What temperature warrents a trip to the E.R. in a 19 month old?

Rachel - posted on 11/25/2009 ( 33 moms have responded )

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What temperature warrents a trip to the E.R. in a 19 month old? I don't want to get paranoid but my daughter has had a high fever for the last two days. She has no other symptoms besides being lethargic and cranky. I hate hospitals, especially if they are going to make us sit around for hours and tell me nothing. Then again, this is breaking my heart, and I'm starting to get pretty worried. Please help!

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Rebecca - posted on 11/26/2009

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I am a nurse in Pediatric Intensive Care Unit. Fever generally is just a sign that your body is fighting something. The other moms on here have already posted about alternating tylenol and motrin, a great idea, but please check your dosages. Fevers are not dangerous themselves until extremely high, we're talking 107+ range, but you should still treat for comfort for your child.

One of the moms posted about a fear of seizure if the fever is brought down too quickly - this is not accurate, a fever spike may cause a febrile seizure but cooling a child won't harm them.

There is A LOT of illness in the ERs right now, LOTS and LOTS of swine flu and seasonal flu and regular winter crud, I would only bring my child in if, in addition to a fever, she had significant other symptoms (increased work of breathing, changes in how she is acting, not drinking/minimal wet diapers, etc). I'd otherwise wait and see the pediatrician. All that being said - this is YOUR child and in the end YOU know your child best, all practitioners would be wise to heed the concerns of Mom, she knows when her child is acting right or not.

HEATHER - posted on 11/25/2009

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I work in an ER. First thing first!!...Tylenol every 4 hours and Motrin every 8 hours. If you can NOT get the fever to stay down then take your child in. The worst mistake parents make is to take their children in the ER without giving them tylenol or motrin just to show us they have a high fever. I live in southern Wisconsin and I know the ick is going around. Drinking is more important than eating!!!! Keep her well hydrated!!! And never feel you can't take your baby in!!! Good Luck and hope she feels better soon

Amanda - posted on 12/16/2009

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I am a Paramedic and fevers higher than 102 have the potential to cause seizures in kids, mainly less than 5yo.

[deleted account]

I'm a mother of four and I totally understand the stress you are going through when you are having trouble easing the pain. Give the baby tylenol and motrin as suggested above. Every four hours you should be alternating between tylenol and motrin. Also you can try to give the baby a cold bath (not too cold)..put the baby in the tub with luke warm water, gradually making it cold , take a cup and fill the it with the cold water, slowly start from the top of her head all the way down...I know that it may sound mean but you need to lower the core temperature of the body. Do not over dress the baby, a simple t-shirt will do. If she is not eating give her pedialite, keep her well hydrated..Avoid juice or anything that has a large amount of sugar. Have you checked her mouth to see if she is teething?...This will make her have a fever for two or three days until the tooth breaks through the gum. Give her some ice pops and lots of mommy love....if you still feel that you should take her in, then by all means do so....Mommy's know BEST!

Rebecca - posted on 12/16/2009

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My son had a fever of 104.3 and my husband took him to the ER the frist night he had the fever. Sent him home adn said to keep up the tylenol and it will go away...2 days later fever of 104.7 so i went in and demanded an x-ray...he had H1N1 and pnemonia...his scan had no dark spots it was all white! i was livid. Yuo know your child better then anyone! Like i told the Dr the night i went in with him, they may see kids everyday but they don't see yours. Use you mother instinct it is never wrong! 2 weeks later the clinics opened for H1N1 and we were in line to get our shots:)

Good luck!

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Virginia - posted on 06/18/2014

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Motrin is Ibuprophen and Tylenol is Acetaminophen. Tylenol and motrin are just brand names,hope it helps.

Laura - posted on 06/18/2014

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I don't know what Motrin and Tylenol is!! I'm from Australia, is there other names for these two medacines?

