humidity around 60%. This can be done with a special humidifier, or by hanging wet towels near the baby.
• Give your child plenty of fluids: water, tea, fruit drink, etc.
• Don't overfeed him if he doesn't want to eat.
• Dress your baby in light clothing to prevent overheating.
• Restrict his movement. Some children can jump around at 39 degrees, but this raises their body temperature even more, so try to convince the child to lie down.

Separately, it is worth mentioning such a method of dealing with temperature as rubbing. The well-known pediatrician Dr. Komarovsky strongly recommends not using either alcohol or cold water for rubbing.

When rubbed with solutions containing alcohol or vodka, alcohol is absorbed into the skin, which causes intoxication.

Rubbing with cold water causes a spasm of the skin, and this reduces blood circulation, respectively, the high temperature will last even longer.

Rubbing can be carried out only under the supervision of a doctor and only with warm water.

Antipyretics for children

Treatment

Sometimes you need to act quickly to bring down the fever, especially if the child has a temperature of 39 and above. But at the same time, you need to be very careful in treating the child so as not to make it worse. When knocking down the temperature, the following means are usually used:

1. Paracetamol is the most common and affordable antipyretic. It is necessary to give the child 1-4 tablets per day, depending on age and condition, while it is better to give less than more.
2. Litichka is a mixture of analgin, diphenhydramine and papaverine in different proportions. The proportions will be different for, for example, a one-month-old and a one-year-old child, so it is better to consult a doctor before using the litchi.
3. Antibiotics are medicines that are prescribed only for bacterial infections, so they should not be given without an accurate diagnosis. If the child's illness is viral in nature, antibiotics can cause a negative reaction.

Also, at high temperatures, you can drink other antipyretic drugs, most often these are analogues of paracetamol. But it is better to do this after consulting a doctor - it is he who will prescribe the right drug for you.

Be careful with antipyretics so as not to cause a low temperature in your child.

Continue treatment only until the child returns to normal. And do not forget about the dosage: an infant, a three-month-old and a teenager cannot be treated in the same way.

Now you know what to do if a child's temperature rises to 38 without symptoms and you can help him if he gets sick again. But it is better to vaccinate your child and teach him to healthy lifestyle life, then he will not get sick, and you will not have to treat him.

Most often, those parents who come across the problem of severe hyperthermia in their children call a doctor at home.

Infectious and inflammatory diseases are often accompanied by intense fever, sometimes developing up to thirty-nine degrees.

In general, babies tolerate this difficult condition well, but in the event of a serious illness, accompanying symptoms will also be noted that complicate it.

The most common are migraine, chills, or respiratory symptoms. Only a doctor can decide on the treatment of a baby, but parents should clearly know how to bring down the temperature of 39 in a child before his arrival.

Most often, significant hyperthermia in a child develops due to:

• bacterial infection;
• introduction of viruses into the body;
• respiratory infections;
• food poisoning;
• allergic reaction;
• teething;
• overheating;
• nervous tension;
• oncological diseases;
• immune response to vaccination, etc.

These factors cause the baby to have a strong fever, which reflects a sharp activation of the defenses of his body.

Should I bring down the temperature of 39?

The vast majority of domestic and Western pediatricians are of the opinion that when hyperthermia reaches an alarming mark of 38.5 degrees, then it is no longer worth waiting for further developments.

It needs to be lowered. Otherwise, various severe complications can occur, the most common of which is a seizure.

In the case of a serious infectious or inflammatory disease, the question of prescribing antipyretic drugs should be decided only by the attending physician.

If there is no particular danger, or, conversely, the pediatrician has not yet arrived, and the thermometer values ​​​​increase more than 39 degrees, then they need to be reduced.

To do this, it is necessary to clearly understand that a significant increase in temperature is a direct reflection of the body's resistance. It is the heat that helps him actively fight the infection.

However, its too strong manifestations can negatively affect the baby, completely taking away his strength and leading to dehydration.

How to bring down the temperature of 39 in a child and help him survive this difficult condition? First of all, you need to provide him with a large amount of liquid.

To prevent dehydration, the baby should be constantly watered.

Various fruit compotes, fruit drinks from berries or decoctions of medicinal plants are well suited for this. Drinking should be tasty, otherwise a sick child is able to refuse it because of poor health.

It is better to give him liquid from a spoon or a convenient bottle. When parents are at a loss because the child has a temperature of 39, Komarovsky believes that it can be brought down in this way.

The well-known pediatrician Komarovsky also recommends that, with the development of hyperthermia, the lost balance of electrolytes in the body be replenished. To do this, it is necessary to eliminate the lack of trace elements. In such a case, raisins, figs, dried apricots and other dried fruits will help.

On the advice of Komarovsky, it is strongly recommended to give the child a drink that has cooled down, but still retains heat. Therefore, before you start treating it with diaphoretics, you first need to provide the child's body with a sufficient amount of fluid.

If the baby has only a hot forehead, and the legs and arms are cold, this indicates the development of a negative vascular reaction.

In this case, you should know that it is permissible to give antispasmodics (Drotaverine or Papaverine) to a child at a temperature of 39 degrees in a children's dose, clearly indicated in the instructions for the drug.

It is imperative to completely open the window and achieve significant cooling of the room where the patient lies. Dr. Komarovsky believes that the thermometer in it should show no more than twenty, in extreme cases, twenty-two degrees.

