| Fever
is one of your body's reactions to infection. What's normal
for you may be a little higher or lower than the average temperature
of 98.6 F. That's why it's hard to say just what a fever is.
But a "significant" fever is usually defined as
an oral or ear temperature of 102F or a rectal temperature
of 103F. For very young children and infants, however, even
slightly elevated temperatures may indicate a serious infection.
In newborns, a subnormal temperature — rather than a
fever — also may be a sign of serious illness.
Don't treat fevers below 101F with any medications unless
advised to do so by your doctor. If you have a fever of 101
F or higher, your doctor may suggest taking over-the-counter
medications such as acetaminophen (Tylenol, others) or ibuprofen
(Advil, Motrin, others). Adults may also use aspirin. But
don't give aspirin to children. It may trigger a rare, but
potentially fatal, disorder known as Reye's syndrome.
How
to take a temperature :
You can choose from several types of thermometers. Today most
have digital readouts. Some take the temperature quickly from
the ear canal and can be especially useful for young children
and older adults. Other thermometers can be used rectally,
orally or under the arm. If you use a digital thermometer,
be sure to read the instructions, so you know what the beeps
mean and when to read the thermometer. Under normal circumstances,
temperatures tend to be highest around 4 p.m. and lowest around
4 a.m.Because of the potential for mercury exposure or ingestion,
glass mercury thermometers have been phased out and are no
longer recommended.
Orally
To take your temperature orally
Place the bulb under your tongue.
Close your mouth for the recommended amount of time, usually
three minutes.
If you're using a nondigital thermometer, remove it from your
mouth and rotate it slowly until you can read the temperature
accurately.
Under the arm
Although it's not the most accurate way to take a temperature,
you can also use an oral thermometer for an armpit reading:
Place the thermometer under your arm with your arm down.
Hold your arms across your chest.
Wait five minutes or as recommended by your thermometer's
manufacturer. Then remove the thermometer and read the temperature.
An axillary reading is generally 1 degree F less than an oral
reading.
Get medical help for a fever in these cases:
If a baby is younger than 2 months of age and has a rectal
temperature of 100.4 F or higher. Even if your baby doesn't
have other signs or symptoms, call your doctor just to be
safe.
If a baby is older than 2 months of age and has a temperature
of 102 F or higher.
If a newborn has a lower-than-normal temperature — less
than 95 F rectally.
If a child younger than age 2 has a fever for longer than
one day, or a child age 2 or older has a fever for longer
than three days. If your child has a fever after being left
in a very hot car, seek medical care immediately.
If an adult has a temperature of more than 104 F or has had
a fever for more than three days.
Call your doctor immediately if any of these signs
or symptoms accompanies a fever:
1. A severe headache
2. Severe swelling of the throat
3. Unusual skin rash
4. Unusual eye sensitivity to bright light
5. A stiff neck and pain when the head is bent forward
6. Mental confusion
7. Persistent vomiting
8. Difficulty breathing or chest pain
9. Extreme listlessness or irritability
10. Abdominal pain or pain when urinating
11. Any other unexplained symptoms
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