Rikki - posted on 11/30/2009

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Hi my name is Rikki. I can tell you that if she is lethargic you need to take her in. If she seems to be doing okay minus the fever the general rule for a hospital to do anything is a fever over 103. Try alternating tylenol and motrin every two hours and make sure she's drinking a lot of fluids like gatorade to keep her electrolytes up

Diana - posted on 11/29/2009

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How high is it? Call your pediatrician. Story: My daughter was 1 at the time & strck a 103.5 fever on Friday. It would go down during the day w/ Motrin & Tylenol but shoot back up at night. Saturday night it went up to 104. Vanderbilt Children's hospital er nurse said bring her immediately in if it reached 105 rectally. It reached 105 in the wee morning of Sunday, we took her in, they checked her for flu (both strands) and gave her motrin then sent us home. No flu just a virus. In the scheme of things it's not being paranoided if you are concerned about your child's well being. I visited the doc a lot in the first year of our 1st child's life. I'd rather be safe then sorry! Hope that helps!

Christine - posted on 11/28/2009

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36.7 is normal temp 37 to38 feed panadol and a luke warm bath every few hours because thats all the hospital would do over 38 take to doctors or hospital as they can have convualtions due to high temp

Grace - posted on 11/28/2009

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A temperature greater than 103.9 degrees F. warrants a trip to the E.R. When temperatures get into 104 or higher there is a risk of seizures. The symptoms you are describing sound like Swine Flu or type A H1N1 flu. When my children run fevers, I alternate every 3 hours Motrin and Tylenol. I place a cold damp cloth on the back of their necks or the bottoms of their feet. I give them lukewarm baths. I make sure they drink plenty of fluids and get plenty of rest. I hope your infant heals quickly!

Sharon - posted on 11/28/2009

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any temperature that can't be lowered with tylenol or baby advil. Drs. don't care if your child has a simple fever. If they have a fever and stuff running out of their eyes and nose but tylenol will lower the fever, they don't care.

Do not take your child to ER during the flu season.

Sundae - posted on 11/28/2009

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All three of my boys run high fevers when they are sick. They are ages 12, 9, and 2. About 6 months ago was the last time we had to take our 2 year old in. He had been running 103/104 for two days. So I took him in. The ER doctor basically told me not to bother coming in unless he had a 107? When we were little, it was 103? Why is it different now. Anyway, the only thing that works on my boys is Motrin. The Tylenol is useless. I usually give them motrin and keep them rubbed down with a cool rag. There have been several times that I actually had to put them in a luke warm bath to bring it down. But most of the time, that's not necessary.

Radostina - posted on 11/28/2009

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hi there how hight is the temperature? I think that till 38 degree there is nothing to worry about but if is over this you have to see an doctor. Maybe the temperature is from growing a teeth. good luck and get better soon

Rachel - posted on 11/27/2009

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Thank You everybody for your help! We rotated the Motrin and Tylenol all day yesterday, and she is doing aot better today. No Fever, and she's back to her adorable self. She is still a little tired, but that is to expected. Whatever the fever was fighting, it won! She never got any other symptoms, Thank God!

Melanie - posted on 11/26/2009

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Rachel, you indicated this has been going on for 40 hours. Last month my daughter had a fever off and on for 5 days. I called our pediatrician who wanted to see her since it had been going on for 5 days. It turned out she had a sinus infection. When it all started, we had taken her in thinking it was the flu. She tested negative for strep & the flu initially. I do believe she ended up getting it because the next day, her fever spiked up to 103. But, after 5 days, I called and they wanted to see her. Most pediatrician's office do have after hours to have a nurse or someone to call you back.

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i would take her if the temp is not goin down wiv medicne, my daughter had a temp once it jus wouldnt go down, she kept being sick, kept falling asleep, after 24 hrs of this i took her 2 the hospital turned out she had pneumonia. and needed antibiotics.

i would take her jus 2 b on the safe side,

Katrina - posted on 11/26/2009

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Try tylenol. If you can't get it under 101 with tylenol then its time to worry

Santjie - posted on 11/26/2009

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WE have pamol and Neurofen inNew Zealand. Wish the docters would suggest these things to us here.

