High temperature 39 in a child Komarovsky. High temperature: advice from Dr. Komarovsky. When to bring down the temperature

Before answering the question “how to bring down a child’s fever?” Let’s try to figure out if it is necessary to do this at all?

And if you, for the first time, faced with the "going off scale" of the mercury column of the thermometer beyond the borderline 37 degrees, our opinion seems almost blasphemous - be sure to discuss this with your local doctor. For now…

Heat exhausts the child, so it must be brought down.

From the history of the issue

With the invention of aspirin in 1897, indiscriminate "temperature phobia" began among physicians. If, up to this point, fever during illness was considered an assistant, both for the doctor and the patient, then due to the obsessive advertising of the “miracle cure”, the world was carried away by antipyretics.

Previously, the temperature was not brought down, the baby's body struggled without outside help.

The struggle of pharmacists for the coveted 36.6 has taken the form of a wholesale epidemic. It began to seem that by knocking down the "criminal" tenths of a degree of body temperature, the patient can be considered cured.

But is it really all this?

What is considered a high temperature requiring urgent measures?

The body temperature of a healthy newborn baby can fluctuate within the normal range of 37-37.4 ° C. After six months of age, it rarely rises above 37 ° C.

An increase in these indicators to 37.2-37.5 ° C for a sufficiently long time is considered low-grade fever. This is one of the indicators that is happening in the body of the baby, the inflammatory process with which the tiny body is trying to fight. The development of the child's immunity, protective cells and antibodies, is accompanied by the release of heat.

At this stage, measures aimed at lowering the temperature are not applied. The reasons for its increase are being clarified, and the main disease is being fought.

At a temperature of 39°C, the body actively fights viruses.

With a further rise in the thermometer, up to 38-39 ° C, the body temperature of the baby is considered febrile. This is a period of active struggle of the defenders of his body with foreign cells and microbes. The vast majority of pathogens die at this stage.

If the baby tolerates such a temperature well, you can try to let the baby cope with hostile microorganisms on his own. If the child is prone to convulsions, a vulnerable nervous system, problems with intracranial pressure, etc., we begin the fight for antipyretics.

When crossing the mercury column, the marks in 39°C, measures to reduce the temperature are taken immediately. For babies under the age of one year, such a fever can be critical, and requires emergency care.

A high temperature in a child may rise if he is sick. This is the first sign of the disease, in a day or two a characteristic red rash will appear on the baby's body. Every mother knows what chickenpox is, but does not always know what to do if her baby has picked up the virus.

High fever can be one of the symptoms of rubella. This unpleasant disease must be treated immediately, otherwise the child may begin complications. What is rubella and how to treat it we will tell.

10 ways to effectively bring down the temperature

Vinegar rubdowns. In a bowl, mix 1 part table vinegar with 5 parts cool water. With a sponge dipped in this solution, wipe the baby's feet, hands, chest, tummy and back. Manipulation is repeated every 2-3 hours.
We provide cooling. The heat exchange of the crumbs does not work at all like that of an adult. And if for us, wrapping ourselves up with a fever, in order to sweat well, is a proven method (yes, with tea with raspberries, or maybe 100 grams), then this scheme is not suitable for babies. The air in the room should be cool, and allow excessive heat to escape from the child's body.
More liquid. Elevated temperature easily leads to dehydration of the child's body. Violation of the water-salt balance prevents the already working at the limit, immunity to fight infection. Easier to absorb liquid room temperature. Too cold will lead to vasospasm and deterioration of heat transfer, too hot - to even more warming up of the crumbs.

To be removed from the child's body harmful substances He needs to drink more fluids.

Terry towels soaked in the aforementioned vinegar solution or mint decoction are applied to the forehead, wrists, and inguinal folds of the child. As it warms up, the compresses need to be changed and reapplied. These refreshing dressings, which take away excessive heat in places where the baby's pulse is heard, are able to reduce his temperature to normal in a couple of hours.

A cool compress takes away excess heat, helps to reduce temperature.

Salt enema. For older children, a salt enema works well. Dissolve 2 teaspoons of salt in a glass of cool water. You can add 15-20 drops of beetroot juice to this solution. For a two-three year old toddler, the volume of the enema should not exceed 70-80 ml.
Chamomile enema. For very young children, the same enema is recommended, but with a decoction of chamomile. In addition to the antipyretic effect, it also has anti-inflammatory properties. Three tablespoons of pharmaceutical chamomile are poured into a glass of hot water. Then, gradually, in a water bath, for 15-20 minutes, the infusion is brought to readiness. Strained, and mixed with it with any vegetable oil(for babies - 1:1, for children over 3 years old, a couple of tablespoons of oil is enough), we get the composition for an enema.

Chamomile enema - reduces the temperature and has a disinfecting effect.

Cool wrap. An aqueous solution of yarrow relieves heat well and, in addition, has an antiseptic effect. Soak in this infusion cotton fabric and wrap the temperature child for 10-15 minutes. The proportions of the solution: a couple of tablespoons of herbs per liter of water, and for 20-30 minutes in a water bath.
Bath. This method is not recommended for very young children, it is more suitable for adolescents and adults (in infants, the circulatory system is not yet perfect, and the blood vessels simply do not have time to respond correctly to a sharp temperature drop). The patient sits in a bath with slightly warm water that does not cause discomfort. To improve heat transfer and blood circulation, a light massage of the parts of the body in the water is carried out. The time of taking a cooling bath is 15-20 minutes. During this time, body temperature can be reduced by a couple of degrees.

A cool bath can lower a child's body temperature by several degrees.

hypertonic solution. This is a 3-6% sodium chloride solution (or common table salt) also used for enema. 1-2 teaspoons of salt are carefully dissolved in a glass of warm (!) Water. The action of this enema is not based on cleansing the baby's gastrointestinal tract from toxins, but on the absorption of a hypertonic solution by the intestinal walls. Infants from six months of age, the volume of liquid should not exceed 50-70 ml. Baby up three years- 100-150 ml of solution.