This helps to balance the body's thermoregulation with the help of the baby's lungs inhaled and the air released by them. In addition, it is worth making the air jet also wet.

It is advisable to moisten the curtains, put a large basin of water in the room, or spread a damp cloth everywhere.

An increase in body temperature in a child - Emergency care "School of Doctor Komarovsky"

• There is a strong heat, which has already exceeded the mark of thirty-nine Celsius and is approaching forty degrees;
• diagnosed with heart disease
• there is a vascular pathology;
• there is a tendency to convulsions, etc.

All of this puts him at significant risk. The heat, which has reached 39.9 degrees, no longer does any good for the body, but causes the coagulation of proteins, of which the human body largely consists.

In addition, it creates a significant load on the cardiovascular and nervous system.

With a significant development of fever, you should know that you can quickly bring down the temperature of 39 in a child by rubbing with water at room temperature. It is undesirable to add any substances to it.

From the baby you need to remove everything superfluous in order to avoid overheating. You should leave him in cotton pajamas or in a nightgown made from natural fabrics. cover it up better than easy sheet.

You should not allow the child to run or scream if he is in an excited state, but it is also undesirable to force him to bed.

Any nervous and physical overstrain will only increase hyperthermia. It is necessary to seat him in a comfortable place, read to him or distract him with something interesting.

How to bring down the temperature of 39 in a child?

It is possible to reduce the manifestations of fever with the help of appropriate drugs only if the temperature of 39-39.5 in a child is not knocked down by rubbing and drinks.

It should be remembered that for children under 5 years of age, suppositories, syrups and suspensions are preferred, not tablets.

There are special medicines, which include syrups, suspensions or tablets. They contain the appropriate doses:

• ibuprofen;
• Syrup or candles with Nurofen;
• Candle with Viferon;
• Paracetamol;
• Kalpolom;
• Panadol;
• Efferalgan or Cefecon in the right dosage.

They should be taken strictly according to the instructions that come with the medicine. This effective drugs able to bring down the heat for a fairly long period. In addition, they produce an operational effect.

The drug of the safest choice in this case is Paracetamol.

It quickly helps bring down the temperature, has an anti-inflammatory and analgesic effect, has a minimum of contraindications and adverse reactions, and also does not have a noticeable effect on the hematopoietic system and the central nervous system.

The dosage in tablets at a temperature in children from 3 to 6 years is 800 mg / day.

From the age of 6, the allowable dose is multiplied by 1.5-2. The minimum interval between doses of the drug is 4 hours.

If the temperature does not decrease, the tablet can be given again. If the temperature of 39 in the child persists even after repeated administration, then other medicines or home remedies are used.

Ibuprofen-based medicines also help to quickly eliminate fever, but they are less effective in relation to other positive effects on the body.

However, their advantage is that the antipyretic effect persists for a very long period. The child should also take them no more than every six hours.

For patients aged 3 months to 2 years, suppositories, syrup and suspension are used in accordance with the instructions. And for children over 3 years old - tablets.

The dosage is 10 mg/kg of body weight at a temperature of 38.5 - 39.2, and if the fever is below this indicator, then 5 mg/kg. The daily dose of the drug should not exceed 30 mg/kg of body weight.

How not to bring down the temperature

Many parents are horrified when they see numbers on the thermometer that stop at thirty-nine degrees. Therefore, they lose their heads and begin to do things that only aggravate the situation of the child.

It should be noted that in medicine, fever is divided into:

• White, when there is a hot forehead, and the palms and feet are cold, while the face is pale;
• red when the heat covers the whole body.

Therefore, it is required to bring down the temperature in different ways.

• In the first case, it is not recommended to massage the limbs of the child, completely undress him, apply wet and cool lotions to his body. The condition of the baby is due to vascular insufficiency and these measures will only strengthen it.
• When red hyperthermia is observed, these actions can help, since in this case there is no vasospasm, on the contrary, they are dilated.

If the child’s temperature is 39 stubbornly and does not react to anything, then you can’t rub the baby with an alcohol or acetic solution, as it contributes to dehydration of the body and negatively affects the condition of the skin.

With a large amount of the substance, as well as if there are injuries on the body, it can enter the bloodstream and cause even more damage.

Also, you can not give the child hot drinks with raspberries, linden or honey, and then wrap tightly.

Thus, parents cause a diaphoretic effect and at the same time clog air exchange, preventing the thermoregulation system from working at full strength.

In addition, plant substances contribute to the creation of a diuretic result, which, together with a diaphoretic effect, creates all the conditions for blood dehydration.

Many parents panic when they see that the child has a temperature of 39.4, they don’t know how to bring it down. Therefore, it must be remembered that one should not seek to eliminate heat by any means.

Medicines prohibited for use by children

In no case should you give your baby drugs such as Amidopyrine, Analgin, Antipyrine or Phenacetin.

They are contraindicated for the children's body, otherwise the onset of intoxication is quite possible, which will make the patient's condition critical.

• Since babies often have a fever, parents should be prepared for this and know the basic measures that it is desirable to use to help him.
• Even if the child is still nursing, the mother needs to prepare in advance for what she is able and should do when he develops hyperthermia, since she will often have to deal with such a problem.
• And, of course, self-medication with the development of fever in a small patient is simply unacceptable. All necessary therapy is carried out only by a doctor.

What to do if the temperature of 39 does not go astray

There are also cases when everything is tried, but hyperthermia does not disappear. Therefore, if the child’s temperature does not go as low as 39 degrees, then this is a signal that the help of specialists is needed.