Kuku - posted on 11/26/2009

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I think its when its over 102, but I'm not sure. Maybe you can try calling your ped as was suggested. He would know best. I understand what you mean about waiting for hours, esp when you're worried about your little one. Hope she's better soon. Sick babies are very distressing. don't worry about being paranoid, go with your instincts. You're a mom, its natural to worry about your kid. And don't forget to take care of yourself as well.

Shelagh - posted on 11/26/2009

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I would say, regardless of the temperature, that if you feel things aren't right (and instinct comes into this) then you should seek medical attention. I don't know the system in the US, but in the UK something like this wouldn't involve a trip to ER, as it's not an emergency as such - it would be a (free) visit to the General Practitioner (family doctor), where you would usually have a timed appointment so not too much waiting around. Sometimes you just need reassurance that the child is OK and not suffering from anything serious, and sometimes it needs antibiotics to shift it.

Erika - posted on 11/26/2009

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102 degrees that does not respond to medicine, if you have given any, and lasting for more than 6 hours.. As long as it fluctuates with the medicine, and she is behaving normal adn has normal wet diapers, or potty times, don't worry. My kids have been known to be running and happy at 103-104.

Renae - posted on 11/25/2009

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I can only help if you need it in celcius. But I'm guessing your in the US.

Ashley - posted on 11/25/2009

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Do the motrin and tylenol thing as everyone has suggested. And I would also try putting a cool (not cold) washcloth on her forehead and under her arms, and wipe her down with it too. Don't get her too cold too quickly, or else that could cause her to have a seizer.

Rachel - posted on 11/25/2009

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I've been on hold with the after hours doctor for 20 minutes now. She is sleeping ok now, so I'm thinking that I should just wait until morning. I'm still going to wait it out on hold though. I never really thought about rotating the medicine. I just normally give them motrin above 102, and tylenol beneath it. Thank you so much for all your help, I really appreciate it.

Tracy - posted on 11/25/2009

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My ped told me 104, but only if it hasnt gone down with Tylenol and Motrin switching between the two. Tylenol every 4 and Motrin every 8 is what it would break down too. Keep her hydrated! If the fever still continues after 3 days I would call your ped to make an appointment.

Courtney - posted on 11/25/2009

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just do the tylenol and motrin round the clock for the next 24 hours and see how that does. don't wait until the fever spikes to give her more or it will be harder to control. I rotate the tylenol and motrin as Heather suggested as my ped. also recommends that for us.

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yes.. we went through this a few weeks ago with 1 yr old.. he had fever of 102 when he woke up one of the multiple times dring the night.. we actually hadnt given him motrin.. just tylenol.. but still hot.. listen to the nurse that just posted!! thats what er told us the next morning when we went in.. we were just nervous about pneumonia and what not he got bad very quickly.. but just bad cold, got tested for flu and pneumonia.. motrin worked great

Rachel - posted on 11/25/2009

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The highest that she has reached is 104.6 degrees. I don't remember her ever getting this high before. That's the thing: She's eating and drinking pretty normal and her diapers have been very wet. My insurance for her lapsed, and I'm waiting to get reapproved as well. Her temperature does lower with ib profin, but it spikes again after 5 or 6 hours. This all started about 40 hours ago with a mere 101.1 degree fever. I figured that was do to her canines coming in. I gave her tylenol, and she seemed allright. When she woke from nap 8 hours later, it had hit 104.0 degrees. I just put her down a little over an hour ago, but i'm starting to worry.

Courtney - posted on 11/25/2009

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Have you been able to lower it with motrin and tylenol? If it can be control then she should be ok, but I think it's over 103 if you're giving her motrin and it still isn't going down. My daughter (2.5 at the time) had a fever of 105 and we took her to the ER. They told us we weren't giving her enough motrin and sent us home. Her ped later gave us antibiotics for an infection that caused the fever. Two days is a long time if she's been given meds. Call you ped or the Er- they usually have a nurse you can talk to that can give you advice. Your medical insrance may have a nurseline too.

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