What is prolonged fever in a child? How should I handle it?

The article was consulted professionally by Bsck II Vu Van Control – Head of Pediatrics – Newborn Department, Share99 Ha Long International Health Hub. Dr. Ation has over 34 years of experience in Pediatrics and Emergency Resuscitation. With the strength in proficient implementation of pediatric and newborn resuscitation techniques, doctors have emergency resuscitation to nurture more than 1000 cases of premature babies and more than 1000 cases of infant diseases such as severe newborn jaundice, newborn respiratory failure.

Prolonged fever is a phenomenon of constant fever, which lasts more than 3 days. If the child has a prolonged fever or a constant prolonged fever, it will make him tired from dehydration, electrolytical disorders and may cause seizures.

1. What is prolonged fever in a child?

1.1. Fever caused by viral infection

This is the leading cause of continuous prolonged fever in children, the disease usually cures after 5-7 days, there are many viruses that cause diseases in children.

  • Dengue: Sudden high fever and fever last continuously for 2-7 days; then there are dots or hemorrhages under the skin, if heavier, accompanied by nose bleeding, root bleeding, sometimes visceral hemorrhages.
  • Influenza virus fever: The first sign is usually a child with a blockage in the nose, then manifestations of sneezing, dry cough and runny nose; accompanied by fever, fever is usually mild temperature from 37.8 – 38 ̊ C, in case of multiple infection, high fever, unpleasant children, harassment, loss of appetite, breastfeeding …
  • Rubella virus fever: Prolonged fever, mild fever, then rash and inflammation of the upper respiratory tract, occipital lymphadenopathy, behind the ears and neck.
  • Measles virus fever: children with persistent fever, coughing a lot, runny nose, red eyes, from the 4th day of the rash appear in the face, spreading to the legs and limbs.
  • Fever due to hand – foot – mouth diseases: When the child has limbs and mouth,the child has a prolonged fever , at the same time there are blistering nodules in the liver of the feet, hands, in the mouth that make it difficult for the child to eat, drink difficulties, should make the child anorexic, fussy, much tired.
  • Chickenpox virus fever: When the disease begins, the child may present with a constant prolonged fever, headache, pain, and then red blood rashs on his body. Water simulatement first appears in the face, chest and back then spreads gradually throughout the body. Water balloon acne initially contains a fluid that is internal but after a day will turn as opaque as pustules. After 2-3 days acne may be scaled. The blisters grow in different batches, so on the same skin can see many different forms, burning redness, clear blisters, turbid blisters, scabs … Chickenpox in young children and adults is currently preventable by vaccination of chickenpox .

Things to know about chickenpox vaccine

Chickenpox can also cause a prolonged fever

1.2. Children with fever due to bacterial infections

  • Fever caused by pharyngitis acute tonsillitis:The disease usually develops suddenly, high fever 39 – 40 ̊ C, children with prolonged fever, accompanied by swallowing pain, burning of the throat, hoarseness; fever may be accompanied by other symptoms: mucous nasal discharge, mild hoarseness and dry cough, tired child, dry lips, dirty tongue, especially children often appear inflammation of the neck lymph nodes, swollen jaw angular lymph nodes, pain … For breastfeeding babies, sore throat is often accompanied by little feeding or breastfeeding, harassment. For older children with sore throats, anorexia makes it easy for parents to misunderstand that these are unpleasant signs when they have teeth.
  • Respiratory infections such as bronchitis, pneumonia, pleurisy, pulmonary anesthetic,children often present with fever, sputum or blood cough, chest pain, shortness of breath …
  • Urinary tract infections: Cystitis, purulent inflammation of the renal tank, acute lecotroenteritis, children with fever accompanied by urination – urination, little urine, turbid or pink urine, edema, lumbar pain.
  • Hepatic infections:Children often have high fever, continuous prolonged fever accompanied by jaundice, yellow eyes, pain in the liver area.
  • Meningeal infections: Children with a continuous prolonged fever accompanied by severe headaches, vomiting, may have seizures, heterochromia or coma. For young children, fever is often accompanied by puffiness, a hard neck, the child cannot move his neck, cannot keep his head down, is sensitive to light, vomiting, and separation.
  • Septicaemia:Children show signs of infection,fever lasts continuously, can not eat, vomit all, separation, rapid pulse, rapid breathing, may have skin rashes …

1.3. Some other causes

  • Malaria due to malariaparasites: Children often have a history of living or going into malaria circulation, malaria in children is usually less likely to have a typical malaria such as: malaria, high fever, sweating, which, which children often have a constant prolonged fever , with or without cold tremors, sometimes only chills, fatigue, headaches, muscle pain.
  • Number due to welding: Children often have high fever, fever that lasts for more than 5 days, abdominal pain, abdominal obstruction, vomiting, diarrhea or constipation.
  • Tuberculosis fever:Children often show signs of persistent fever,often with mild afternoon fever, sweating, anorexia, standing weight or losing weight, coughing up a lot, coughing up blood and not responding to common antibiotics.