An emergency ambulance call is needed when:

• The heat intensifies;
• the child does not eat anything;
• he refuses to drink;
• he gets worse;
• his limbs twitch;
• the child constantly vomits;
• he has severe diarrhea.

If you do not call an ambulance in time, then a seizure, heart or vascular insufficiency, and organic brain damage may occur.

These symptoms indicate serious metabolic problems, dehydration is rapidly approaching, as well as the presence of dysfunctions of the internal organs, and most likely the doctor will prescribe an antibiotic.

While the team of doctors has not yet arrived, it is advisable to wrap the child in a wet sheet for about five minutes. Then it should be dried and dressed in a dry nightgown.

It is also necessary to pay attention to the accompanying symptoms, because they indicate the presence of a particular disease. Heat is only one of them and by itself cannot give a specialist a complete answer to the question of what the child is sick with.

What to do if after taking the antipyretic the temperature has not decreased? — Doctor Komarovsky

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The site provides reference information for informational purposes only. Diagnosis and treatment of diseases should be carried out under the supervision of a specialist. All drugs have contraindications. Expert advice is required!

Heat body in a child (fever) can be a non-specific sign of many diseases. She can talk about acute infectious diseases, teething, overheating and other conditions. In all these cases, help to the child should be different, so it is very important to establish the cause of the temperature increase.

Features of temperature in a child

In the first days and months of a child's life, his body temperature can be very unstable. With any disease, it can quickly increase.

To identify a fever in a child, you need to know what temperature is normal for him. To do this, you should measure it at least once in a calm and healthy state. It is better to repeat this procedure in the morning and in the evening, since in the evening the temperature is usually 0.3-0.5 o C higher.

The temperature of a child in the first year of life may be higher than in older children and adults (as measured in the armpit):
1. At the age of up to 1 year, body temperature up to 37.4 o C is allowed.
2. A child older than 1 year usually has a temperature of up to 37 o C.

Newborn babies born prematurely are especially bad at keeping body temperature. Their thermoregulation processes are immature, so it should be remembered that they can not only easily cool down, but also overheat.

Body temperature can be measured in several places. The results of such measurements will vary:

• the temperature measured in the rectum (rectal) will be approximately 1 o C higher than in the armpit (37.6-38 o C - normal);
• the temperature measured in the mouth (oral) will be about half a degree higher than in the armpit (37.1-37.6 o C - normal);
• the temperature measured in the armpit and inguinal fold will be approximately the same.

The most reliable results are shown by a mercury thermometer. When using electronic thermometers, according to measurements, there can be a fairly large error. In order to identify differences in indicators, you can simultaneously determine the temperature in the armpits with a conventional thermometer and an electronic one. It is not necessary to do this in a child; you can measure the temperature of yourself or any healthy family member. Differences between measurements and will talk about the error.

To determine the rectal temperature is usually possible only in small child up to 4-5 months. Since the procedure is often unpleasant, a 6-month-old child will most likely not be able to fix a high temperature in this way due to his resistance to the procedure. It is best to measure with an electronic thermometer, the tip of which is lubricated with baby cream. The thermometer is inserted about 2 cm into the rectum, while raising the legs of the child, as when washing.

In the armpit and inguinal fold, measurements can be taken with a mercury thermometer. Determining the temperature in the groin is carried out by laying the child on his side. The thermometer is placed so that its tip is completely located in the fold of the skin. Then the child's leg is pressed against the body with a hand. In the armpit, the measurement process is carried out in the same way as in adults.

Pathologically high temperature, depending on the degree of its increase, is conditionally divided into the following types (according to measurements in the armpit):
1. Subfebrile (up to 38 o C).
2. Febrile (above 38 o C).

How to measure the temperature of a small child

Rules for measuring temperature in children:

• the child must have his own personal thermometer, which is treated with warm water and soap or alcohol before each use;
• during illness, the temperature is measured at least three times a day (morning, afternoon, evening);
• measurement should not be taken when the child is tightly wrapped, crying or overly active;
• high room temperature and bathing also increase body temperature;
• food and drinks, especially hot ones, can increase the temperature in the oral cavity by 1-1.5 o C, so the measurement in the mouth should be carried out one hour before or one hour after a meal;
• temperature determination can be carried out in the armpit, rectum or inguinal fold - with any thermometers; measurement in the mouth is carried out only with the help of special dummy thermometers.

Causes of high fever in a child

Normally, an increase in body temperature is a protective reaction of the body to any infectious or noncommunicable diseases, damage.

Infectious agents, getting inside the body, produce toxins that cause an increase in body temperature. The body, in turn, also produces substances that contribute to the onset of fever. Such a mechanism is protective, since against the background of high temperature all metabolic processes are accelerated, many biologically active substances are synthesized more intensively. But when the fever becomes too severe, it itself can cause various complications - for example, febrile convulsions.

Why does a child have a high temperature:

• infectious diseases (ARVI, "childhood" and intestinal infections, other pathologies);
• non-communicable diseases (diseases of the nervous system, allergic pathology, hormonal disorders, and others);
• teething (this is one of the most common causes in young children);
• overheat;
• preventive vaccinations.

There are other causes of fever in a child. These also include many emergency conditions and acute surgical pathology. Therefore, with any increase in temperature in a child (especially above 38 o C), you should immediately consult a doctor.