Table salt has a unique healing effect.

Medicines. With a more detailed review of antipyretics, you can find on our website. In general terms, paracetamol and ibuprofen-based drugs are still considered the most effective and safe drugs recommended for high body temperature. In addition to the ability to relieve fever, they have anti-inflammatory and mild analgesic properties.

11th, extreme way to bring down the temperature of the baby

If none of the above methods helped, if the child's fever persists and does not subside, if he begins to feel worse, you turn off the computer and call an ambulance.

This is especially true for babies and toddlers up to one year of age. Their nervous system is not yet fully developed, and is not able to withstand such a load for a long time. Vasospasm, and as a result - convulsions and (pah-pah-pah!) respiratory arrest, can lead to sad consequences.

We do not risk!

The opinion of Dr. Komarovsky on the symptoms, causes and folk remedies for bringing down the temperature

Evgeny Olegovich in his vision of this problem is extremely conservative. Considering the high temperature not a symptom of the disease, but the mobilization of all the forces of the body, the doctor proposes to fight the cause that caused such a reaction.

He shares the opinion of most sensible colleagues that an increase in overall body temperature during illness leads to more active production of natural interferon. On the second or third day of illness, its amount is enough to effective fight with any infectious agent. That is why, almost any ARVI goes into decline after 3-5 days from the onset of the disease.

Raspberry decoction is the best antipyretic according to Uncle Zhenya Komarovsky.

The best antipyretic drug Komarovsky considers a proven folk remedy - raspberry decoction causing increased sweating.

But "letting the process take its course" is unacceptable in infants prone to increased intracranial pressure and convulsions.

If a child has blood, he will often get sick and feel bad. The overall health of the baby depends on the content of red bodies in the blood. One of the main tasks of the mother is to monitor the hemoglobin level of her child.

Some parents notice that their baby's head sweats. This may be due to several reasons. We'll talk more about them in.

Moms on how to deal with fever in babies

Anastasia R., Alyosha's mother (2 years old):

“I respect the opinion of Evgeny Olegovich very much. When Alyoshka was born, they re-read almost everything about the illnesses of Komarovsky and the Nikitin family. Calls for sanity and lack of panic really helped with the first sores, acute respiratory infections and fever.

Nikitin, having raised seven children, advise:

“On the first day of the heat, do not rush to give the baby medication, but allow the baby’s body to cope with the infection itself. You need to monitor the coolness in the room, and of course, the condition of the child in order to notice in time if he needs help.

Tamara, Sergey's mother (3.6 years old):

“Girls, not one modern antipyretic can be compared with grandma's raspberry tea, checked! The only thing is that it is better that it is not jam (sugar is more difficult to digest by a sick body, and it reduces sweating), but dried fruits and raspberry leaves. By evening, Seryozha had no fever! True, he had to change his pajamas four times - at least squeeze it out!

And yet - it is very important that the arms and legs of the child are warm. This means that there is no spasm of blood vessels, and heat transfer will be normal.

All of us parents are not immune from such a situation when our child has a high body temperature of 38-39 degrees, sometimes even without symptoms.

Consider the advice of a pediatrician the highest category- Larisa Anikeeva, what needs to be done in these cases, how and with what it is possible to bring the child's temperature down to normal numbers at home without complications and harmful consequences for the baby's health.

Elevated and high body temperature: causes

The most common symptom of any infectious disease is increase in body temperature. And there is no need to convince anyone that young children are mainly susceptible to infectious diseases. The palm is divided between respiratory (ARVI) and intestinal infections, a significant contribution is made by "childhood" infectious diseases and diseases of upper respiratory tract (tonsillitis, otitis media, sinusitis, etc.).

An increase in body temperature in a sick child to high numbers indicates the well-coordinated work of all parts of his immune system, which is actively fighting the causative agent of the disease.

Do not rush to bring down the fever

By all means, by bringing down the temperature, you are doing a disservice to the body, turning it from an active participant in the struggle into an indifferent outside observer. At high temperatures, antibodies and interferon are actively produced - fighters of the front line, directly entering into a fight with an infectious onset. In addition, any pathogens experience the detrimental effect of high temperature.

Let's remember how syphilis was treated in the "dopenicillin" era. The patient's body temperature was artificially increased by injection of pyrogenic preparations, and pale spirochetes died en masse in an unsuitable "tropical climate". Since then, nothing has changed in the way of life of viruses, bacteria and fungi: they still prefer to live and multiply at a temperature of 36-37 ° C, and you, by your actions to reduce the temperature, provide them with comfortable conditions for this.

Most children calmly tolerate a rise in temperature, and even with thermometer readings above 38 and 39 ° C, they are not easy to put to bed.

Another child already at 37.5 ° C "unsticks" and almost faints. This is how kids with disabilities behave. nervous system(perinatal encephalopathy, intracranial hypertension, convulsive syndrome, organic lesions of the central nervous system). Therefore, there can be no universal advice dictating the course of action at high temperatures. Each child is individual and requires a specific approach. The doctor prescribes the treatment, and your task is to hold out until he arrives and carefully follow the medical prescriptions.

In the body of any person, two opposite processes are constantly going on: heat production and heat transfer.

In a healthy body, they balance each other and provide it with a constant temperature - 36-37 ° C. With a disease, the heat production center is activated, and the body produces more heat than it gives off to the environment. Here is the reason for the increase in body temperature.

This implies the need for basic actions when providing first aid to a feverish child.

How and what can bring down a high temperature of 39 - 40 in a child

Increase heat dissipation

To do this, first of all, remove disposable diapers from the baby, which, covering almost a third of the body, prevent heat transfer and play the role of a warming compress. This is easy to see for yourself: the skin under the diaper is red, moist, with irritation in the inguinal and buttock folds. As soon as you take off the disposable diaper and dry the folds, do not be too lazy to measure the temperature, and you will be pleasantly surprised: it will drop by at least 1 degree.

