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Q: My 7-year-old has the flu and a 39.9°C fever despite medication. How can I prevent febrile seizures?

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 7-year-old child was diagnosed with the flu today. I have been alternating two different fever reducers every two hours. It has been a little over an hour since the last dose, but the fever just reached 39.9°C. Are there any other ways to lower the temperature besides medication? I tried a lukewarm water sponge bath, but my child got very irritated. They have finally fallen asleep, but I am terrified they might have a febrile seizure. What should I do?


Answer:

It is completely understandable that you are highly worried about your 7-year-old child's high fever of 39.9°C due to the flu, especially with the fear of a febrile seizure.


Here are the best steps you can take in the current situation:

  • Continue alternating fever reducers: You are doing the right thing by cross-dosing the medications; please maintain this schedule.

  • Stop the lukewarm water massage: If the child dislikes it or gets irritated, stop immediately. Recent medical guidelines do not recommend it if it causes discomfort, as shivering can actually increase core body temperature.

  • Environment and clothing: Dress the child in a single, thin layer of clothing and keep the room temperature comfortable, ideally between 24-26°C.

  • Hydration: Offer small, frequent sips of water or electrolyte drinks. Since they are asleep, wait until they wake up to offer fluids.

  • Cool compresses: You can place a cool, damp towel on the sides of the neck rather than just the forehead, as this can be more effective for cooling.


Regarding Febrile Seizures:

Febrile seizures are usually triggered by a rapid change in body temperature rather than the high number itself. Gradually lowering the fever with medication is the safest approach. If a seizure does occur, lay your child on their side to prevent choking and call emergency services (like 911 or your local equivalent) immediately.


When to visit the Emergency Room:

Please seek immediate in-person medical evaluation if your child shows any of the following signs:

  • Altered consciousness, extreme lethargy, or inability to wake up.

  • Continuous vomiting.

  • Difficulty breathing.

  • A fever of 40°C or higher that persists for more than 4 hours despite medication.


High fevers caused by the flu can typically last for 3 to 5 days. You are doing a great job caring for your child during this stressful time. Continue to manage the fever as advised, monitor their condition closely, and do not hesitate to visit the emergency room if any of the warning signs appear.


For extra peace of mind and clear guidance when tracking your child's symptoms, the FeverCoach app is always there to help.







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