Features of elevated temperature in certain diseases

The high temperature in the child will be accompanied by others symptoms pathology. With various diseases, fever will have its own characteristics.

Infectious diseases

Usually, the values ​​​​of fever in infectious diseases are in the range of 39-39.5 o C. But in some cases, the child's temperature rises above 40 o C. This largely depends on the type of infection and the individual characteristics of the child's body.

In infectious diseases, a high temperature in a child is accompanied by other signs of pathology (cough, nasal congestion, vomiting, upset stool, and others).

One more common cause fevers are childhood infections. For example, in a child with a high fever, the appearance of a rash in the form of itchy blisters is a characteristic sign of chickenpox. Children are especially susceptible to such infections. preschool institutions. For example, a high temperature in a child aged 3 who goes to kindergarten.

Overheat

When overheated, the connection of fever with exposure to a heat source can be clearly noted. For example, a child with a high temperature in the summer may be associated with prolonged exposure to the sun or in a car in hot weather. Children infancy can easily overheat when dressed in overly warm clothing.

With a slight fever, the desire of parents to wrap the child warmer can also provoke a rise in body temperature to higher numbers. Overheating is very dangerous due to the likelihood of heat stroke, which requires emergency medical attention.

The signs of heat stroke are:

• severe fever that occurs after overheating;
• impairment or loss of consciousness;
• convulsions;
• respiratory and heart failure.

The first aid for heat stroke is to place the child in a cool, well-ventilated room, apply a compress on the forehead, rub down, drink (if the child is conscious). You should also call an ambulance immediately.

Teething

A high temperature in a child during teething is rare. Usually, the fever does not exceed 38.5 o C. But in some cases, the temperature can rise to very high numbers, accompanied by lethargy of the child, refusal to eat, and anxiety. Such a fever must be reduced. In a 10-month-old child, a high temperature may well be associated with teeth, especially if he actively rubs the gums, is naughty, and at the same time there is increased salivation.

Vaccinations

After preventive vaccinations, a child’s high temperature, as a rule, does not last long. It usually rises within a day after vaccination, and can be combined with other symptoms: slight swelling and soreness at the injection site, the child may spare the leg and move less. These signs are a protective reaction of the body to the introduction of the vaccine and indicate an adequate immune response.

If the temperature rises after vaccination, you can give the child an antipyretic once, without even waiting for the febrile fever figures. You can also use physical methods of cooling, but rubbing is not recommended (especially not to wet the injection site). If there is no positive dynamics within 1-2 days, then you should think about another reason for the increase in temperature (for example, the onset of SARS).

When wiping, a towel moistened with water is used, which is placed on the forehead. As soon as it dries or heats up, the towel can be dampened again. Also, hands, feet, chest, neck, face are wiped with water. After wiping, you can not wrap the child, as the procedure can cause the opposite effect. This procedure should not be performed on a child who has ever had convulsions due to high fever, or has diseases of the nervous system.

In addition to wiping, you can apply ice wrapped in a diaper to the axillary, inguinal areas. However, this method can only be used in older children. Do not get too carried away, as frostbite can occur in places where ice is applied.

With a fever, one should also not forget about drinking plenty of water. Losses of fluid through the skin and with breathing at elevated temperatures increase, so its deficiency must be replenished in a timely manner. Also, increased drinking helps to accelerate the elimination of toxic substances from the body. At a high temperature in a one-year-old child, it can be difficult to drink it. If he refuses to drink, you can give him liquid little by little, but often.

Small children need to be breastfed more often, or give them plain water, and a six-month-old baby can have herbal teas (fennel, chamomile, linden), diluted juices and fruit drinks. An older child can also be offered compote, diluted juice or tea. Children should be especially actively watered with an intestinal infection, when high fever is accompanied by diarrhea. But do not be too zealous, a large amount of liquid can provoke vomiting.

At high temperatures, do not:

• force a child to stay in bed if he does not want to, but excessive activity should also not be allowed, as this can lead to an increase in temperature;
• unnecessarily wrap or cover the child - this prevents the natural release of heat;
• do a cleansing enema if there are no appropriate doctor's recommendations (although this procedure has an antipyretic effect, you should not abuse it and do it yourself);
• use alcohol-containing liquids, warm water for wiping;
• covering the child with a wet sheet or towel, wrapping up after wiping - all this can lead to an even greater increase in temperature.

When and how to bring down a high temperature in a child - video

High fever in a child: treatment with medications

You can quickly bring down a child's high temperature with the use of medicinal antipyretics. Children are allowed to use drugs based on ibuprofen or paracetamol.

Medicines may differ in the form of release (tablets, syrups, rectal suppositories, powders). Preparations in the form of syrups or suppositories are usually used in young children. For example, when a baby has a temperature above 39 o C, it is convenient to reduce it with the help of rectal suppositories.
Some features of the use of various dosage forms:

• drugs taken by mouth begin to act faster - 20-30 minutes after ingestion;
• the effect of suppositories occurs after 30-45 minutes, but lasts longer;
• if the disease is accompanied by vomiting, it is better to use suppositories;
• medicines in suppositories are convenient to use when the child's temperature rises at night;
• preparations in the form of syrups, tablets and powders contain flavors and flavors, therefore, they often cause allergic reactions;
• if it is necessary to use various dosage forms of drugs (for example, during the day - syrup, at night - candles), choose products with various active ingredients to avoid side effects;
• reuse of antipyretic drugs is possible no earlier than 5-6 hours after the previous dose; in case of insufficient decrease in temperature, or its repeated increase in a short time, you should not experiment - it is better to immediately contact a specialist for additional help.