Do not wrap the child, do not load him with wadded blankets and downy feather beds. Take off tight tights, turtlenecks and sweaters with high tight collars.

Wipe wet wipes moistened with a 1-2% solution of vinegar or vodka. Wear light pajamas, a nightgown or T-shirt with panties. All clothing should be made of cotton fabrics that can actively absorb sweat, because the next important step is to make the baby sweat.

Increase sweating

It is closely adjacent to the previous one, since the evaporation of sweat from the surface of the skin willy-nilly contributes to an increase in heat transfer. In order for the child to actively sweat, it is necessary to drink him abundantly. Do not forget that sweat is not just water, but a liquid containing mineral salts. That is, sweating, the child loses vital minerals. Therefore, think about how you will make up for the deficiency of salts. It would be ideal from time to time to give the baby any glucose-salt solution (regidron, oralit, glucosolan, etc.), but not every whim during an illness will agree to drink tasteless water. Therefore, combine business with pleasure and prepare a decoction of raisins, dried apricots, dried fruit compote - these drinks have a lot of potassium and fructose, add a little salt (sodium and chlorine) and a little bit of baking soda (sodium bicarbonate). It will turn out a delicious and healing drink, let the baby drink with pleasure.

Tired of compote? Please, have mineral water, juice, herbal teas, rosehip decoction, tea with honey, lemon, raspberries (if you are not allergic to these products).

If the child drinks willingly, do not limit him, "the water will find a hole," as the people say.

It is bad when a stubborn person refuses to drink at a high temperature. The lack of fluid leads to thickening of the blood, from which all organs suffer, and especially the urinary system. If you notice that a feverish child has not urinated all day or has excreted a small amount of concentrated, darker than usual urine, then the kidneys are really thirsty and need to be provided with liquid. By any means, force the child to drink, taking into account his wishes in the choice of drinks.

Ventilate the child's room

Provide frequent airing of the room, in which there is a sick child, and maintaining a cool temperature in it - ideally no higher than 18 ° C. Inhalation of cool fresh air also provides a decrease in temperature, since the body expends heat to warm it. Many mothers are terribly afraid to open the window or balcony in the nursery: "It will get even more sick." Put a hat or scarf on your head, cover it with a warm blanket and let your child breathe in fresh frosty air. As a last resort, move the patient to another room while airing. I assure you that it is impossible to “get sick even more” from clean air, but breathing stale air filled with pathogenic pathogens is difficult not only for the patient, but also for the surrounding household.

Bring down the temperature exceeding 39 degrees

The fight against high temperature justifies itself only in those cases when it “goes off scale” beyond 39 ° C, causes a violation of the condition and behavior, the child has a tendency to seizures or a history of neurological diseases.

If the fever is accompanied by vomiting, do not force the child to take medications by mouth - they will immediately come back. In such cases, suppositories are used, the administration of the drug with the help of an enema, and in case of emergency, injections.

Medications and medicines to lower the temperature

Taking antipyretic drugs it is necessary to stipulate with the doctor and not to allow amateur performance. Uncontrolled use and systematic excess of the dose of even the most “harmless” drug can cause a toxic or allergic effect.

Calpol, Tylenol, Panadol, Efferalgan, Cefecon - all these drugs are based on paracetamol, in fact, this is the same medicine. You need to know this in order to prevent an overdose. Exceeding the dose has a toxic effect on the liver and kidneys. Paracetamol is contraindicated in children with diseases of these organs.

The doses of the most widely used antipyretic and antihistamine drugs are presented in the table.

Beloved by many generations, aspirin (acetylsalicylic acid) is used only in children over 12 years of age due to possible development severe complications.

To expand peripheral vessels in order to increase heat transfer, you can take vasodilator drugs - no-shpu, papaverine in a single dose of 1.5 mg / kg or dibazol in a single dose of 0.1 mg / kg. You can take 3 times a day.

The same effect is exerted by nicotinic acid in a single dose of 1 mg/kg. A few minutes after taking nicotinic acid, an expansion of peripheral vessels occurs, which is accompanied by reddening of the entire skin of the child. This is perceived by most mothers as a manifestation of an allergic reaction and is accompanied by a refusal to continue taking the medication. It should be repeated that this is not an allergy, but a manifestation of the main vasodilating effect of the drug, and you should not be afraid of it. Moreover, this reaction is short-term and passes without consequences.

Once again, the need to give a febrile patient plenty of water should be emphasized, since during this period water losses increase with sweat and rapid breathing. As a result, the excretion of fluid through the kidneys is reduced, the urine becomes concentrated, and the renal tubules can become clogged with salts, protein, cylinders, which impairs kidney function and can lead to complications.

Don't forget the "ubiquitous and omnipotent" vitamin C. He plays an important role in increasing the body's defenses. During illness, its dose should exceed the prophylactic dose by several times and be at least 300 mg per day. Add ascorbic acid to fruit drinks, compote, juice, tea, jelly. It improves the taste of the drink and helps the body to defeat the enemy.

Antibiotics and sulfa drugs are not used to treat viral infections, since the virus is not afraid of them. Therefore, do not rush to stuff the patient with ampicillin, erythromycin, your favorite chloramphenicol and other antibiotics from the first day.

The child has a high temperature: what to do?

Ahead is autumn and winter, and the peak in the incidence of influenza occurs at these times of the year. Influenza is usually accompanied by an increase in temperature, and a high temperature, as a result, carries a danger. Many parents, in their love for their children, seek to do without drugs in the treatment of children, arguing that extra “chemistry” is nothing. good baby won't bring. Doctors often tell us that it is necessary to resort to lowering the temperature with medications in critical situations. A critical situation is when the body temperature in a child under the age of one year reaches 38C, and in an older age up to 38.5C, in adolescents up to 39.5C. In all other cases, temperature reduction can be achieved using folk remedies. How to lower the temperature without drugs?

