Factrum Publishes a detailed and fascinating high temperature guide, written by Robert Mendelsson, the largest American pediatrician, the author of the book "How to grow a child healthy contrary to doctors."

When you call a doctor to report a child's illness, the first question that it almost alwaysks: "The temperature was measured?" And further, regardless of which data you inform you - 38 or 40 degrees, advises to give the child aspirin and bring it to the reception. It became a ritual of almost all pediatricians. I suspect that many of them say learned phrases, even if they hear about the temperature of 43 degrees.

I am worried about the fact that children's doctors ask no questions and give not those tips. In increasing the temperature, doctors see something extremely dangerous, otherwise why is it their first concern? And from their advice to give the child aspirin parents inevitably conclude that treatment should be drug and aimed at reducing temperature.

Measuring the body temperature and recording of its indicators in a medical record, the reception begins in most children's clinics. There is nothing wrong. Increased temperature, indeed, is an important diagnostic symptom in the context of the subsequent examination. The problem is that it is attached much more value than it would be worth it. When the doctor sees a recording of a nurse on temperature in the map, say, 39.5 degrees, he invariably pronounces with a dark view: "Wow! Need to do something!".

His concern about temperature - nonsense, and misleading nonsense! With itself, nothing is needed to make anything. In the absence of additional symptoms, such as unusual behavior, special weakness, the difficulty of breathing and others, which make it possible to assume serious diseases like diphtheria and meningitis, the doctor must tell the parents that it is not worried about, and send them home with the child.

Taking into account the exaggerated attention of doctors to elevated temperatures, it is not surprising that most parents, according to sociological surveys, have tremendous fear of it. Moreover, the fear of this grows in proportion to the thermometer's testimony, while it is most often consistent.

Here are twelve facts related to the body temperature, knowledge of which will help you avoid many unrest, and your children - unnecessary and dangerous analyzes, x-ray research and drugs. These facts should take into account every doctor, but many of the pediatricians prefer them to ignore and do not consider it necessary to acquaint parents with them.

Fact number 1.

The temperature of 37 degrees is not "normal" for all, How we are told all your life. This is simply not true. The established "norm" is very conditional, since the indicator 37 degrees is the average value. In many people, normal temperatures are higher or lower. This is especially true for children. Studies revealed that the body temperature in most absolutely healthy children is 35.9-37.5 degrees and only a few - exactly 37 degrees.

The fluctuations in the body temperature of the child during the day can be significant: it is in the evening for a whole degree higher than in the morning. Finding the child in the second half of the day a slightly increased temperature, do not worry. For this time, this day is quite normal.

Fact number 2.

The temperature may rise for reasons that are not associated with any disease: When digesting abundant and heavy food or at the time of ovulation, adolescent girls during their puberty. Sometimes the temperature rise is the side effect of prescribed medicines - antihistamines and others.

Fact number 3.

The temperature is to fear usually has an obvious cause. In most cases, an increase in temperature that may pose a threat to health, either as a result of poisoning with toxic substances, or as a result of overheating (the so-called thermal blow).

Classic examples of overheating are soldiers, losing consciousness on a parade, or a marathonist, coming from a distance and falling from exhaustion on the sun. In such cases, the temperature can rise to 41.5 degrees or above, which is fraught with detrimental consequences. Such effect can be achieved and overheated over the measure in the bath or in a jacuzzi.

If you suspected that the child swallowed a poisonous substance, immediately call the center of help in poisoning. When there is no such possibility, without waiting for trouble, urgently carry the child to the hospital and, if possible, capture the packaging from the swordable tool - this will help you quickly choose an antidote.

As a rule, the fragmented substances are relatively harmless, but timely appeal for help is very important.

Immediate current is also necessary if the child loses consciousness, even if not long, after moving games in the heat or after a bath or jacuzzi. The call of the doctor in this situation is not enough. We travel to the hospital as soon as possible. External impacts are potentially dangerous. They are able to suppress the protective forces of the body, which in normal conditions do not give the temperature to rise to a dangerous level. Recognize such states help the events preceding them and related symptoms. I emphasize: the loss of consciousness means that the child is in danger.

Fact number 4.

The testimony of body temperature depend on the method of its measurement. Rectal (in the rectum) Temperature in children is usually on degrees higher than the oral (in the mouth), the axillary - on the degree below. However, the infants have the difference between temperature values \u200b\u200bmeasured by these methods, not so large, so it is better to measure the temperature in the axillary depression.

I do not advise you to use a rectal thermometer: with its introduction, the rectum perforation is possible, and it is deadly in half cases. Why risk when there is no need for this? Finally, do not think that the body temperature of the child can be determined to the touch, touches the forehead or chest. It will not be able to medical workersnor you

Fact number 5.

Knock down the body temperature should not. The exception is only newborns suffering from infections caused by obstetric intervention in childbirth, intrauterine and hereditary diseases. A sharp infectious disease can be the result and some procedures. For example, an abscess under the scalp can develop in the infant from the sensors of the device with intrauterine observation, and aspiration pneumonia is due to amniotic fluidfalling into the lungs as a result of the introduction of the mother during childbirth medicines. Infection infection is possible and during the circumcision procedure: in hospitals, legions of pathogenic pathogens (this is just one of the reasons why my grandchildren were born at home). If the baby in the first months of life rises a high temperature, show his doctor is simply necessary.

Fact number 6.

