Children with fever: know when to use medicines

Parents are exaggerating the dose of antipyretics offered to the children when they have a fever. In which cases is it necessary to use the drop

Whenever children have a fever, adults become desperate. Just the thermometer indicates more than 37 ° C that starts the rush to find a remedy before even ascertaining the state of health of the child. The question is: the use of medication at these times can have negative consequences.

So much so that the pediatric scientific journal of the world, the American Pediatrics, has issued a recent warning about the indiscriminate use of antipyretics. In the article, signed by specialists of the American Academy of Pediatrics, doctors recommend that this type of medicine is not used for the sole purpose of reducing the body temperature of boys and girls. “But, unfortunately, many parents have an exaggerated and irrational fear of fever,” laments pediatrician Jayme Murahovschi. That is where the danger lies.

That’s because self-medication is always risky. “The antipyretics do not act on the disease that triggered the rise in temperature, only decrease the fever,” recalls the infectious and pediatric Cristina Rodrigues da Cruz. “When there is a fever, there must be a diagnosis of what caused it, done by a pediatrician.” In addition, body heat as long as it is no more than a tolerable limit-even lends a hand to exterminate what Ventura is behind all the trouble.

“Fever up to 38.6 ° C optimizes the immune system,” says pediatrician Joelma Gonçalves Martin. “That is, getting a little warmer than normal helps the child to defend himself, because of the production of protective antibodies increases, some defense cells are recruited more quickly and the multiplication of various microorganisms is inhibited “He explains.

If fever, at first, does not hurt, when are antipyretics really necessary? “Overall, when they increase the child’s comfort in relieving symptoms such as tremors, malaise, and acceleration of heartbeat,” says infectologist Milton Lapchik. This means that if your child is hot but keeps running around the house, you do not have to medicate him. Exceptions are boys with heart or lung problems, in addition to those who are susceptible to seizures triggered by fever.

In all cases, however, it is the doctor who decides whether it is time to call for the drops – not the parents themselves. “In children under 3, whose immune system is a bit more immature, the concern needs to be greater,” says Joelma. “So infants with high temperature, regardless of general condition, children with low fever, but with other symptoms, and those who remain febrile for days at a time need medical attention.” In infants, any fever should be reported immediately to the pediatrician.

But no father or mother should despair in those hours. Perhaps this is the most important message in the American article. In more than 60% of cases, the elevation of temperature is just one of the body’s responses to the presence of some strange micro-organism – and soon, soon, the whole heat passes.

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When the thermometer rises
Above 37.8 ° C – Fever

And in small children, the thermometer can mark temperatures much higher than this heat. It is a natural reaction of an organism that is learning to defend itself. That is, the calorie often does not reflect anything serious. So do not worry so much.

Between 37.2 and 37.8 ° C – Febrile Condition

Not always a temperature just above 37 ° C indicates that the fever is on the way. But when the feverish state manifests itself, the recommendation is to leave a thermometer nearby to see if the child’s body will not overheat.

Up to 37.2 ºC – Normal

People have different organisms and the temperature can vary from individual to individual. But until about 37.2 ° C everything is absolutely normal.


Harold Jacobs

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