Why does body temperature rise in the evening? In order to understand the causes of an increase in body temperature in the evenings, one must know physiology. After 10 pm, our immunity begins to work actively. And this stimulates the work of our internal defenses against infection. An increase in temperature occurs when latent infections have been detected by the immune system, especially if the increase in temperature is unreasonable at first glance, and the reasons for the increase in temperature are not clear. In fact, there is a struggle between viruses and T-lymphocytes in one of our fields. How to bring down the temperature?

Several non-medicinal folk ways to reduce body temperature.

1st method: A shock dose of vitamin C. Squeeze the juice of a lemon, orange and grapefruit, dilute with warm water and drink.

2nd method: mix vodka and vinegar in equal proportions and rub the body with a cotton swab, avoiding the area of the lymph nodes and nipples.

3rd method: make a boil - take 100 grams of parsley, dill and basil per liter of water, boil for 20 minutes. We drink warm gradually over an hour.

These folk ways are very effective means to lower body temperature.

Should I bring down the temperature of 39?

The vast majority of domestic and Western pediatricians are of the opinion that when hyperthermia reaches an alarming mark of 38.5 degrees, then it is no longer worth waiting for further developments.

It needs to be lowered. Otherwise, various severe complications can occur, the most common of which is a seizure.

In the case of a serious infectious or inflammatory disease, the question of prescribing antipyretic drugs should be decided only by the attending physician.

If there is no particular danger, or, conversely, the pediatrician has not yet arrived, and the thermometer values increase more than 39 degrees, then 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 body's resistance. It is the heat that helps him actively fight the infection.

However, its too strong manifestations can negatively affect the baby, completely taking away his strength and leading to dehydration.

How to bring down the temperature of 39 in a child and help him survive this difficult condition? First of all, you need to provide him with a large amount of liquid.

To prevent dehydration, the baby should be constantly watered.

Various fruit compotes, fruit drinks from berries or decoctions of medicinal plants are well suited for this. Drinking should be tasty, otherwise a sick child is able to refuse it because of poor health.

It is better to give him liquid from a spoon or a convenient bottle. When parents are at a loss because the child has a temperature of 39, Komarovsky believes that it can be brought down in this way.

Known pediatrician Komarovsky also recommends that, with the development of hyperthermia, the lost balance of electrolytes in the body be replenished. To do this, it is necessary to eliminate the lack of trace elements. In such a case, raisins, figs, dried apricots and other dried fruits will help.

On the advice of Komarovsky, it is strongly recommended to give the child a drink that has cooled down, but still retains heat. Therefore, before you start treating it with diaphoretics, you first need to provide the child's body with a sufficient amount of fluid.

If the baby has only a hot forehead, and the legs and arms are cold, this indicates the development of a negative vascular reaction.

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

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

This helps to balance the body's thermoregulation with the help of the baby's lungs inhaled and the air released by them. In addition, it is worth making the air jet also wet.

It is advisable to moisten the curtains, put a large basin of water in the room, or spread a damp cloth everywhere.

An increase in body temperature in a child - Urgent 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 with heart disease
there is a vascular pathology;
there is a tendency to convulsions, etc.

All of this puts him at significant risk. The heat, which has reached 39.9 degrees, no longer does any good for the body, but causes the coagulation of proteins, of which the human body largely consists.

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

With a significant development of fever, you should know that you can quickly bring down the temperature of 39 in a child by rubbing with water at room temperature. It is undesirable to add any substances to it.

From the baby you need to remove everything superfluous in order to avoid overheating. You should leave him in cotton pajamas or in a nightgown made from natural fabrics. cover it up better than easy sheet.

You should not allow the child to run or scream if he is in an excited state, but it is also undesirable to force him to bed.

Any nervous and physical overstrain will only increase hyperthermia. It is necessary to seat him in a comfortable place, read to him or distract him with something interesting.

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

It is possible to reduce the manifestations of fever with the help of appropriate drugs only if the temperature of 39-39.5 in a child is not knocked down by rubbing and drinks.

It should be remembered that for children under 5 years of age, suppositories, syrups and suspensions are preferred, not tablets.

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

ibuprofen;
Syrup or candles with Nurofen;
Candle with Viferon;
Paracetamol;
Kalpolom;
Panadol;
Efferalgan or Cefecon in the right dosage.

They should be taken strictly according to the instructions that come with the medicine. This effective drugs able to bring down the heat for a fairly long period. In addition, they produce an operational effect.

The drug of the safest choice in this case is Paracetamol.

It quickly helps bring down the temperature, has an anti-inflammatory and analgesic effect, has a minimum of contraindications and adverse reactions, and also does not have a noticeable effect on the hematopoietic system and the central nervous system.

The dosage in tablets at a temperature in children from 3 to 6 years is 800 mg / day.

From the age of 6, the allowable dose is multiplied by 1.5-2. The minimum interval between doses of the drug is 4 hours.

If the temperature does not decrease, the tablet can be given again. If the temperature of 39 in the child persists even after repeated administration, then other medicines or home remedies are used.

Ibuprofen-based medicines also help to quickly eliminate fever, but they are less effective in relation to other positive effects on the body.

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

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

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

How not to bring down the temperature

Many parents are horrified when they see numbers on the thermometer that stop at thirty-nine degrees. Therefore, they lose their heads and begin to do things that only aggravate the situation of the child.

It should be noted that in medicine, fever is divided into:

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

Therefore, it is required to bring down the temperature in different ways.

In the first case, it is not recommended to massage the limbs of the child, completely undress him, apply wet and cool lotions to his body. The condition of the baby is due to vascular insufficiency and these measures will only strengthen it.
When red hyperthermia is observed, these actions can help, since in this case there is no vasospasm, on the contrary, they are dilated.

