For Parents & Families

Fever

What counts as a fever, what to watch for, what helps at home, and when it’s time to call your provider or go to the ER.

What is a fever?

A fever means your child’s body temperature is higher than normal. For children under 5, a fever is a temperature of 100.4°F (38°C) or higher. Fever is the body’s way of fighting infection — it is usually not dangerous on its own, but it tells you something is going on that needs watching.

What to watch for at home

  • Temperature: check every 4–6 hours with a thermometer
  • How your child looks and acts: are they drinking fluids? responding to you? playing at all?
  • Rash: any new spots or redness on the skin
  • Breathing: faster than normal, working hard to breathe
  • Wet diapers: fewer wet diapers means your child may be dehydrated

What you can do at home

  • Give fluids: breast milk, formula, water, or diluted juice — small amounts often
  • Dress lightly: one layer of clothing, light blanket if needed
  • Fever medicine: acetaminophen (Tylenol) or ibuprofen (for children over 6 months) can help with comfort. Follow the dosing instructions on the package for your child’s weight — not their age
  • Rest: keep your child calm and comfortable

Do not use aspirin in children under 18. Do not use cold baths or ice.

📞 Call your provider if:
  • Fever over 104°F (40°C)
  • Fever lasting more than 3 days
  • Your child seems very sick or unusually sleepy
  • Fewer wet diapers than normal
  • New rash appears
  • You’re worried — trust your instincts
🚨 Go to the ER immediately if:
  • Fever in a baby under 3 months old — any fever
  • Seizure (shaking, stiffening, unresponsive)
  • Struggling to breathe
  • Blue or gray color around lips or fingertips
  • Won’t wake up or very hard to wake
  • Stiff neck
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