Temperature can rise from excessive shutting. Children are very sensitive to overheating. Parents, especially firstborn, are often unnecessarily concerned about whether their children are not cold. They cover kids in many clothes and blankets, forgetting that if he becomes hot, he will not be able to free himself from warm things on his own. If the baby has risen the temperature, do not forget to check if it is not warm too much.

If a child with a temperature, especially accompanied by a chill, wrapped tightly into thick blankets, it will provoke an even greater lift. A simple rule that I recommend the parents of my patients: Let the child be so many layers of clothing as they themselves.

Fact number 7.

Most cases of temperature rise are associated with viral and bacterial infections with which the body's protective forces cope without any help. Cold and flu are the most frequent causes of increasing temperature in children of any age. The temperature can increase to 40.5 degrees, but even in this case there are no reasons for concern.

The only danger is the risk of dehydration from the concomitant processes of sweating, frequent Pulse and breathing, cough, vomiting and diarrhea. It can be avoided by giving a child abundant drink. It would be nice if the child drank every hour in a glass of liquid, preferably nutritious. It can be fruit juice, lemonade, tea and everything that the child will not refuse. In most cases, viral and bacterial infections are easy to recognize on the accompanying temperature increase symptoms: light cough, rheore, leaking eyes, and so on. With these diseases, neither a doctor's help or any medicines are needed. The doctor will not be able to "register" anything more efficient than the protective forces of the body. Medicines facilitating the general condition only interfere with the action of vitality. I will tell about it in more detail in one of the following chapters.

Antibiotics are not needed: although they can reduce the duration of a bacterial infection, but the risk associated with them is very large.

Fact number 8.

There is no unambiguous communication between the body's body and the severity of the disease. A common misconception regarding this is not justified by anything. In addition, there is no one among the parents, nor among doctors among the parents. My parents of my patients, and I had a lot of them, had diametrically opposite glances on this. Studies have shown that more than half of the parents surveyed are considered a "high" temperature from 37.7 to 38.8 degrees and almost everyone calls the temperature of 39.5 degrees "very high". In addition, all respondents were convinced that the high temperature indicates the severity of the disease.

It's not like that at all. Extremely, by the hour, the measured temperature of the smooth account says nothing about the severity of the disease, if it is caused by viral or bacterial infection. As soon as you understand that the reason for temperature is infection, stop measuring the temperature is hourly. To track its increase in such a disease will not help, moreover, it will only strengthen your fears and tired of the child.

Some ordinary, non-hazardous diseases, like one-day measles, sometimes cause very high temperatures in children, while others, more serious, can flow without its increase. If additional symptoms seem to be vomiting or difficulty with breathing, keep calm. Even if the temperature rises to 40.5 degrees.

To determine, light, like a cold, or serious, kind of meningitis, the disease is caused by the temperature, it is important to take into account the general condition of the child, his behavior and appearance. All these moments you will appreciate much better than the doctor. You are much better know how your child usually looks and how he behaves. If unusual letness is observed, the confusion of consciousness and other alarming symptoms that continue the day or two, it makes sense to call a doctor. If the child is active, has not changed his behavior, the reasons to fear that he is seriously ill, no.

From time to time in pediatric magazines, articles about "Teuthroofobia" are included - about the unreasonable parental fear of elevated temperatures in children. Doctors specially invented this term - typical of the people of my profession the tactics "accusing the sacrifice": doctors are never mistaken, and if the mistakes occur, patients are to blame. In my opinion, "Teuthroofobia" is a subsection of pediatricians, not parents. And it is the doctors to blame for the fact that parents become her victims.

Fact number 9.

The temperature caused by viral or bacterial infection, if not to be shot down, does not rise above 41 degrees. Pediatricians have a bad service, prescribing antipyretic means. As a result of their assignments of the parents' alarm that the temperature can rise to the extreme limit, if not taken action, is supported and enhanced. Doctors do not say that the temperature knocking on the recovery process does not affect, as well as the fact that the human body has a mechanism (not yet fully explained), which does not allow the temperature to overcome the barrier in 41 degrees.

Only with thermal impact, poisoning and other external influences this natural mechanism may not work. It is in such cases that the temperature rises above 41 degrees. Doctors know about it, but most of them pretend that they do not know. I believe that their behavior is caused by the desire to demonstrate their help to the child. In addition, there is a common desire for doctors to intervene in any situation and reluctance to recognize that there are states that they cannot be treated effectively. In addition to the cases of deadly, incurable diseases, which doctor will decide to say to the patient: "I can't do anything"?

Fact number 10.

Measures to reduce temperature, whether the use of antipyretic agents or wiping with water, not only not needed, but also harmful. If the child is infected, then an increase in temperature, which is accompanied by the course of the disease, parents should be perceived as a curse, but as a blessing. The temperature increases as a result of spontaneous production of pyrogen - substances causing fever. This is the natural protection of the body from the disease. The temperature rise suggests that the body's healing system turned on and works.

The process is developing as follows: on infection The child's body responds to the production of additional white blood taurus - leukocytes. They kill bacteria and viruses and purify the body from damaged tissues and decay products. The activity of leukocytes is increasing, they quickly move to the infection hearth. This part of the process, the so-called leukhataxis, is precisely stimulated by the production of pyroges that increase the body temperature. Increased temperature indicates that the healing process is accelerated. This is not necessary to be afraid, it must be rejoiced.

