Childhood Fevers Remedies, Treatment, Prevention and Management
What are the causes of fever in children?
Almost all childhood fevers are caused by viruses. They have no particular treatment. A dosage of Paracetamol and sponging are beneficial.
What are the different types of childhood fever?
Some of the fevers like Chicken pox, Measles, Mumps, Rubella, and Whooping Cough have a characteristic incubation period.
Incubation period comprises of time from when the disease is contracted till the appearance of first symptoms (usually fever).
When the symptoms are obvious and diagnosis is made, the public health department should be informed. This helps them to keep a check on the occurrence of many infectious illnesses in the surroundings.
Some of the significant features of Common Childhood Fevers
Fever Type: Chicken Pox in Children
- The incubation period varies from thirteen to Twenty one days.
- Exclusion period is about five days from the onset of rash. Women in the first four weeks of pregnancy should be kept away from the patient.
- Clinical Features- large number of blisters (swelling on the skin containing watery liquid) appears on the trunk (part of the human body excluding head, arms and legs).
Fever Type: Erythema Infectiosum (Fifth disease or Slapped Cheeked Syndrome)
- Incubation period varied from seven to fourteen days.
- Exclusion period – None.
- Clinical features – There is mild illness accompanied by a slapped cheek appearance.
Fever Type: Hand, Foot and Mouth Disease in Children
- Incubation period varies from three to five days.
- Exclusion period – None.
- Clinical Features – Spots start appearing on the hands, feet and roof of mouth and also on buttocks and back of legs.
Fever Type: Children affected by Measles
- Incubation period ranges from eight to thirteen days.
- Exclusion period – A few days before the rash appears until five days after it has gone.
- Clinical Features – Initially it appears like very bad cold with catarrh and fever. Rash appears on the third and fourth day and spreads almost everywhere on the body. Children often feel very unwell.
Fever Type: Children with Mumps
- Incubation period ranges from fourteen to twenty one days.
- Exclusion period – Five days from the onset of swollen glands.
- Clinical Features – The glands may swell and become large under the chin and in cheek. The swelling usually appears on both the sides. But in some cases it may appear on one side.
Fever Type: Roseola infantum
- Incubation period is for about ten days.
- Exclusion period – None.
- Clinical Features – At first there is high temperature. As fever subsides, within one to three days a finely spread rash appears. The rash does not last long.
Fever Type: Rubella
- Incubation period varies from fourteen to twenty one days.
- Exclusion period – Seven days prior to the appearance of the rash and about five days after the appearance of the rash.
- Clinical Features – Usually there is mild illness. And after a bath a fine rash that is more obvious appears.
Scarlet Fever in Children – (caused by bacteria)
- Incubation period varies from two to five days.
- Exclusion period – Five days from commencing antibiotics.
- Clinical Features – Rash appears over face, trunk and tongue (strawberry tongue). There is an attack of tonsillitis. Skin starts peeling especially of the fingers.
Fever in Children and Whooping Cough – (Child remains infectious until seven days of proper treatment)
- Incubation period varies from seven to ten days.
- Exclusion period – Up to three weeks from commencement of cough.
- Clinical Features – There is fever, development of catarrh followed by bouts of cough. There is presence or absence of whoop. And it can go on for weeks.
Symptoms of Childhood Fevers
- One of the first signs of illness in a child is a raised temperature.
- The child’s face maybe flushed.
- And the skin may turn warmer than usual to touch.
- In viral illnesses the temperature fluctuates up and down for the first two days of illness prior to other symptoms.
Childhood Fevers Remedies Treatment, Prevention and Management
- Take down the child’s temperature if his skin feels warmer than usual. Use a mercury thermometer, an ear thermometer or a fever strip to note down the fever.
- In case of fever, recommended dosage of Paracetamol is given in either syrup or dissolving tablet form to bring down the temperature to normal.
- This should be accompanied with tepid sponging. Undress the child except the nappy. Take a sponge dip it in lukewarm water and wipe the child all over. The water should evaporate by itself. You can switch on a fan. Do this continuously till the temperature reduces.
- Do not give aspirin to children under twelve years.
- Give the child plenty of fluids because a lot of water has been lost in the form of sweat. Rehydration powders should be kept at home because they replace salts that are lost.
- Infants can be nursed during the night if need arises.
- The sick child should be kept in a well ventilated room that is quite cool. Avoid wrapping the sick child in blankets.
- Itchy rashes such as chicken pox should be sponged with a solution of baking soda in water. Or calamine lotion can be applied for a soothing effect.
- Infectious child should be kept away from women in early pregnancy.
November 4, 2008 | Filed Under Childrens Health
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