2. How should I handle fever?

  • Keep your child in a well-ventilated place, limiting the number of people around them.
  • Temperature pair for the child (a thermometer can be placed under the armpit cavity or in the child's anus). The thermometer must be kept in the child's armpit for at least 3 minutes, the child's arm must be close to the chest. The real temperature of the child will be the number shown on the thermometer plus about 0.3 – 0.4 degrees. For example, the thermometer says 38°C, the actual temperature of the baby is about 38.3 – 38.4°C.
  • If the child's temperature is not more than 38°C: remove clothes, do not wear blankets, wear only thin clothes for the child and monitor the child's temperature regularly, about once every 1 hour.
  • If the child's temperature is about 38 – 38.5°C, fever can be lowered by the following methods: taking off clothes, using physical antipyretic methods (warm compresses – wiping the baby) and antipyretic with common antipyretics.
  • The method of applying is to use a soft, clean cotton towel, dip in a water basin, squeeze it dry and wipe it all over the child, especially in places such as armpits, inguinal, waiting to evaporate, then wipe until the temperature drops to about 37.5°C.
  • If the child's temperature is 38.5°C or higher: Paracetamol antipyretics should be given in accordance with the correct dosage, weight and distance between the two medications in the instructions for use.
  • If a child is nauseous and cannot take medication, medication can be used.
  • Give your child plenty of water, especially fresh juices.
  • The child should be taken to the nearest medical facility for examination and treatment of fever.

Cases where it is necessary to give to a medical facility: the child with a fever lasts more than 3 days, the fever lasts continuously without taking antipyretic drugs, fever is too high, 40-41 ̊ C (moderately given medication just given to the hospital immediately) fever, medication but allergies, fever accompanied by dangerous signs such as separation, vomiting, not eating, not playing, separation, difficulty awakening, convulsions, rapid breathing, shortness of breath, abnormal breathing, diarrhea, bloody mucous stools, prolonged fever, infants ≤ 2 months old.

It should be noted in particular not to take medication if the child shows allergies, do not take the drug with children with a history of bile-ingestion of jaundice. These cases prohibit taking the drug at home. At that time, the child has a prolongedfever, must be taken to the hospital and treated under the guidance of a doctor.

Vaccinating children is the most effective and economical method to prevent diseases affecting children's health.

Take your child to the nearest medical center

The child should be taken to the medical center immediately if the child has a prolonged fever

With a team of experienced dedicated doctors from leading pediatric hospitals in Vietnam, the Pediatric Center at Share99 International Health Hub is trusted by parents in the treatment of respiratory and tropical infections in general and the treatment of children with prolonged fever in particular.

  • Prof. Ts. Bs. Pham Nhat An – Director of Pediatrics Center Head of PediatricsDepartment, Share99 Times City International Health Hub, 40 years of experience working in the industry, as well as general secretary of Vietnam Pediatrics Association.
  • Master – Dr Mai Kieu Anh – Deputy Head of Pediatrics Department – Head of Pediatric Resuscitation Unit, Share99 Times City International Health Hub, with nearly 10 years of experience working in Pediatric Emergency Resuscitation.
  • Master, Dr. Nguyen Thanh Hung – Head of Pediatrics – Newborn – Pediatrics – Newborn Department – Share99 Nha Trang International Health Hub, with many years working in general and newborn pediatrics.
  • Specialist 2 Tran Thi Linh Chi – Head of Pediatrics – Newborn – Pediatrics – Newborn Department – Share99 Hai Phong International Health Hub, Doctor has worked in pediatrics for more than 15 years, has a long time as head of functional exploration department, head of thoracic cardiologist department of Hai Phong Children's Health Hub
  • Specialist 2 Vu Van Control – Head of Pediatrics – Newborn – Pediatrics – Newborn Department – Share99 Ha Long International Health Hub, with 34 years of experience in Pediatrics and Emergency Resuscitation. With the strength in proficient implementation of pediatric and newborn resuscitation techniques, doctors have emergency resuscitation to nurture more than 1000 cases of premature babies and more than 1000 cases of infant diseases such as severe newborn jaundice, newborn respiratory failure,…
  • Associate Professor, PhD, Dr. Nguyen Thi Hoan – Head of Pediatrics Department – Pediatrics Center – Share99 Times City International Health Hub, Dr Hoan has 40 years of pediatric specialty experience and is a leading pediatric endographer in Vietnam
  • Associate Professor, PhD, Dr Huynh Tho Loan – Head of Pediatrics – Infants – Pediatrics – Newborn Department, Share99 Central Park International Health Hub, Dr Loan has nearly 30 years of experience in examining and treating pediatric endo noisynose diseases, pediatric kidneys and Pediatric – Infant problems

In addition, in Share99 health system, there are many pediatricians, experienced, professional, have operated and treated many difficult cases. In particular, in order to improve the quality of service, Share99 continues to equip a modern medical machinery system with one-way ventilation pressure room to help isolate patients well, limit cross-infection among surrounding patients, reducing hospital stays for children to less than 4 days. Therefore, parents can be assured of the process of examination and treatment at Share99.

For direct advice, please click hotline number or register online HERE. In addition, you can register for remote consultation HERE

SEE MORE:

  • Purulent meningitis in children: Causes, symptoms, complications
  • Prolonged fever of unknown reasons: When to go to the doctor?
  • How to diagnose and treat Turner syndrome?

Giới thiệu: Bo Yong

I'm the founder and owner of Thank Your Eyes. I have been nearsighted since I was a child, so I had eye surgery with LASIK method but it was damaged so I had to undergo additional surgery. Fortunately, this time my eyes were clear again. With this blog, I want to share my experiences with anyone who is having eye problems and wants to have healthy eyes.

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