Ibuprofen and paracetamol are equally effective, but both have their own contraindications and side effects. Before using it is necessary to consult a doctor. Doses of medicines for children are usually calculated on the basis of the age of the child, or on the basis of body weight. Therefore, before taking, you should carefully study the instructions. So, a child at 2 years old at a high temperature should receive almost twice the dose of a medicinal substance than an infant patient.

Some homeopathic remedies can also be used to reduce fever. For example, when a child often has a high temperature, so that there are no side effects from the frequent use of ibuprofen and paracetamol, they can be combined with homeopathic medicines.

If the fever is accompanied by pallor, cold extremities, then small doses of antispasmodics (No-shpa, papaverine) and antihistamines are additionally given. However, this is done only by a doctor.

At a high temperature in a child, it is impossible to use the same antipyretic drug for a long time. It is also contraindicated to take the drug simultaneously through the mouth, and in the form of suppositories. This can lead to an excessive decrease in body temperature, and the occurrence of side effects from the drug.

Medicines not used in children

TO medicines that are not used in a child include:
1. Currently, drugs such as amidopyrine, antipyrine or phenacetin are not used as antipyretics due to a large number side effects.
2. Means based on acetylsalicylic acid (Aspirin) are practically not used in children because of their ability to reduce the number of platelets in the blood, cause bleeding, allergic reactions, as well as a very serious complication characteristic of children - Reye's syndrome.
3. Analgin and other drugs containing metamizole sodium as an active ingredient also have a large number of side effects, such as hematopoiesis suppression, severe allergic reactions, excessive temperature drop with loss of consciousness. These products are not recommended for home use.

In what cases it is necessary to see a doctor

A doctor should be consulted in any case of fever in a child or adult. Only a qualified specialist can make a correct diagnosis and prescribe, in addition to antipyretics, other drugs (cough medicines, vasoconstrictor nasal drops). If necessary, etiotropic therapy is also prescribed, aimed at eliminating the cause of the disease. For example, a high temperature associated with the fact that a child has a sore throat, requires the appointment of antibiotics.
The following cases require immediate medical attention:

• Extremely high body temperature figures - more than 39.5-40 o C.
• If the child has a high temperature for more than three days, and there is no persistent positive effect during the course of the disease, despite the ongoing therapy prescribed by the doctor. It is necessary to correct the prescribed treatment, carry out additional diagnostic procedures (for example, take an x-ray of the lungs, take blood and urine tests).
• When new symptoms appear on the background of the temperature, such as a rash, severe cough, vomiting or diarrhea.
• Deterioration of the child's condition against the background of the onset of recovery, which may indicate the addition of another infection.
• If the temperature rise is suspected to be related to overheating of the child and the possible occurrence of heat stroke.
• The occurrence of complications from the prescribed therapy. For example, if after taking a drug prescribed by a doctor, a child has an allergic reaction. You should call a specialist for the selection of new medications.
• The child refuses to drink, there are signs of dehydration: dry skin, rare urination, dark color urine and others.
• The presence of severe chronic diseases in a child, the course of which can worsen against the background of a strong fever (pathology of the heart, kidneys, nervous system, other diseases).
• If the child has a very high temperature, accompanied by refusal to eat, febrile convulsions, severe anxiety and groans, a rash, impaired consciousness, unusual behavior, swelling of the neck, limpness, difficulty breathing, shortness of breath, other signs of an extremely serious condition of the child, it is necessary to urgently call a brigade Ambulance.

Thus, prolonged high fever in a child is not a reason to treat yourself or experiment with therapy. Expectant management can lead to serious complications. If there are any doubts about the condition of the child, it is better to play it safe and consult a specialist.

Consequences of high fever in a child

One of the most common complications of high fever in a child is febrile seizures. They usually occur in children under 6 years of age with a temperature above 38 o C. Often such a reaction to fever appears in children with diseases of the nervous system.

Signs of febrile seizures in a child:

• convulsive twitching of muscles, which can be both pronounced (with tilting the head back, bending the arms and straightening the legs), and small, in the form of shudders and twitches of individual muscle groups;
• the child stops responding to the environment, may turn pale and turn blue, hold his breath;
• often convulsions may recur during subsequent rises in temperature.

When the temperature is high and the child has convulsions, call "03" immediately. Urgent measures at home will be:

• lay the child on a flat surface and turn the head on its side;
• in the absence of breathing after the end of convulsions, begin to give the child artificial respiration;
• you should not try to insert a finger into a child’s mouth, a spoon or other objects - this will only harm and injure;
• the child should be undressed, the room should be ventilated, rubbing and antipyretic candles should be used to reduce body temperature;
• you can not leave the child alone during the attack.

Children who have had convulsions need to be monitored by a neurologist, as well as a full medical examination to exclude the onset of epilepsy. Thus, you should not wait for the child to have a high temperature for a week. Seek medical attention in a timely manner for diagnosis and treatment. Before use, you should consult with a specialist.

An increase in body temperature is possible with various diseases in childhood. At the same time, the question of whether to shoot it down causes a lot of conflicting opinions.

Some of the parents have heard that with a fever, the body fights the disease more actively, and if the temperature is brought down, the duration of the disease will increase. Others have heard that both its elevated values ​​and the drugs against it are very dangerous and threaten serious health problems.