But that's not all. Iron, which serves as a power source for many bacteria, leaves blood and accumulates in the liver. This reduces the reproduction rate of bacteria and increases the efficiency of interferon produced by the body to combat the disease.

This process was demonstrated by scientists in laboratory experiments on infected animals. In case of artificial increase in temperature, the mortality of experimental animals was declined from infection, and with a decrease - increased. An artificial increase in body temperature has long been used in cases where the patient's body losing the natural ability of it during diseases.

If the child's temperature rose as a result of infection, do not give in to the desire to bring it down with medicines or wiping. Let the temperature make your business. Well, if your compassion requires facilitating the patient's condition, give the child a paracetamol with the corresponding dosage age or wipe the body with warm water. This is quite enough. The doctor is needed only when the temperature keeps more than three days, other symptoms or a child appeared very badly.

I emphasize: reducing the temperature to facilitate the state of the child, you interfere in the natural process of healing. The only reason that forces me to talk about the ways to reduce the temperature, know the knowledge that some parents are not able to resist from this.

If you do not shoot down the temperature you can not, wiping with water, preferably the intake of aspirin and paracetamol due to their danger. Despite popularity, these funds are far from harmless. Aspirin poisoned annually, perhaps more children than any other poison. This is the same form of salicylic acid, which is used as the basis of the anticoagulant in rat poison, - rats, eating it, die from internal bleeding.

Aspirin can cause a number of side effects in children and adults. One of them is intestinal bleeding. If children receive this drug during the disease of the influenza or windmill, they can also develop the Syndrome Reia - frequent cause Child mortality, mainly due to the impact on the brain and the liver. In part, therefore, many doctors switched from aspirin to paracetamol (acetaminophen, Panadol, Calpol and others).

Receiving this tool is also not out of position. There is evidence that large doses of this drug are toxic for liver and kidneys. I will draw your attention to the fact that children whose mothers have taken aspirin during childbirth often suffer from cheefalohematoma - a state at which the bumps filled with liquid appear on the head.

If you still decided to reduce the body temperature with wiping, use only warm water. Reducing the body temperature is achieved by evaporation of water from the skin and does not depend on the water temperature. That is why too cold water benefits has no advantage. Not suitable for wiping and alcohol: his pairs for the baby are toxic.

Fact number 11.

Heatcaused by viral or bacterial infection does not lead to the brain damage and does not cause other negative consequences. The fear of the high temperature largely proceeds from the widespread presentation, which it can lead to an irreversible damage to the brain or other organs. If it were so, Panic Parents would be justified at raising the temperature. But, as I said, the statement is false.

Those who are familiar to this fear, I advise you to forget about everything that he has sown, and never take on the faith of words about such a threat of high temperature, from whom they would proceed - from other parents, older people or a familiar doctor, the friendly of the distribution advice for A cup of coffee. And even if such a council gave a all-living grandmother. It happens, alas, not always. Cold, flu and any other infection do not raise the child's body temperature above 41 degrees, and the temperature below this level will not cause long-term harm.

You do not need to end myself with a fear of a possible brain lesion in a child with a temperature increase in its temperature: the body's protective forces will not allow temperatures to rise above 41 degrees. I do not think that even pediatricians who practiced decades have ever seen more than one or two cases with high temperatures. Temperature rise above 41 degrees is not caused by infection, but with poisoning or overheating. I treated tens of thousands of children and only once observed the temperature above 41 degrees in his patient. No wonder. Studies have shown that in 95 percent cases of increasing temperature in children, it did not rise above 40.5 degrees.

Fact number 12.

High temperature does not cause convulsions. They cause a sharp rise in temperature. Many parents are afraid of high temperatures from their children, since they noticed that she was accompanied by seizures. They believe that convulsions cause "too high" temperature. I understand such parents well: a child in cramps is an unbearable spectacle. Those who observed may be hard to believe that, as a rule, this condition is not serious. In addition, it is relatively rare - only 4 percent of children with high temperatures are convulsions, and there is no evidence that they leave serious consequences.

A study of 1,706 children who experienced febrile convulsions did not find cases of motility disorders and did not record fatal exodues. There is also no convincing evidence that such convulsions subsequently increase the risk of epilepsy.

Moreover, measures to prevent febrile convulsions - the reception of antipyretic drugs and wiping - almost always carried out too late and, therefore, wasted: by the time of the detection of high temperature in a child, most often, the convulsive threshold has already been passed. As I said, the convulsions depend not on the temperature level, but from the speed of its lifting to a high mark. If the temperature rose sharply, the convulsions were already occurring or the danger passed them, that is, to prevent them almost impossible.

Children under five years are usually prone to febrile cramps. Children experiencing such convulsions at this age are subsequently suffering from them rarely. To prevent repetition of seizures at high temperatures, many doctors prescribe long-term treatment with phenobarbital and other anticonvulsants. If such funds write down your child, ask the doctor about the risk associated with them, and what changes in the behavior of the child are leading.

In general, in the matter of long-term treatment of febrile cramps, there is no unanimity among doctors. Drugs that are commonly used in this case cause liver damage and even, as showed animal experiments, adversely affect the brain. One of the authorities in this matter once remarked: "Sometimes the patient is more useful to live ordinary life Between the episodes of convulsion, rather than living on drugs without convulsion, but in the constant condition of sleepiness and confusion of consciousness ... ".

