Keep cool! Managing fevers with confidence

paigedavidsonpnp
Nov 17, 2025
3 min read

Fever is one of the body’s most effective tools for fighting infection! In most cases, fever is normal, safe, and a sign of a healthy immune response. This guide is here to help you understand what fever really means, when to worry, and how to keep your child comfortable.

What a Fever Really Is

A fever isn’t an illness — it’s a response. When your child’s body detects a virus or bacteria, it raises the internal temperature to make it harder for germs to multiply. Fever = The immune system is working!

What Counts as a Fever?

In children, a fever is:

100.4°F (38°C) or higher
Measured with a digital thermometer (rectal, oral, tympanic, or axillary depending on age)
The number on the thermometer matters less than how your child looks and behaves

Most childhood fevers are caused by viruses that simply need time and supportive care.

A higher fever doesn’t automatically mean a more serious illness. A child with a 103°F fever who is drinking, snuggling, and waking easily is often less concerning than a child with a lower fever who is very lethargic.

What’s Normal During a Fever

It’s common for children with fever to:

Be extra sleepy
Have reduced appetite
Be clingy or fussy
Have warm skin and rosy cheeks

These are expected and usually not a sign of anything dangerous.

When to Call Your Pediatric Provider

Contact your child’s provider if:

Your baby is under 2 months and has a fever >100.4 F. You will likely be directed to your local pediatric emergency department.
The fever lasts more than 3 days
Your child shows signs of dehydration (no tears when crying, decreased wet diapers)
They have difficulty breathing, severe pain, stiff neck, or seem unusually sleepy
A rash develops that concerns you
Fever goes away and then returns
You feel something “just isn’t right”
Fever with no other symptoms

Your instincts as a parent are important — it’s always okay to reach out!

Keeping Your Child Comfortable

The goal is comfort, not eliminating the fever. Helpful strategies include:

Plenty of fluids (water, broth, popsicles, coconut water)
Lightweight clothing
Rest and quiet activities
Acetaminophen or ibuprofen
- No ibuprofen under 6 months of age
- Treat only if they are uncomfortable (Increased fussiness or Interfering with sleep/hydration)
Avoid cold baths, alcohol rubs, or anything that causes shivering

Treating the fever doesn’t cure the illness — it simply helps your child feel better.

Natural Ways to Support Your Child During a Fever

Many families like to incorporate gentle, natural strategies to make our child more comfortable. These won’t lower the fever itself, but they can ease symptoms and support hydration and rest.

1. Lukewarm Baths

A warm bath can soothe achy muscles and help your child relax.

Add some Epsom salts for increased comfort

2. Chamomile or Ginger Tea

Small sips of cooled herbal tea may help with rest (chamomile) or settle the stomach (ginger).

3. Honey for Comfort (Ages 1+)

Honey can soothe the throat and encourage hydration. Never give honey to infants under 12 months.

4. Cool Compresses

A soft, cool washcloth on the forehead can be calming and help with headaches.

6. Homeopathic Options

Talk with your pediatric provider to discuss homeopathic support. Stick to reputable brands and avoid multi-symptom combination products in young children.

If Your Child Also Has Cough or Congestion

Fevers often show up alongside respiratory symptoms. If your child is also experiencing cough, congestion, or difficulty clearing mucus, I have a separate blog post that covers natural supports, home care, and when to seek help.

The Bottom Line

Fevers feel big, but most fevers in children are simply part of how the body fights infection. With rest, fluids, comfort measures, and a little patience, most kids bounce back quickly. And when you’re unsure, your pediatric provider is always here to support you!

Disclaimer: This content is for educational and informational purposes only and is not medical advice. Reading this blog does not establish a patient–provider relationship. Always consult your pediatrician or qualified healthcare provider for guidance specific to your child. If you believe your child may be experiencing a medical emergency, call 911 immediately.