If the child's temperature is 39 stubbornly and does not react to anything, then you can not rub the baby with an alcohol or acetic solution, as it contributes to dehydration of the body and negatively affects the condition of the skin.

At in large numbers substances, and if there is damage to the body, it can enter the bloodstream and cause even more damage.

Also, you can not give the child hot drinks with raspberries, linden or honey, and then wrap tightly.

Thus, parents cause a diaphoretic effect and at the same time clog air exchange, preventing the thermoregulation system from working at full strength.

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

Many parents panic when they see that the child has a temperature of 39.4, they don’t know how to bring it down. Therefore, it must be remembered that one should not seek to eliminate heat by any means.

Medicines prohibited for use by children

In no case should you give your baby drugs such as Amidopyrine, Analgin, Antipyrine or Phenacetin.

They are contraindicated for the children's body, otherwise the onset of intoxication is quite possible, which will make the patient's condition critical.

Since babies often have a fever, parents should be prepared for this and know the basic measures that it is desirable to use to help him.
Even if the child is still nursing, the mother needs to prepare in advance for what she is capable of and should do when he develops hyperthermia, since she will often have to deal with such a problem.
And, of course, self-medication with the development of fever in a small patient is simply unacceptable. All necessary therapy is carried out only by a doctor.

What to do if the temperature of 39 does not go astray

There are also cases when everything is tried, but hyperthermia does not disappear. Therefore, if the child’s temperature does not go as low as 39 degrees, then this is a signal that the help of specialists is needed.

An emergency ambulance call is needed when:

The heat intensifies;
the child does not eat anything;
he refuses to drink;
he gets worse;
his limbs twitch;
the child constantly vomits;
he has severe diarrhea.

If you do not call an ambulance in time, then a seizure, heart or vascular insufficiency, and organic brain damage may occur.

These symptoms indicate serious problems metabolism, the rapid approach of dehydration, as well as the presence of dysfunctions internal organs, and most likely the doctor will prescribe an antibiotic.

While the team of doctors has not yet arrived, it is advisable to wrap the child in a wet sheet for about five minutes. Then it should be dried and dressed in a dry nightgown.

It is also necessary to pay attention to the accompanying symptoms, because they indicate the presence of a particular disease. High temperature is only one of them and in itself cannot give a specialist a complete answer to the question of what the child is sick with.

What to do if after taking the antipyretic the temperature has not decreased? — Doctor Komarovsky

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An increase in body temperature is a normal protective reaction of the body in case of any infection. . Even if the temperature is normal when measured with a thermometer under the arm, where the infection has settled, the temperature will certainly rise. At temperatures above 37 degrees C, most infectious agents (both bacteria and viruses) either die or stop multiplying (and die out fairly quickly). And an increase in body temperature pretty much speeds up all the processes in the body, including the immune response, which will be very helpful with SARS.

What temperature to bring down. Whether to bring down the temperature

If your child is ill and has a fever, be sure to call a doctor who will diagnose, prescribe treatment and explain how to carry it out. According to the recommendations of the World Health Organization (WHO), initially healthy children should not reduce the temperature, which has not reached 38.5 degrees C . The exception is children at risk who previously had convulsions against a background of fever, children in the first two months of life (at this age, all diseases are dangerous due to their rapid development and a sharp deterioration in their general condition), children with neurological diseases, chronic diseases of the circulatory system, respiratory with hereditary metabolic diseases. Such babies, already at a temperature of 37.1 degrees C, should immediately be given antipyretic drugs. In addition, if a child’s condition worsens against a background of a temperature that has not reached 39.0 degrees C, chills, muscle pain, and pallor of the skin are noted, then antipyretic drugs should be taken immediately. In addition, fever exhausts and depletes the body's capabilities and can be complicated by hyperthermic syndrome (a variant of fever, in which there is a violation of the functions of all organs and systems - convulsions, loss of consciousness, respiratory and cardiac disorders, etc.). This condition requires urgent medical attention.

It is recommended to bring down the temperature above 39 degrees C in a child. As Dr. Komarovsky writes in the book “ARI: a guide for sane parents”: “... at a body temperature above 39, the pathological losses are so great, the increase in oxygen demand is so noticeable, and the negative impact on the functioning of internal organs in general and on the functioning of the nervous system in particular is so it is real that any temperature above 39 degrees should not be tolerated.

How to bring down the temperature in a child. How to bring down a child's fever

The child should be kept cool. Warming a child with a high temperature with blankets, warm clothes, a heater installed in the room is dangerous. These measures can lead to heat stroke if the temperature rises to dangerous levels. Dress the sick child lightly so that excess heat can escape freely and keep the temperature in the room at 20-21 degrees C. At the same time, the sick child should not freeze! Humidity in the room should be at least 40-50%. Those. the air should be moist and cool.

Since high temperatures increase fluid loss through the skin, the child needs to drink plenty of water . The optimum temperature for drinks is body temperature. Older children should be offered diluted fruit juices and juicy fruits, water, green tea as often as possible. Read more about this below in the section "Principles of nutrition at high temperatures." Babies should be breastfed more often. Encourage small amounts (from a teaspoon) to drink frequently, but don't force the child.

The child has a high temperature. Use of antipyretics

Knock down the temperature of drugs of only one group - non-steroidal anti-inflammatory drugs (NSAIDs). Their other specialty is pain and inflammation. So you will laugh but fastum-gel with which grandfather treats sciatica, ketans, which you use from time to time for toothache, and children's panadol"can do" about the same thing. True, and side effects they are also the same. So if your child, God forbid, has bronchial asthma or gastritis, then antipyretic drugs will need to be handled very carefully. And now that you've been warned, let's figure out who's who in this company.

Most commonly used in pediatric practice paracetamol (kalpol, panadol, cefecon, efferalgan), ibuprofen (nurofen) And analgin (metamizole sodium). Aspirin prohibited for use in children under 15 years of age.