I was taught to prescribe children with febrile convulsions (to prevent them from repeating) Phenobarbital, current medical students teach the same. Doubt in the correctness of the appointment of this drug I had when I noticed that in treating them in some patients, convulsions were repeated. This, naturally, forced to think: Due to phenobarbital with the rest of the patients, they stopped? My suspicions intensified after complaints of some mothers on the fact that the drug overvolves children or slows down so much that, usually active and sociable, they suddenly turn into a semi-azombie. Since Epizodich's cramps and do not leave long consequences, I stopped prescribing this medicine to my little patients.

If the febrile convulsions of the child have a long-term treatment, parents will have to decide, agree on it or not. I understand that it is openly expressing doubts in the appointments of the doctor not easy. I know the fact that the doctor can dismiss if the questions or not give intelligible answers. If it happens, it makes no sense to try out the dispute. We must take a doctor's recipe and, before buying a medicine, ask for advice from another doctor.

If your child has a seizures related to the temperature, try not to panic. Of course, the advice to give much easier than to follow them. The spectacle of the child with convulsions really scares. But still: remind yourself that convulsions do not threaten the lives of your baby and will not bring irreversible harm, And take simple measures to ensure that the child does not suffer during an attack.

First, turn the child to the side, so that he does not choke saliva. Then make sure that there are no solid and sharp items near his head, which it can be born during an attack. After making sure that the baby's breath does not hinder anything, put a solid, but not a sharp object between its teeth - for example, a clean folded leather glove or wallet (not finger!) So that it does not accidentally bite the language. After that, for your own calm, you can call the doctor and tell about what happened.

For the most part, cramps last a few minutes. If they delay, ask the doctor's doctor. If a child will not fall asleep after an attack, give him food and drink it is impossible for an hour. Due to severe drowsiness, he may be stored.

Body Temperature Guide

High temperature is a common symptom-related symptom with severe diseases (in the absence of other disturbing symptoms, such as unusual appearance and behavior, the difficulty of breathing and loss of consciousness). It is not an indicator of the severity of the disease.

The temperature that increases as a result of infection does not reach the values \u200b\u200bin which irreversible defeats of the child organs are possible.

Increased temperature does not require medical intervention over what is recommended below. The temperature does not need to be shot down. It is the natural protection of the body from infection and helps a speedy healing.

1. If the body temperature in the child has risen above 37.7 degrees, consult a doctor. This may be a symptom of infection - intrauterine or associated with interfering in the process of childbirth. Increased temperature in children of this age is so unusual that it is beneficial to prudently and rather calm down if anxiety is false.

2. For children older than two months, the doctor with raising temperature not needed, In addition to cases when the temperature holds more than three days or is accompanied by serious symptoms - vomiting, difficulty breathing, a strong cough for several days and other not characteristic of a cold. Consult your doctor if the child is unusually bad, irritable, scattered or looks seriously ill.

3. Contact your doctor regardless of the thermometer readings, If a child has a difficulty with breathing, indomitable vomiting if the temperature is accompanied by involuntary muscle twitching or other strange movements or worries something else in the behavior and the form of a child.

4. If the rise of the temperature is accompanied by a chill, do not attempt to cope with this sensation of a child using a blanket. This will lead to an even more sharp increase in temperature. Chills are not dangerous- This is the normal response of the body, the mechanism of adaptation to a higher temperature. He does not mean that the child is cold.

5. Try to lay a temperature child in bed, but do not overdo it. There is no need to rush the baby to the bed and keep it at home if the weather is not too bad. Fresh air and moderate activity will improve the mood of the baby, without worsening the state, and make you a life easier. However, too intensive loads and sports are not necessary to encourage.

6. If there is reason to suspect as the cause of high temperature is not an infection, but other circumstances - overheating or poisoning, carry a child to the hospital immediately. If in your area there is no ambulance separation, use any accessible medical help.

7. Do not try folk tradition, "Squate hunger fever." Food is important for recovery from any disease. If the child does not respond, "drill" and colds, and fever. Both those and others burn the reserves of proteins, fats and carbohydrates in the body, and they need to refund. If the child refuses to eat, use it with nutritional liquids, such as fruit juice. And do not forget that chicken soup is useful to everyone.

High temperature and usually associated symptoms lead to a significant loss of fluid and cause dehydration. It can be avoided, giving a child to drink a lot, best - fruit juices, but if he does not want them, any liquid is suitable, preferably - one glass every hour.

From the book of Robert Mendelssohn "How to raise a child healthy contrary to doctors."

Increased temperature in a child is the first sign of the disease. Therefore, it is necessary to "shoot" it correctly and, most importantly, on time. Do not hide in panic - so you can help your baby faster and more efficient.

Most often, the increase in temperature is accompanied by chills, headache, as well as the deterioration of the overall condition of the child, weakness. Sometimes, especially when ORVI, elevated temperature is the only sign of the disease. It should be remembered that the high temperature is a protective reaction of the body. It contributes to the development of protective proteins - interferon, lysociline, which in turn struggle with viruses inside the body. The higher the temperature, the more interferon is produced. The peak of the concentration of this protein accounts for 2-3 days of the disease.