As a result, some parents are afraid to bring down the temperature even in cases where this is required, while others give medicine to the crumbs even with a slight increase. Let's see what really needs to be done in these cases, and whether this symptom is a sign of the disease.

How to measure the temperature correctly?

Measurement in the armpit area is the most accessible and simple, therefore it is the most common.

However, there are other ways to measure:

1. In the mouth (oral temperature is determined). For measurement, a special thermometer in the form of a dummy is usually used.
2. In the rectum (rectal temperature is determined). This method is used when the child is less than 5 months old, since children older than six months will resist the procedure. A thermometer (necessarily electronic) is treated with cream and inserted into the baby's anus by about two centimeters.
3. In the inguinal fold. The baby is laid on its side, the tip of the thermometer is placed in a fold of skin, after which the child's leg is held in a position pressed against the body.

It is important that the child has a separate thermometer, and before use it should be treated with alcohol or washed with soapy water.

Also, when measuring, you must be guided by the following rules:

• In a sick child, measurements should be taken at least three times a day.
• Do not take the temperature if the baby is very active, crying, has taken a bath, is warmly wrapped up, and also if the air temperature in the room is high.
• If you take oral temperature, it should be done 1 hour before eating and drinking, or 1 hour after, as drinks and food tend to raise oral temperatures.

Normal values

Features of temperature in infants are inconstancy and a rapid increase in any disease. In addition, in infants under one year old, it is normally slightly higher than in older children.

The normal temperature for a child younger than 12 months is considered to be less than +37.4°C, and for a child older than 12 months - less than +37°C. These are temperature measurements in armpit, as well as in the inguinal fold. For rectal measurements, less than +38°С is considered the norm, and less than +37.6°С for oral measurements.

The most reliable indicators are given by the use of a mercury thermometer, and electronic thermometers have a significant error. To find out how different the indicator of an electronic and mercury thermometer is, measure the temperature with two thermometers at once from any healthy family member.

Classification

Depending on the indicators, the temperature is called:

• Subfebrile. The indicator is up to +38 degrees. Usually, this temperature is not brought down, allowing the body to produce substances that protect it from viruses.
• Febrile. The increase is more than +38°С, but less than +39°С. Such a fever indicates the active struggle of the child's body with the infection, so the tactics of parents should take into account the condition of the child. If it is greatly worsened, antipyretic drugs are indicated, and vigorous and calm child medication may not be given.
• Pyretic. Indicators on the thermometer from + 39 ° С to + 41 ° С. This temperature is certainly recommended to be reduced with medications, since the risk of seizures increases.
• Hyperpyretic. The most dangerous temperature is over +41°С. Seeing such an indicator on the thermometer, you should immediately call an ambulance.

pros

• Allows you to quickly diagnose many diseases in the early period and start timely treatment.
• With the influenza virus, high temperature is important for high levels of interferon, which allows you to successfully overcome the infection.
• At elevated body temperature, microorganisms stop multiplying and become less resistant to antibacterial agents.
• Fever activates the baby's immune system, increasing phagocytosis and antibody production.
• A child with a fever stays in bed, due to which his forces are fully directed to fight the disease.

Minuses

• One of the complications is the appearance of seizures.
• With a fever, the load on the child's heart increases, which is especially dangerous if the crumbs have rhythm disturbances or heart defects.
• With an increase in temperature, the work of the brain, as well as the liver, stomach, kidneys and other internal organs, suffers.

stages

To start the mechanism for raising body temperature, foreign substances that enter the child's body - pyrogens - are usually needed. They can be various infectious agents, represented by unicellular, viruses, protozoa, fungi, bacteria. When ingested, pathogens are absorbed by white blood cells (leukocytes). At the same time, these cells begin to produce interleukins that enter the brain with blood.

Once they reach the center of body temperature regulation, located in the hypothalamus, these compounds change the perception of normal temperature. The baby's brain begins to define a temperature of 36.6-37 degrees as too low. It instructs the body to produce more heat and at the same time spasm the blood vessels to reduce heat transfer.

In this process, the following stages are distinguished:

1. Heat is produced in the baby's body in greater quantities, but heat transfer is not increased. Body temperature rises.
2. Heat output increases and a balance is established between heat production and its removal from the body. The temperature is decreasing, but not to the norm.
3. Heat production is reduced due to the death of infectious agents and a decrease in the production of interleukins. The heat output remains high, the child sweats and the temperature returns to normal.

It should be noted that the temperature can decrease lytically (gradually) or critically (dramatically). The second option is very dangerous with vasodilatation and a decrease in blood pressure.

Is immunity really developed?

Numerous studies have confirmed that in some infections, elevated temperature contributes to a faster recovery. It was also found that the use of antipyretics for some time prolongs both the time of the disease itself and the period of contagiousness. But, since these effects do not apply to all infections that occur with high fever, it is impossible to talk about the unambiguous benefits of fever.

Scientific studies have shown that active compounds produced at high temperature (among them interferon) in some cases help to recover faster, and in some diseases they have a negative effect on their course. In addition, for many children this is a very dangerous condition.

What will happen if you do not bring down the heat?

For a long time, high temperature was considered a factor that could disrupt blood clotting and cause overheating of the brain. Therefore, they were afraid of it and tried to reduce it in every possible way. However, modern scientific research has shown that it is not the high temperature itself that leads to health problems, but the disease that manifests itself as such a symptom.

