Fever
Chapter 15. Other Health Problems

Fever is one way the body fights an infection or illness. It helps speed up the body's defense actions by increasing blood flow.

Normal body temperature ranges from 97oF to 100°F. Ways to take your temperature include using a digital or ear thermometer. Temperatures are more accurate when they are tested inside the body, such as by mouth or rectum. A rectal reading is 1°F higher than one taken by mouth. It is best not to use a glass mercury thermometer. If if breaks, droplets of toxic mercury can be released. Call the health department if this happens.

Symptoms
Your skin feels warm. You may sweat.
Your temperature is higher than 100°F by mouth or ear or higher than 101°F by rectum.

Causes
Fever is a sign of another problem, such as an infection.

Body temperature changes throughout the day. It is usually lowest in the morning and highest in the late afternoon and evening. Other factors that can affect your temperature reading include:
Wearing too much clothing, if you're overdressed enough to raise your body temperature
Exercise
Hot, humid weather
Taking your temperature by mouth after you drink a hot liquid (e.g., tea)

Treatment
If having a fever causes you no harm or discomfort and you have not other medical problems, you may not need to treat it. If the fever makes you uncomfortable, is high or if you are frail or have a medical condition, you should treat it. Treatment includes self-care and treating the cause of the fever.

Questions to Ask

Do any of the following occur in a child under 3 years old?
Temperature of 101°F or higher in a baby less than 3 months old
Temperature of 104°F or higher in a child between 3 months and 3 years old
A fever along with inconsolable crying
With a fever, are any of these problems present?
Seizure
Shortness of breath or difficulty breathing
Stiff neck, headache, lethargy, and nausea or vomiting
Excessive irritability
Confusion, mental status changes, listlessness
Very severe abdominal pain
With a fever, are any of these problems present?
Redness, swelling, and pain anywhere in the body
Persistent ear pain or pain in the sinuses (face)
Sore throat or pain in the chest with deep breaths
Green, yellow, or bloody-colored discharge from the nose, throat, or ears
Urinary pain, burning, or frequency
Abnormal vaginal pain, bleeding, or discharge
Has the fever lasted longer than 3 days without improvement?
Are any of the following present?
Fever of 99.5°F to 100.4°F in an infant less than 3 months old
Fever higher than 102.2°F in a child 3 months to 3 years old
Fever over 104°F in a person between 3 years and 64 years old
Fever of 102°F in a person age 65 or older or in a person whose immune system is depressed
Has the person recently had surgery or does the person have a chronic illness, such as heart disease, lung disease, kidney disease, cancer, or diabetes?
Has the fever done any of the following?
Gone away for more than 24 hours and then comes back
Come soon after a visit to a foreign country
Come after having a DTaP or MMR shot and is present with dizziness

Self-Care Tips

Drink plenty of fluids, such as fruit juice.
Take a sponge bath with warm (about 70oF) water. Don't use rubbing alcohol
Take the appropriate dose of an over-the-counter medicine to reduce fever. {Note: See Pain relievers in Your Home Pharmacy.}
Rest.
Don't wear too many clothes or use too many blankets.
Don't do heavy exercise.

HEALTH AT HOME - Your Complete Guide to Symptoms, Solutions, and Self-Care © 2002 by Don R. Powell. American Institute for Preventive Medicine. 

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Date updated 06/06/02