Abundant drink

If a child has an increased temperature, he needs to go sweat well. But do not cover the baby with blankets, on the contrary, in such a state, his body should be as free from things. To have something to sweat the baby, you need to drink every 20-30 minutes. You can give a warm infusion of lime color, rosehip, dried raspberry, fruit, especially cranberry or brushing, not strong tea with raspberry jam Or black currant. Best of all, if you alternate these drinks - it will improve the effect. Any liquid given by you should not be cold or hot - only warm. But, again, I note all the drinks need to be given taking into account the age of the child and the absence of allergies to these products.

The room must be cool
It is necessary to ventive the room every hour to 15-20 minutes, depending on the pore of the year, but the main thing is that there are no drafts. The optimum air temperature in the kid's room should be 16-18 degrees.

Bed regime
If the baby begins to capricious, he appears weakness, measure the temperature and put it into bed. In such a state, he needs a bed mode. Of course, you can not put every child like this, so you can lie down with him and read it your favorite fairy tale or turn on the cartoon, but not long, since the view can be tired. An ideal option, of course, is a dream.

Food
The child refuses meals - do not feed forcibly. You can try to call an appetite, say, offering it your favorite food, because for the fight against the disease you need strength. Kid feed often, but not large portions and most useful in this period there will be fruits and vegetables, as well as cereals without milk.

When to start "shoot down" temperature?
"To knock down" the temperature of the child over 3 months is needed since 38.5 degrees, but provided that the child does not suffer from cardiovascular diseases and diseases of the respiratory system, as well as febrile convulsions. The temperature below 38 degrees "knock down" is not needed - allow the body to compete with the disease. In addition, each child transfers temperature increase differently. Some can safely play at 39 degrees, others - at a temperature of 37.5 lose consciousness. Therefore, any universal recommendations on what indication on the size of the thermometer to start shooting down the temperature is not. All these questions you must discuss in advance with your attending physician, because only he can, given the characteristics of your child's body, give you recommendations.

Wasten
To speed up the process of heat transfer, you can wipe the child moistened with a diaper or a napkin. If the kid has a strong heat, you can wrap it with a wet cool sheet. Pens and knives can be wiped off with a mixture of water and alcohol, divorced in a 1: 1 ratio. On Lobik Baby, you can put compress with cold water or cabbage leaf.

Problems with stool
If a child has problems with a chair, stagnation in the digestive system or it is not regular - it can also contribute to an increase in temperature, which leads to the deterioration of the general state of the baby. In this case, you can apply a proven home method - make a cool (room temperature) cleansing enema.

The number of water required for the belief depends on the age of the child:

• for newborns - 30 ml;
• kids 1-3 months - 90 ml;
• kids 6-9 months - 120-150 ml;
• kids 9-12 months - 180 ml;
• children 2-5 years old - 300 ml;
• children 6-9 years - 400 ml;
• children are 10-14 years old - 500 ml.

Antipyretic means
The most recommended tool to reduce temperature in children is paracetamol - this is the main active substance that is part of most antipyretic agents for children. These funds can be sold in the form of syrup, tablets, as well as candles.
Syrup begins to act about 20 minutes after taking, candles - 30-40 minutes. For kids, as well as for children who have vomiting at high temperatures, it is best to use antipyretic candles, after making a cleaning enema, then its action will be most effective. In addition, the effect of using candles is longer.
Many antipyretic drugs may contain dyes, flavors and other additives, from which in children an allergic reaction may occur.

Attention!Before using any means, be sure to consult with the attending physician or with ambulance workers. Carefully read the drug instructions and pay attention to the expiration date.

When to call an ambulance?

• child age up to 1 year;
• if the antipyretic agents do not give results;
• incessant vomiting (more than 3-4 times);
• uncontrollable diarrhea (more than 3-4 times);
• convulsions appeared;
• rash of any kind, purple rash or bruises in front of her eyes;
• the emergence of new symptoms is either just the deterioration of the overall condition of the child;
• if the child has apathy, drowsiness, the lack of reaction to attempt to wake him up;
• the child has a strong headache that does not disappear after the adoption of analgesics and antipyretic;
• if there are signs of dehydration: a reduced amount of urination or dry diapers, "revealed" eyes, smelled by spring, with a crying lack of tears, a dry language, pronounced drowsiness or excitement, more than usual, as well as the appearance of a specific smell of mouth.

Mise most often cause a doctor to house those parents who come closely with the problem of pronounced hyperthermia from their children.

Infectious and inflammatory diseases are often accompanied by a strong heat, sometimes developing to the mark of thirty-nine degrees.

In general, the kids are not bad to endure this difficult state, but in the event of a serious illness, the associated symptoms complicating it will also be marked.

Migrain, chills or respiratory manifestations are most common. The question of the treatment of the baby can only solve the doctor, but parents should clearly know - than to bring down the temperature of 39 in the child before arrival.

The most commonly significant hyperthermia in the child is developing into force:

• Bacterial infection;
• introduction into the organism of viruses;
• respiratory infections;
• food poisoning;
• allergic reaction;
• teething;
• overheating;
• nervous overvoltage;
• oncological diseases;
• immune response to vaccination, etc.

These factors cause a strong heat from the kid, which reflects the sharp increase in the protective forces of its body.

Show the temperature 39?

The overwhelming majority of domestic and western pediatricians hold the opinion that when Hyperthermia reaches an alarming mark of 38.5 degrees, it is not worth waiting for the further development of events.

It must be lowered. Otherwise, various heavy complications are able to occur, most frequent of which becomes a convulsive fit.