All of the listed NSAIDs (let's agree to call them antipyretics) have the same side effects. These include: irritation of the mucous membranes of the stomach and intestines, bronchospasm (because of this they are not used for bronchial asthma), blood clotting disorders, liver and kidney functions. It is because of this that all of the above antipyretics are best used not inside (even soluble effervescent forms and syrups), but in candles . Firstly, the drugs used in suppositories are almost instantly absorbed into the blood and begin to have their effect, and secondly, absorption bypasses the liver (this is how the body works), and, therefore, the probability of at least part of the undesirable effects of these drugs is reduced to zero. True, this does not apply to irritation of the gastrointestinal tract, the risk of gastritis and exacerbation bronchial asthma- these undesirable effects are inherent in the very mechanism of action of all antipyretics.

That is why I urge you to take seriously the contraindications to the use of antipyretics listed in the annotations and, if possible, do not use them for more than three days.

Now it's time to see which one can do what.

Paracetamol (calpol, panadol, cefecon, efferalgan)

Paracetamol has two main effects - antipyretic and analgesic. It is considered the safest of the entire series of antipyretics. The use of paracetamol may be accompanied by allergic reactions and side effects from the liver (most often), kidneys, and the hematopoietic system. Side effects are rare, but their likelihood is most closely related to the doses and duration of the drug. That is why it is strongly recommended not to exceed the permissible doses and duration of administration.

The maximum allowable duration of use:

Children under 6 years old - 3 days;
- children over 6 years old - 5 days.

Paracetamol is produced by hundreds of companies under hundreds of different names in dozens of forms. The effectiveness of the drug is determined primarily by the dose, and not by the form of release, the beauty of the packaging and the commercial name. The price difference is often tenfold.

Candles with paracetamol are an ideal dosage form for children in the first six months of life.

And in conclusion of the story about paracetamol, the most important thing is: “The effectiveness of paracetamol is very high precisely in ARVI (viral infections). Paracetamol has practically no anti-inflammatory effect, therefore, with bacterial infections, if complications of the same SARS occur, paracetamol helps for a short time or does not help at all. In short, with no serious infection, it is not possible to achieve a significant decrease in temperature with its help. That is why paracetamol should always be in the house, as it helps parents to correctly assess the severity of the disease: if after taking it the body temperature quickly dropped, then with a high degree of probability it can be concluded that there is nothing terrible (more terrible than SARS) in the child. But if there is no effect from taking paracetamol, then it’s time to hurry up and not postpone long box see a doctor." This quote is taken from Dr. Komarovsky's ARI: A Guide for Sane Parents.

Commercial names of paracetamol: adol, acamol, aminadol, acetaminophen, acetophen, bindard, volpan, dainafed, daleron, dafalgan, deminofen, dolo, dolomol, ifimol, calpol, medipirin, meksalen, napa, opradol, pamol, panadol, pacimol, paracet, perfalgan, pyranol, prodol, sanidol, sofinol, streamol, tylenol, flutabs , cefecon D, efferalgan.

ibuprofen(nurofen)

Unlike paracetamol, it has not only analgesic and antipyretic, but also anti-inflammatory effect.

In terms of the speed of onset of the therapeutic effect, the severity of the antipyretic effect, the likelihood of adverse reactions and the risk of overdose, it is almost identical to paracetamol.

It is not used (contraindicated!) in children of the first 6 months of life.

It does not have strict restrictions on the duration of admission, i.e. if indicated, it can be used for much longer than 5 days.

Commercial names for ibuprofen: advil, no pain, bonifen, bren, brufen, snowstorm , long , ibalgin, ibuprone, ibuprof, ibutop, ibufen, ipren, macrofen, motrin, nurofen, profen, profinal, solpaflex , fast peak.

"one. Neither paracetamol nor ibuprofen treat acute respiratory infections. Ibuprofen and paracetamol reduce the severity of a specific symptom - elevated body temperature.

2. Neither paracetamol nor ibuprofen is used routinely, i.e. strictly by the clock, for example, "1 teaspoon of syrup 3 times a day." Medicines are given only when there is a reason to give. High temperature - given, normalized - not given.

3. Paracetamol and ibuprofen are compatible with each other, but medical science has not yet formulated an unambiguous attitude towards such a combination. Some write that paracetamol and ibuprofen can enhance each other's antipyretic effect. Others report that combined use increases the risk of adverse reactions. In any case, it does not make sense to give both drugs at the same time, but if there is no effect an hour after paracetamol, it is perfectly acceptable to give ibuprofen (and vice versa!). It is very important at the same time to observe the intervals between doses of the same medicine! We remind you that the reuse of paracetamol is possible not earlier than after 4, and ibuprofen - not earlier than after 6 hours.

4. Many options for paracetamol and ibuprofen are available in pharmacies (see lists of brand names above). It is very important, once again I repeat, it is very, very important that you do not buy the same thing, but under different names! You must know for sure (!) WHAT kind of active ingredient is in this vial, you must be absolutely sure that an hour after paracetamol you will not give paracetamol again, but under a different name.

Analgin(metamisole sodium)

The widespread use of analgin as an antipyretic is not recommended by WHO, because. it inhibits hematopoiesis, can cause serious allergic reactions (anaphylactic shock). A prolonged loss of consciousness is possible with a decrease in temperature to 35.0-34.5 degrees C. In a number of countries of the world (USA, Australia, Italy, Denmark, Sweden, Ireland, Norway), the use of analgin is prohibited, in some it is strictly limited. In our country, there is no ban on the use of analgin in children, at the same time, the recommendations adopted in countries such as Greece or Israel should be recognized as optimal: analgin can be used, but only when other antipyretics do not allow achieving the desired result. If paracetamol and ibuprofen do not help or are contraindicated, then analgin can be used only in a hospital, in the shortest possible course and in the form of injections.