At the same time, doctors note that fever is dangerous for children with chronic pathologies of internal organs, symptoms of dehydration, disorders physical development or diseases of the nervous system.

The danger of hyperthermia lies in the large expenditure of energy and nutrients to maintain a high temperature. Because of this internal organs overheat and their function is impaired.

Maximum allowable values

It is determined primarily by the age of the baby:

If you see numbers on the thermometer above those indicated in the table, this indicates a high probability of a serious illness, therefore it is extremely important to urgently call a doctor with such temperature measurement results.

When are antipyretics needed?

It is usually recommended to bring down a febrile temperature if the child does not tolerate this condition well, however, there are situations when it is worth giving an antipyretic even with subfebrile indicators:

• If the child is less than 2 months old.
• When the baby has diseases of the cardiovascular system.
• In the past, the child had convulsions at a high temperature.
• If the child has diseases of the nervous system.
• When a child has hyperthermia caused by overheating.

Additional symptoms

High fever is rarely the only manifestation of a child's health problems. Other signs of disease join it.

red throat

Redness of the throat against the background of fever is characteristic of viral and bacterial infections affecting the nasopharynx. Such symptoms often appear with tonsillitis, scarlet fever and other childhood infections. The child complains of pain when swallowing, begins to cough, refuses food.

Runny nose

The combination of high fever and runny nose most often occurs with viral infections, when viruses infect the nasal mucosa. The child may also have symptoms such as weakness, refusal to eat, difficulty breathing through the nose, lethargy, sore throat, cough.

Cold feet and hands

The condition when, at elevated temperature in a child pale skin and its vessels are spasmodic, called white fever. To the touch, the limbs of the baby with such a fever will be cold. The child usually has chills. This condition requires immediate medical attention. The child's body should be rubbed with the hands, but rubbing with water and other methods of physical cooling are prohibited. To relieve spasm of skin vessels, the doctor will recommend taking an antispasmodic, for example, No-shpu.

convulsions

Increased body temperature can cause seizures. For their association with fever, such convulsions are called febrile. They are diagnosed in children under 6 years of age with indicators above + 38 ° C, as well as in children with pathologies of the nervous system at any numbers.

During febrile convulsions, the child's muscles begin to twitch, the legs can straighten and the arms bend, the baby turns pale, does not react to the environment, it is possible to hold the breath and turn blue of the skin. It is important to immediately lay the baby on a flat surface with his head turned to the side, call an ambulance and not leave the baby for a minute.

Vomiting and diarrhea

Such symptoms on the background of fever usually indicate the development of an intestinal infection, but they can also be caused by the consumption of certain foods by a small child. In babies younger than 3 years old, the intestines have not yet fully matured, so those foods that are normally tolerated by older children can cause dyspepsia and fever.

In addition, the combination of fever with vomiting can signal not only the gastrointestinal tract. Such symptoms are characteristic of meningitis and acetonemic syndrome. In children younger than 7 years of age, vomiting may occur at elevated body temperature and without brain damage or digestive system. It happens at the peak of the temperature increase, usually once.

Abdominal pain

The appearance of complaints of pain in the abdomen against the background of fever should alert parents and cause an ambulance call. Serious diseases requiring surgery (for example, appendicitis), kidney disease, and diseases of the digestive tract can also manifest themselves in this way. To clarify the cause, the child will be prescribed tests and additional examinations.

No additional symptoms

The absence of other signs of the disease often occurs during teething, as well as in situations where the disease is just beginning (other symptoms appear later). High fever, as the only symptom, is often noted with kidney infections. You can confirm the disease with urine tests and ultrasound examination.

Causes

An elevated temperature acts as a protective reaction of the child's body to the ingress of infectious agents into it, but it can also be due to non-infectious causes.

Diseases

Infectious diseases are a very common cause of fever:

Disease	How does it manifest itself besides high temperature?	What to do?
	The appearance of a runny nose, dry cough, complaints of sore throat, body aches, muscle pain, nasal congestion, sneezing.	Call a pediatrician, give plenty of fluids, if necessary, give an antipyretic.
Chickenpox or other childhood infection		The appearance of pain in the ear, as well as discharge from the ear, cough, runny nose.	Contact a pediatrician to examine the child and prescribe the appropriate treatment for the situation.
When to call a doctor? The doctor should be called in each case of fever, since only a specialist can determine what caused and how to treat the baby. Indications for an immediate call to the doctor are the following situations: The temperature rose above the indicators considered maximum for a certain age of the child. The fever provoked the appearance of convulsions. The kid is disoriented, he has hallucinations. If there are other dangerous symptoms - vomiting, abdominal pain, difficulty breathing, ear pain, rash, diarrhea and others. The child's temperature is elevated for more than 24 hours and during this time the condition has not improved. The baby has serious chronic diseases. You doubt that you are able to correctly assess the condition of the baby and help him. The child got better, but the temperature rose again. The baby refuses to drink and the parents report symptoms of dehydration. What to do? Often, not only adults, but also children suffer from colds and flu. However, not all cold medicines are approved for use in children. Fortunately, there is a children's form of AntiGrippin from Natur Product, which is approved for use in children from 3 years old. Like the adult form of AntiGrippin, it consists of three components - paracetamol, which has an antipyretic effect, chlorphenamine, which facilitates breathing through the nose, reduces the feeling of nasal congestion, sneezing, watery eyes, itching and redness of the eyes, and ascorbic acid (vitamin C), which is involved in regulation of carbohydrate metabolism, increases the body's resistance. Antipyretics In most cases, such medicines allow, albeit for a short time, to improve the condition of the child, allow him to sleep and eat. With sore throat, otitis, teething, stomatitis, these drugs reduce pain. Will rubdowns help? Used in the past, rubbing with vinegar, alcohol, or vodka is now considered harmful by pediatricians. Doctors do not advise wiping the child even with a cool towel, because such actions provoke vasospasm in the child's skin, and this, in turn, will reduce heat transfer. In addition, alcohol-containing liquids, when rubbed, will actively enter the child's body, which is fraught with poisoning of the baby. Rubbing is permissible only after using drugs prescribed by a doctor that relieve spasm of peripheral vessels. For the procedure, only water at room temperature is used. In addition, you can wipe the child, provided that the baby does not mind, since with resistance and screams, the temperature will increase even more. After rubbing the child should not be wrapped up, otherwise his condition will worsen. Food and liquid A child with a fever should drink often and a lot. Give the baby tea, compote, water, fruit drink or any other liquid that he agrees to drink. This is essential for heat dissipation through greater evaporation of sweat from the skin, as well as faster elimination of toxins in the urine. Feed the baby should be given in small quantities. Let the child eat according to his appetite, but not much, because when digesting food, the body temperature will increase. Both dishes and drinks offered to the child should have a temperature of about 37-38 degrees. Folk remedies It is recommended to drink tea with the addition of cranberries: it stimulates active sweating. At the same time, such a drink should be given carefully - in babies up to a year old, it can cause allergies, and older children should not use cranberries for any stomach diseases. Another wonderful folk remedy with an antiseptic and antipyretic effect is raspberries, which can be given to a child in the form of jam, juice or tea. But in cases where there is a risk of allergies, the use of raspberries is best avoided. How safe is the treatment? How many days does the child have a high temperature? It is not the fever itself that is dangerous for the baby, but the cause of the appearance of this symptom. If the parents do not know what provoked the temperature rise in the baby and the next day after the increase in the condition did not improve, and additional alarming symptoms appeared, you should immediately seek medical help. In this way, you will establish the cause of the child's illness and be able to act on it, and not just on a symptom. If the parents know the cause of hyperthermia, and it is not dangerous, the child was examined by a doctor and prescribed therapy, then the temperature can be brought down within a few (3-5) days, observing the child. If there are no positive changes in the course of the disease over the past three days, despite treatment, you should call the doctor again and undergo an additional examination. Rules After choosing a specific drug to reduce the temperature, determine the desired single dose according to the instructions. Antipyretics should be taken only when necessary. The next dose must be at least 4 hours after the previous dose for paracetamol or 6 hours for ibuprofen. A maximum of 4 doses of the drug can be taken per day. Medicine taken by mouth is washed down with water or milk. It can also be drunk during a meal - so the irritating effect of medicines on the gastric mucosa will be reduced. What medicines to choose? Paracetamol and ibuprofen are the drugs that are recommended in childhood with a high temperature. Both drugs equally reduce pain, but ibuprofen has a more pronounced and prolonged antipyretic effect. At the same time, paracetamol is called safer and is recommended as the drug of choice for infants in the first months of their life. Infants are often given such drugs in the form of rectal suppositories or syrups. This is due to the convenience of using these forms - they are easy to dose and give to the child. In older children, preference should be given to tablets, syrups and soluble powders. The action of drugs taken by mouth begins within 20-30 minutes after their use, and rectal suppositories - 30-40 minutes after administration. Suppositories will also be the most preferred option in the presence of bouts of vomiting in a child. In addition, syrups, powders, and tablets often contain additives for taste and smell, which can cause allergies. You may hear recommendations to take paracetamol and ibuprofen together or in alternation of these drugs. Doctors believe that it is safe, but not necessary. The combination of these drugs works with the same effectiveness as taking ibuprofen alone. And if you gave this medicine, and the temperature does not decrease, you should not give paracetamol additionally, it is better to immediately call an ambulance. Why shouldn't aspirin be given to children? Even in adulthood, it is advised to avoid the use of aspirin at a temperature if possible, and for children under 18 it is completely contraindicated. In childhood, aspirin has a pronounced toxic effect on the liver and is the cause of the development of serious complications, which doctors call "Reye's syndrome." With this syndrome, internal organs are affected, in particular the liver and brain. Also, taking aspirin can affect platelets, cause bleeding and allergies. In the room, lower the air temperature to 18-20 degrees to increase heat transfer (if the baby does not have a chill). You should also take care of sufficient humidity ( optimal level consider 60%), since the dryness of the air will contribute to the loss of fluid by the child's body and the drying of the mucous membranes. When choosing clothes for a child, make sure that the baby is not cold, but you should not overheat the baby with excessively warm clothes either. Dress your baby in the same way as you are dressed or a little lighter, and when the baby starts to sweat and wants to undress, let him give off more heat in this way. Limit the activity of the child, because some children run and jump even at temperatures above 39 degrees. Since movement increases the production of heat in the body, distract the child from active play. However, do it in such a way that the baby does not cry, because due to tantrums and crying, it will also rise. Encourage your child to read books, watch cartoons, or do some other quiet activity. It is not necessary to force the child to lie down all the time. 1 Instructions for medical use drug AntiGrippin There are contraindications. Need to consult a specialist