In the event of a serious infectious or inflammatory disease, the question of the appointment of antipyretic drugs should only be solved by the attending physician.

If there is no particular danger or, on the contrary, the pediatrician has not come yet, and the values \u200b\u200bof the thermometer increase more than 39 degrees, they need to be reduced.

To do this, it is necessary to clearly understand that a significant increase in temperature is a direct reflection of the organism resistance. It is the heat that helps him actively deal with infection.

Nevertheless, too strong his manifestations are capable of negatively affect the baby, fully taking his strength and leading to dehydration.

How to bring down the temperature of 39 in a child and help him survive this serious condition? First of all, it is required to provide him with a large amount of fluid.

To prevent the body's dehydration, the baby should constantly have a kid.

For this, various fruit compotes, fruits from berries or brands of medicinal plants are well suited. Drinking should be tasty, otherwise the sick child is able to refuse him because of bad well-being.

Giving him a liquid is better from a spoon or a comfortable bottle. When parents are in confusion from the fact that the child has a temperature 39, Komarovsky believes that it is possible to knock it down in this way.

Known children's doctor Komarovsky also recommends that the lost balance of electrolytes in the body is fill in the development of hyperthermia. To do this, it is necessary to eliminate the lack of trace elements. In this case, we will help raisins, figs, kuraga and other dried fruits.

According to the advice of Komarovsky, it is strongly recommended to drink a drink to the child cooled, but still preserving heat. Therefore, before you begin to treat it with forceps, you first need to provide a children's body in sufficient liquid.

If the baby is hot only forehead, and the legs and hands are colded, this indicates the development of a negative vascular reaction.

In this case, it should be known that the child at a temperature of 39 degrees is permissible to give antispasmodics (drootaverine or papaverine) in a children's dose, clearly indicated in the instructions for the drug.

It is necessary to completely open the window and achieve a significant cooling of the room where the patient lies. Dr. Komarovsky believes that the thermometer in it should show no more than twenty, as a last resort, twenty-two, degrees.

It helps to balance the thermoregulation of the body with the help of breathing toddles inhaled and air allocated. In addition, it is worth the air jet also wet.

It is advisable to moisten the curtains, put in the room a large pelvis with water or decompose everywhere raw fabric.

Increased body temperature in a child - Emergency care "School of Doctor Komarovsky"

• There is a strong heat, which has already exceeded the mark of thirty-nine Celsius and is approaching forty degrees;
• diagnosed heart disease;
• there is vascular pathology;
• there is a tendency to cramps, etc.

All this places it in the zone of significant risk. The heat that has reached 39.9 degrees is no longer any benefit of the body, but causes coagulation of proteins, of which the human body is largely.

In addition, it creates a significant burden on the cardiovascular and nervous system.

With a significant development of the heat should be aware that it is possible to quickly bring down the temperature of 39 in a child using water-wiping temperature wiping. Add any substance to it is undesirable.

From the kid, you need to remove everything more superfluous to avoid overheating. It should be left in cotton pajamas or in a night shirt made of natural fabrics. Cover it better easy Sheet.

It is not worth allowing the child to run or shout if it is in an excited state, but also forcibly putting it into bed is also undesirable.

Any nervous and physical overvoltage will only enhance hyperthermia. It is necessary to sit in a comfortable place, read him or distract to something interesting.

How to bring down a temperature of 39 in a child?

It is possible to reduce the manifestations of heat with the help of appropriate drugs only if the temperature of 39-39.5 in the child is not thrown off with wipes, and drinks.

It should be remembered that for children under 5 years old, candles, syrups and suspensions are preferred, and not pills.

There are special drugs to which syrups, suspensions or tablets include. They contain appropriate doses:

• Ibuprofen;
• Syrup or candle with nurofen;
• Candle with Viferon;
• Paracetamol;
• Calpol;
• Panadal;
• Effergangan or cefecond in the desired dosage.

Take them should be strictly according to the instructions that are attached to the medicine. it effective drugscapable of bringing off the heat for a fairly long period. In addition, they produce an operational effect.

The preparation of the safest choice in this case is paracetamol.

It quickly helps to knock down the temperature, it has an anti-inflammatory and painful effect, has a minimum of contraindications and adverse reactions, and also does not have a noticeable effect on the blood formation system and the CNS.

Dosage in tablets at temperatures in children from 3 to 6 years is 800 mg / day.

With 6 summer ageThe allowable dose is multiplied by 1.5-2. The minimum interval between medication techniques is 4 hours.

If the temperature is not reduced, the tablet can be repeated. If the temperature of 39 in the child holds and after repeated reception, other medicines are used, or home remedies.

Ebuprofen-based drugs also help to quickly eliminate heat, but they are less effective in relation to other positive impacts on the body.

However, their advantage is that the antipyretic effect remains a very long period. The child should also take them no more than every six hours.

For patients aged 3 months to 2 years, candles, syrup and suspension are used in accordance with the instructions. And for children over 3 years old - pills.

The dosage is 10 mg / kg of body weight at a temperature of 38.5 - 39.2, and if the heat is below this indicator, then - 5 mg / kg. The daily dose of the drug should not exceed 30 mg / kg body weight.

How can not be shot down

Many parents are horrified, seeing the digits on the thermometer who stopped at the mark of thirty-nine degrees. Therefore, they lose their head and begin to do what only aggravates the position of the child.

