Q: My child has a 38°C fever from tonsillitis but is in good condition. Should I give medicine before bed?
Medically reviewed by Sang Hyun Ahn, MD
Content edited by Myeongchan Kim, MD
This post is a dramatization of a question and answer session experienced by our actual medical reviewers. Please note that this content is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.
Question:
My child has been having a fever since Sunday due to tonsillitis. Initially, I was giving a fever reducer every 5 to 6 hours, but the intervals have gradually gotten longer. Today at 3:00 AM, the temperature was 38.6°C, so I gave medication. Around 1:30 PM, it was 38.4°C. Now it is 10:00 PM, and the fever is maintaining at 38.0°C without going any higher. It might drop while they are sleeping, or it might stay the same. I am debating whether to give a fever reducer before putting my child to bed. Their overall condition and energy levels are very good right now. What should I do in this situation? If the temperature is 38.0°C but my child feels fine, should I just observe them without medicine?
Answer:
It must be exhausting caring for a child suffering from tonsillitis, but fortunately, it seems the fever that started on Sunday is finally beginning to stabilize.
Based on your current assessment:
• Maintaining a temperature of 38.0°C + a good overall condition = You can safely observe your child without giving a fever reducer.
• The lengthening of intervals between medication doses and the lowering of the fever are clear signs of recovery.
• A fever caused by tonsillitis typically lasts for 3 to 5 days before gradually subsiding.
What you can do right now:
Let your child sleep without a fever reducer. If they are not in pain or uncomfortable, there is no need to administer medication.
Encourage them to drink plenty of water or warm tea to stay hydrated.
Keep the room humidified by turning on a humidifier or hanging a wet towel.
Check your child's body temperature again in the morning.
When you should follow up with a doctor:
• If the fever spikes again to 39.0°C or higher.
• If your child cannot swallow their own saliva due to severe throat pain.
• If they experience any difficulty breathing.
• If the fever lasts for more than 5 days.
A temperature of 38.0°C is a normal immune response as the body fights off the virus. Since your child's general condition is good, allowing them to get a deep, restful sleep will be the most helpful thing for their recovery. You are doing a wonderful job taking care of them!
For extra peace of mind and clear guidance when tracking your child's symptoms, the FeverCoach app is always there to help.
