Q: My 28-month-old's fever isn't going down with medicine. Should I go to the ER?

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Question:

My 28-month-old child has a fever. It started low this morning but has climbed to 38.9°C (102°F) this evening. I've given two doses of over-the-counter fever reducer, but it hasn't come down after an hour. The child's overall condition seems fine, and they are not acting particularly sick. Should I take them to the emergency room if the fever doesn't break or goes over 39°C?

Answer:

I completely understand your concern about your 28-month-old's fever. It must be especially worrying when the fever doesn't seem to come down after giving medicine.

Current Situation Assessment:

• A fever of 38.9°C (102°F) + Good overall condition = No immediate need for the ER.

• It can take 1-2 hours for fever reducers to take full effect.

• Your child's overall condition is more important than the number on the thermometer.

What you can do now:

1. Dress your child in a single layer of light clothing and keep the room temperature comfortable, around 24-26°C (75-78°F).

2. Offer small, frequent sips of water, juice, or milk to stay hydrated.

3. Keep a precise record of when you give medicine to ensure you maintain the proper 4-6 hour interval between doses.

🚨 Go to the ER immediately if:

• The fever is over 40°C (104°F) AND the child is very lethargic or limp.

• They are having difficulty breathing.

• They show signs of dehydration, such as not urinating for over 3 hours.

• They have a febrile seizure (convulsions or limb shaking).

⚠️ Go to a clinic tomorrow morning if:

• The fever lasts for more than 3 days.

• A rash or other new symptoms appear.

• The fever reducer seems to have no effect at all.

If your child's condition remains good, it's okay to monitor them at home tonight. Check their temperature every 2-3 hours, and most importantly, observe if they are still playing and taking fluids well

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

https://fevercoach.us