It should be noted that in medicine the elevated temperature is divided into:

• White when hot forehead is celebrated, and the palms and the feet are cold, the face is pale;
• red when heat covers the whole body.

Therefore, the temperature is restored in different ways.

• In the first case, it is not recommended to massage the finiteness of the child, fully undressing it, apply wet and cool bulls to his body. The condition of the baby is due to vascular failure and these measures will only strengthen it.
• When the red hyperthermia is observed, these actions are able to help, as in this case The spasm of the vessels is not observed, on the contrary, they are expanded.

If the temperature of 39 in the child holds hard and does not respond to anything, it is impossible to rub the baby with alcohol or acetic solution, as it contributes to the dehydration of the body and negatively affects the condition of the skin.

For large quantities Substances, as well as in the presence of damage on the body, it can get into the bloodstream and cause even more damage.

Also, you can also eat a child with hot drinks with raspberries, lime or honey, and then climb tightly.

Thus, parents cause a folding effect and simultaneously clog the air exchange, not giving full strength Work thermoregulation system.

In addition, plant substances contribute to the creation of a diuretic result, which together with a force action creates all conditions for blood dehydration.

Many parents fall into panic when they see that the temperature is 39.4 in a child, how to knock her down, do not know. Therefore, it is necessary to remember that it should not seek to eliminate the heat by any means.

Medicines forbidden to use by children

In no case cannot be given to the baby such drugs like Amidopin, Analgin, Antipirin or Penacetin.

Children's body they are contraindicated, otherwise it is quite possible to the onset of intoxication, which will make the patient's condition critical.

• Since the kids often observed a heat, then parents should be to this ready and know the basic measures, which it is desirable to use what to help him.
• Even if the child is still breastless, then the mother must be prepared in advance to prepare for the fact that it is capable of and should do with the development of Hypertermia from him, since it often will have to deal with such a problem.
• And, of course, to engage in self-medication when developing the heat, a small patient is simply unacceptable. All the necessary therapy performs only a doctor.

What to do if the temperature 39 is not knocked down

There are such cases when everything is tried, but hyperthermia does not disappear. Therefore, if the temperature of the child has 39 degrees, then this is a signal that the help of specialists is needed.

Urgent ambulance is needed when:

• Heat is enhanced;
• the child eats nothing;
• he refuses to drink;
• he is getting worse;
• his limbs twisted;
• the child is constantly tearing;
• he has a strong diarrhea.

If you do not call an ambulance in time, then the onset of a convulsive seal, cardiac or vascular failure, organic brain damage is possible.

These symptoms indicate the majority of metabolic problems, the rapid approximation of dehydration, as well as the availability of dysfunction internal organsAnd most likely the doctor will prescribe an antibiotic.

While the team of doctors has not yet arrived, it is desirable to wrap in a wet shelf for about five minutes. Then it should be wiped out and put on a dry night shirt.

It is also necessary to pay attention to the associated symptoms, because they are indicated by the presence of a certain disease. High temperature is only one of them and in itself can not give a specialist with a full response to the question than the child is sick.

What to do if after receiving the antipyretic temperature did not decrease? - Dr. Komarovsky

In contact with

Mom of the sick child does not find a place, not knowing what to do, especially if he has a high temperature. Do not panic in this situation, because babies are sick quite often and this situation is common. It is necessary to clearly know how to act in such cases and then it will be possible to keep the situation under control.

What to wipe the child at high temperatures?

Methods that do not require drug use include wiping the child's body. This method can be used as an independent, if it is not possible to give a baby to the antipyretic, or in the complex with it.

Than just do not enjoy parents to reduce the high temperature in the child. There are alcohol, vinegar, ice look. It is categorically impossible to do this, in any case, until the child becomes an adult. After all, all these drugs across the skin fall into the body and can cause poisoning, especially in the kids. In addition, these tools lead to vessels spasm, which is fraught with overheating of internal organs.

It is best at high temperature to wipe the body of the baby with simple water room temperature. If the child is not against, then you can walk with a damp sponge all over the body.

But most often the kids do not like this procedure, and therefore it is worth limking to the wiping of places where the main vessels are passing to the skin - under the knees, under the mouses, in the elbow joints and wrists.

If there is an opportunity, you can attach cold bindings to the above seats. The temperature in this case decreases gradually, but not completely, so the body has the ability to produce interferon naturally.

What is the drugs to give a child at high temperature?

A completely small kids are encouraged to introduce rectal candles Panadol or Anordim (containing analgin with Dimedrol). Older kids, if there is no vomiting, it is better to offer a means in the form of a suspension or tableted forms of drugs.

What do children have at high temperatures?

In the case when the temperature is stubbornly growing, in medical institutions or emergency workers, it can make a kid to the root of a triple, or this means, judging from the title, consists of three components - analgin, dipverol and papaverine.

Depending on the presence of drugs, the components of this mixture can be replaced. Thus, the analgin is replaced with paracetamol, dippledrol - suprastine, and papaverine - but-spam or other antispasmodics.

What to feed the baby at high temperature?

When the tutor's temperature is high, then, most likely he refuses food until he becomes easier and the acute stage of the disease will not pass. Meat fatty food, all sorts of smoked smoking should be excluded.

It is necessary to give a child only that food, which is easily absorbed, because if it is forcibly feeding it, the body will spend the forces not to fight infection, but for digestion. You can offer a lightweight soup, roast puff or puree, fermented dairy products.