Note that the doctors of the ambulance and ambulance are very fond of injecting analgin mixed with suprastin (or diphenhydramine) intramuscularly if they are called for a high temperature. Such a mixture is capable of lowering the temperature lytically, that is, by two or three degrees in an hour, for example, from 39.5 to 37.5 ° C, and for a very long time.

High Temperature Nutrition Principles

Pediatricians recommend that in order to increase the child's resistance to illness, his nutrition should be complete, varied and age-appropriate. It is not recommended to limit the child's nutrition for a long time, both in qualitative and quantitative terms. In modern medicine, fasting treatment for diseases associated with fever has already been abandoned. After all, at a high temperature, the intensity of metabolism increases, and the patient needs good nutrition, and fasting weakens the body. Food should contain enough vitamins and not be too high in calories. Vitamins of group B and vitamin C are especially important, since their functional role increases with temperature.

but never force-feed a child with fever . If at the moment the body directs all its forces to fight the infection, then it may be unbearable for it to expend energy on digesting food.

Obviously, parents need to show common sense. If the high temperature does not last long, several days, and the child stubbornly refuses to eat, we will give him a vitamin drink and light fruits. The missing amount of food must be replenished with liquid. Usually, the duration of such a fasting diet is no more than 4-6 hours. After unloading, children are given slimy pureed soups, liquid porridges, kissels. After the end acute period food is made as varied as possible, although light, in order to make up for all the losses incurred.

Rules:

Increased sweating causes the body's need for a large amount of fluids and minerals. With all diseases that occur with fever, the patient should drink plenty of fluids, as it quenches thirst.

Fruit, fruit and berry and fruit and vegetable juices, compotes, fruit drinks, tea (finely chop an apple into tea), decoctions of raisins, dried apricots are very useful at temperatures.

The temperature of the liquid must be equal to the temperature of the body.

Ready-made oral rehydration solutions are ideal for drinking. They are sold in pharmacies and should be there: rehydron, humana electrolyte, gastrolith, etc. Buy, dilute according to the instructions, drink.

To reduce intoxication, it is necessary to consume a sufficient amount of vitamins, especially C, P, A and carotene. Vitamins C and P strengthen the walls of blood vessels, so it is useful to include foods rich in both vitamins in the diet, for example, rosehip, blackcurrant, chokeberry, lemon, etc.

Vitamin A and carotene contribute to the regeneration of the epithelium of the respiratory tract. Therefore, during elevated temperatures, it is desirable to use plant products containing them, especially in the form of a drink.

Products containing vitamin A: pumpkin, carrots, dried apricots, sea buckthorn, raspberries.

If possible, you should not use sugar, but honey (if there is no allergy). Should be rotated as often as possible different types drink.

You should drink little by little, literally 2-3 sips, since drinking plenty of water at a temperature can cause vomiting.

Necessary:

You definitely need protein: lean meat (veal, chicken, beef), as well as lean fish. Meat can be boiled in vegetables or meatballs made from it in cases where swallowing is difficult due to a sore throat.

Foods containing a lot of protein: cottage cheese, cottage cheese, eggs (they are best boiled soft-boiled).

Sometimes, due to the serious condition of a sick child, it is necessary to feed for some time exclusively liquid food. In such cases, we serve him milk, curdled milk, kefir, and not just tea, juices and compotes, since dairy products contain protein that is sorely needed during this period.

Boiled and pureed vegetables are useful, which are seasoned with a piece of butter.

Useful raw vegetable juices, they can be mixed with fruit, for example, carrot with cranberry or blackcurrant.

Of the fats, only butter and olive oil, as well as cream are allowed, but all fats are given in small quantities, since their excess can adversely affect the functioning of the gastrointestinal tract.

Natural aspirin: food that brings down the temperature and relieves the condition

At high temperatures, it is recommended to use oranges. These fruits are rich in vitamins (A, C, P, groups B, D) and trace elements, especially iron and copper, necessary for weakened immunity and anemia. Orange fruits and juice quench thirst in febrile illnesses.

As an antipyretic, it is good to use blackberry fruits and juice: they quench thirst and reduce the temperature.

Berries and raspberry juice are a good antipyretic for feverish conditions. Organic acids (including salicylic) were found in raspberries, which is why raspberries have an antipyretic effect.

Berries and juice of red currant are good at quenching thirst in case of fever, and are used as a diaphoretic.

Watermelons perfectly quench thirst during fever and help to eliminate toxic substances from the body.

In addition, the following products act as natural aspirin: dates, blueberries, peppers, garlic, prunes.

Products that heal

Products to fight the virus

Broccoli, avocado, garlic, red grapes, pineapple, plums, raspberries, seaweed, soy and its products, strawberries, green tea, blueberries.

Products with antibiotic properties

Bananas, eggplant, figs, garlic, ginger, peppers, red grapes, honey, mustard, horseradish, pineapple, plums, seaweed, green tea.

Products to strengthen the immune system

Garlic, seaweed, fresh raw fruit, lean meats, lean fish (boiled, not fried), cereals, cold-pressed extra virgin olive oil, yogurt, or sour milk.

An increase in body temperature is the most typical manifestation of not only SARS, but also any infectious disease. The body thus stimulates itself, while producing substances that will fight the pathogen.

The main of these substances is interferon. Many have heard about him, if only because in the form of drops in the nose, he is quite often prescribed by doctors. Interferon is a special protein that has the ability to neutralize viruses, and its amount is directly related to body temperature - that is, the higher the temperature, the more interferon. The amount of interferon reaches its maximum on the second or third day after the temperature rises, and that is why most SARS end safely on the third day of illness. If there is little interferon - the child is weak (cannot respond to an infection with a high temperature), or the parents are “very smart”: the temperature was quickly “knocked down”, then there is almost no chance of ending the disease in three days. In this case, all hope is for antibodies that will definitely end the viruses, but the duration of the disease will be completely different - about seven days. By the way, the above information largely explains two facts: it answers the question why “unloved” children get sick for three days, and “favorite” children for a week, and explains on a scientific level folk wisdom regarding the fact that the treated flu passes in 7 days, and untreated - in a week.

