What should I do if a child has fever, chills, and shivering?

Dec 26, 2024 Source: Cainiu Health

Dr. Zhou Xiaofeng

Introduction

In general, fever refers to an elevated body temperature. When a child experiences fever accompanied by chills and shivering, it is often a sign of high fever, commonly associated with conditions such as acute tonsillitis, influenza, acute bronchitis, acute gastroenteritis, and pneumonia. It is recommended to promptly implement general treatments and medication to alleviate symptoms. During treatment, it is also important to ensure the child gets adequate sleep to promote recovery.

Generally speaking, fever refers to an elevated body temperature. When a child experiences fever accompanied by chills and shivering, it is usually a sign of high fever, commonly associated with conditions such as acute tonsillitis, influenza, acute bronchitis, acute gastroenteritis, pneumonia, and other factors. It is recommended to promptly adopt general treatments and medication to alleviate symptoms. If discomfort persists, timely medical attention is advised. The specific analysis is as follows:

1. Acute Tonsillitis

Acute tonsillitis may be related to infectious factors and immune responses. An increase in inflammatory mediators can cause fever and a continuous rise in body temperature. It may be accompanied by symptoms such as sore throat and reduced appetite. Treatment may include medications such as Pudi Lan Xiao Yan Oral Liquid (BleiSophora Root, Herba Taraxaci, etc.), Compound Zinc Bao Granules, Xigua Shuang (Citrullus Vulgaris), and other drugs, as advised by a physician.

2. Influenza

Influenza is caused by infection with the influenza virus, such as type A or type B influenza virus. After the virus stimulates the body, high fever may persist. It is often accompanied by symptoms such as coughing and chills. Improving the living environment and maintaining the room temperature around 25°C is recommended. In severe cases, medications such as Ribavirin Injection, Oseltamivir Phosphate for Oral Suspension, and Adenosine Arabinoside Monophosphate for Injection may be used under medical guidance.

3. Acute Bronchitis

Acute bronchitis is caused by bacterial or viral infection due to decreased immunity. The respiratory inflammation may spread systemically, causing high fever and chills. Symptoms usually include coughing, expectoration, and shortness of breath. It is important to keep indoor air moist and avoid smoke irritation. In severe cases, medications such as Roxithromycin Granules, Penicillin V Potassium Granules, and Dextromethorphan Hydrobromide Syrup may be used under a doctor's instructions.

4. Acute Gastroenteritis

Acute gastroenteritis is mostly caused by bacterial, viral, or parasitic infections, such as rotavirus or norovirus. Inflammatory stimulation can easily lead to the above symptoms, accompanied by abdominal pain, diarrhea, and nausea. Prompt dietary adjustments and medications such as Lactobacillus Powder, Smectite Powder, and Bifidobacterium Triple Viable Powder may be used under medical supervision.

5. Pneumonia

Pneumonia is usually caused by pathogens such as Streptococcus pneumoniae, Staphylococcus aureus, viruses, or mycoplasma. The resulting inflammatory response affecting the body's temperature regulation center can cause high fever and chills. Symptoms may include coughing, expectoration, and chest tightness. Keeping the airway clear and cleaning oral secretions are important. When necessary, medications such as Cefaclor Granules, Loquat Cough-Relieving Granules, and Azithromycin Granules may be used as advised by a doctor.

It is important to note that before using any of the above medications, consultation with a qualified physician is necessary to avoid self-medication. Additionally, during treatment, it is essential to ensure adequate sleep for the child to promote recovery.

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What medicine should a child take for fever to recover quickly?

Commonly used and safe antipyretic medications for children include acetaminophen suspension, ibuprofen suspension, acetaminophen suppositories, ibuprofen suppositories, and Xiao'er Chai Gui Tui Re Granules. These should be administered according to the child's age and weight, and medication should not be given blindly. If fever persists beyond 3 days without improvement, is accompanied by severe symptoms, or if the child experiences discomfort after taking medication, prompt medical attention is recommended.

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What methods can quickly reduce fever in children?

In general, a child's fever may be caused by factors such as excessive environmental temperature leading to insufficient heat dissipation, immune response after vaccination, upper respiratory tract infection, acute gastroenteritis, or bacterial pneumonia. It is recommended to seek timely medical attention, identify the underlying cause, and then improve the condition through physical cooling methods, medication, and other treatments under a doctor's guidance. Additionally, it is important to ensure the child's daily diet is light and easily digestible, avoiding oily and spicy foods.

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At what temperature will a child experience convulsions due to fever?

In general, there is no fixed temperature threshold at which a child will experience seizures during fever. Most often, seizures occur when body temperature rapidly rises above 38.5°C. However, some children may experience seizures even if their temperature does not reach 38.5°C. This primarily relates to individual physical condition and the speed at which body temperature rises. When a child has a fever, parents should closely monitor temperature changes and administer antipyretic medication promptly if the temperature exceeds 38.5°C.

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Which areas should be massaged to reduce fever in children?

Fever, also known as pyrexia, can be accompanied by massage therapy to assist in reducing body temperature in children. However, the appropriateness of massage should be considered based on individual circumstances. Commonly used acupoints for fever reduction include clearing the heavenly river water (Qing Tian He Shui), pushing the Kan Palace (Tui Kan Gong), rubbing the Taiyang point, clearing the lung meridian (Qing Fei Jing), and pressing and rubbing the Hegu point. Proper techniques may help alleviate symptoms of fever. If there are any concerns, it is recommended to seek medical advice in advance.