What to drink at high temperatures to the child?

All fluids that fall into the child's body during high temperature are equally useful and necessary for recovery. The main danger with increasing degrees is dehydration. With it, the blood is thick, the heart becomes difficult to pump it, and even a fatal outcome is possible due to blood turning. That is why it is so important to prevent that the child does not drink during the disease.

You need to prepare the baby all sorts of eggs from berries, compote from dried fruits, green and herbal tea. Even soup, which is suitable as light food, is simultaneously liquid and drink.

Save not to lose! Pediatricians advise! Highly helpful information, Thank you! Not everyone knew, now I'll take note. It is described in detail and ...

Save not to lose! Pediatricians advise!

Very useful information, thanks! Not everyone knew, now I'll take note. It is described in detail and simply, without unnecessary troubles.

Now, when children are so often sick, this knowledge is needed by every mom! It is so important to help your child and not harm!

1. How and when to shoot down the child's temperature

• We confuse, if above 38 your task is to reduce T to 37.5 from the axillary vpadina.
• To reduce T, use paracetamol (acetominophen), ibuprofen. Never use aspirin, especially if a chickenpox has.
• Latest the child (do not wrap!). Do not forget about the cool, fresh air in the room.
• To reduce t, cool baths can be used (the temperature of the water corresponds to normal body temperatures).
• Do not use alcohol wipes, especially in young children. Remember, alcohol - poison for a child.

2. Why does paracetomol and ibuprofen do not always help?

The fact is that all drugs in pediatric practice are calculated on the weight of a particular child. Drugs need to be taken correctly calculating the dose by weight of a particular child, with the help of special dimensional syringes manufacturers, especially cheap paracetamols, for some reason undertake doses, but to focus on the recommendation - "from 6 months to 3 years" is also not reasonable, since Maybe one dose of the drug approach the child weighing from 8 to 18 kg.

3. How to make the antipyretic? (Calculate the dose of medication)

Paracetamol (Panadol, Efferoralgan, Cefecon D) One-time dose of drug - 15 mg / kg. That is, for a child weighing 10 kg, a single dose will be 10kg x 15 \u003d 150 mg. For a child weighing 15 kg - 15x15 \u003d 225 mg. Such a dose can be given up to 4 times a day if necessary.

Ibuprofen (Nurofen, Ibufen) One-time dose of 10 mg / kg. That is, the child weighing 8 kg need 80 mg, and weighing 20 kg - 200mg. The drug can be given no more than 3 times a day.
Preparations reduce the temperature during an hour and a half, about 1-1.5 degrees, expect a decrease in temperature to the "norm" 36.6 should not be.

4. What drugs cannot be given to a child

Analgin (sodium metamizole). The use of the drug in the civilized world is not approved due to the high toxicity, depressing effect on the blood formation. Russia is used widely, especially under emergency care conditions, as part of a "lithic mixture". Perhaps a single introduction of the drug under conditions when other, more secure drugs are not available. But the constant intake of the analgin each time the temperature increases is absolutely unacceptable.

Aspirin (acetylsalicylic acid) - the use of the drug in children up to 12 years old in viral infections is prohibited due to the possible development of toxic encephalopathy with damage to the liver - Reee syndrome.

Nimesulide (Naz, Nimulid) - several years ago, was widely advertised as antipyretic in children due to spaces in legislation. The temperature reduces wonderful. It is made only in India. In a civilized world, use in childhood It is prohibited due to the possibility of developing severe liver damage (toxic hepatitis). At the moment, the use of the drug in children under 12 years in Russia is prohibited by the Pharmaceutical Committee.

5. It is impossible!

Apply cold items to the "temperature" body of a child - it provokes the spasm of the skin vessels. And if the decrease in skin temperature and occurs, the temperature of the internal organs, on the contrary, increases, which is exceptional danger. - It is impossible to rub with alcohol or vinegar, because through the skin these substances fall into the child's body, and therefore poisoning is possible.

6. What to do with the 'White Fever'?

Are there any benefits from high temperature? Understanding! Fever is an answer to an infection, a protective mechanism that helps the body to fight viruses, with an increase in body temperature in the body are produced protective factors. If your child's skin, despite the high temperature, pink and wet to the touch, you can relatively calm - the balance between heat-product and heat transfer is not disturbed. But if at high temperatures, the skin pale, hands and feet are cold, and the baby beats the chills, then this is a "white fever", which arises spasm of vessels. The reason may be damaged in the central nervous system, the lack of fluid, a decrease in pressure, and other causes. With a white fever:

1) Try to give the floor tablets of the NOS-POP and intensively rub the cold finiteness of the child intensively. Note that the antipyretic will not begin to act in full force until the spasm of the vessels go. Necessarily call ambulance - They will make the injection of the 'lithic mix'!

2) Exclude any physical cooling methods - wiping, wrapped in cold sheets, etc.! Your child has a spasm of skin vessels.

7. What form of medication to choose?

When choosing a form of medication (liquid medicine, syrup, chewing tablets, candles), it should be borne in mind that drugs in solution or syrup act in 20-30 minutes, in the candles - after 30-45 minutes, but their effect is longer. Candles can be used in a situation where the child has vomiting when driving fluid or he refuses to drink medicine. Candles are better used after the child's defecation, it is convenient to introduce them for the night.