Every child is different and handles heat differently. There are kids who calmly continue to play at 39 degrees, but it happens only 37.5 ° C, and he almost loses consciousness. Therefore, there can be no universal recommendations as to how long it is necessary to wait and after what number on the thermometer scale to start saving.

The main thing for us is the following.

With an increase in body temperature, everything must be done to ensure that the body has the opportunity to lose heat. Heat is lost in two ways - by evaporation of sweat and by warming the inhaled air.

Two required steps:

1. Plentiful drink - so that there is something to sweat.

2. Cool air in the room (optimally 16-18 degrees).

If these conditions are met, the likelihood that the body itself will not cope with the temperature is very small.

Attention!

When the body comes into contact with cold, a spasm of skin vessels occurs. It slows down blood flow, reduces the formation of sweat and heat transfer. The temperature of the skin decreases, but the temperature of the internal organs increases. And it's extremely dangerous!

Do not use the so-called "physical methods of cooling" at home: ice packs, wet cold sheets, cold enemas, etc. In hospitals or after a visit to a doctor, it is possible, because before that (before physical cooling methods), doctors prescribe special medications that eliminate spasm of skin vessels. At home, everything must be done to prevent spasm of skin vessels. That's why

cool air, but enough warm clothes.

Particles of heat are carried away from the body during the evaporation of sweat and thus the body temperature drops. Several methods have been devised to speed up evaporation. For example, put a fan next to a naked child; rub it with alcohol or vinegar (after rubbing, the surface tension of sweat decreases and it evaporates faster).

People! You can’t even imagine how many children paid with their lives for these rubbing! If the child is already sweating, then the body temperature will drop by itself. And if you rub dry skin, this is crazy, because through the delicate baby skin, what you rub with is absorbed into the blood. Rubbed with alcohol (vodka, moonshine) - alcohol poisoning was added to the disease. Rubbed with vinegar - added acid poisoning.

The conclusion is clear - never rub anything. And fans are also not needed - the flow of cool air will again cause a spasm of skin vessels. Therefore, if you are sweating, change your clothes (change clothes) in dry and warm clothes, then calm down.

The higher the body temperature, the more sweating, the warmer the room - the more actively you need to drink. The best drink for a child of the first year of life is a decoction of raisins. After a year - dried fruit compote. Raspberry tea sharply increases the formation of sweat. Therefore, you must be sure that there is something to sweat, which means to raspberries it would be necessary to drink something else (the same compote). But in any case, raspberries should not be given to children under one year old.

If it sorts out - it will be, but it will not, then better drink whatever (mineral water, decoctions of herbs, tea, viburnum, wild rose, currant, etc.), why not drink at all .

Remember - fluid is needed in order to prevent blood from clotting. And any drink will get from the stomach into the blood only after the temperature of the liquid is equal to the temperature of the stomach: they gave it cold - it will not be absorbed until it warms up, they gave it warm - it will not be absorbed until it cools down.

Output: it is necessary to strive to ensure that the temperature of the drink used for drinking is equal to body temperature (plus or minus 5 degrees does not count).

There are, and quite often, situations when the increase in body temperature is poorly tolerated by the child. Sometimes an increase in body temperature is dangerous for a child because he has any diseases of the nervous system, and high body temperature can provoke convulsions. And, by and large, temperature above 39 degrees, which lasts more than an hour, has negative effects no less than positive ones.

Thus, there are three situations where it makes sense drug use. I repeat once again:

1. Poor temperature tolerance.
2. Associated diseases of the nervous system.
3. Body temperature above 39 degrees.

We note right away that the effectiveness of any drugs decreases, and the likelihood of adverse reactions increases significantly if the above two main tasks are not solved - the proper drinking regimen is not provided and the air temperature in the room is not reduced.

Ideal for home use paracetamol(synonyms - dofalgan,panadol, calpol, meksalen, dolomol, efferalgan, tylenol; at least something of the above is desirable to have in candles). Paracetamol is a drug unique in its safety, even exceeding the dose by 2-3 times, as a rule, does not lead to any serious consequences, although this should not be done consciously. There are few drugs comparable to it in terms of ease of use - tablets, chewable tablets, capsules, suppositories, soluble powders, syrups, drops - choose whatever your heart desires.

Some useful information about paracetamol.

1. The most important thing: the effectiveness of paracetamol is very high in ARVI. With bacterial infections, in the event of complications of the same ARVI, paracetamol helps for a short time or does not help at all. In short, with no serious infection, it is not possible to achieve a significant decrease in body temperature with it. That is why paracetamol should always be in the house, because it helps parents to correctly assess the severity of the disease: if after taking the body temperature quickly dropped, then with a high degree of probability we can conclude that there is nothing terrible (more terrible than SARS) in a child. And here if the effect of taking paracetamol is absent- now it's time to hurry up and don't put off going to the doctor.
Paracetamol is produced by hundreds of companies under hundreds of different names in dozens of forms. The effectiveness of the drug is determined primarily by the dose, and not by the form of release, the beauty of the packaging and the commercial name. The difference in price is often tenfold.
Since paracetamol is one of the drugs that are most often used without the help of a doctor, you should know how to use it (paracetamol). Doses are usually indicated on the packaging.
Paracetamol is not a cure. Paracetamol reduces the severity of a specific symptom - fever.
Paracetamol is not used on a scheduled basis, i.e. strictly by the clock, for example, "1 teaspoon of syrup 3 times a day." Paracetamol is given only when there is a reason to give. High temperature - given, normalized - not given.
Do not give paracetamol more than 4 times a day and more than 3 days in a row.

In any case, parents should be aware that independent use of paracetamol is only a temporary measure that allows you to calmly wait for the doctor .