I Like Math Just About As Much As The Next Mom
Counting baby toes, pennies and the number of times Micah says “sooopooon” (spoon) in a day – all good stuff! But when it comes to my kids health, math rarely factors in. Why? Because I watch them, not the numbers. This is especially true with fevers.
I’m not alone, either. According to Dr. Hannah Chow-Johnson – pediatrician at Loyola University Health System and assistant professor of pediatrics at Loyola University Chicago Stritch School of Medicine – numbers may not be as significant as we tend to think.
“My most frequent calls are from worried parents who want to know how high is too high of a fever. What many parents don’t realize is that often, fevers are their child’s friend.
. . . . Fevers can actually help your child recover more quickly, especially if he or she is battling a viral illness . . . I often wish thermometers had a gauge that read either ‘fever’ or ‘no fever.’ That would definitely help parents who worry if their child has a fever that’s too high.”
Here’s a video from another pediatrician, Dr. Wendy Sue Swanson, which explains more:*
“Seattle Mama Doc” On Fever Phobia
Can I just say that I LOVE these women?? Personally I’d avoid the use of fever reducers if possible – here is one of the many reasons why – but I am still **this** close to sending them a dozen orchids. Regarding when fevers may need the attention of a pediatrician, here’s what Dr. Swanson has to say:
“The main take home is not to treat fever per se, but your child. There is no reason to make a fever disappear if your child is otherwise acting well, playful, and staying hydrated. But do know there are some fevers that do require a visit with the pediatricians. It’s important to seek care when fever persists after 3 days in infants and children, any fever in a baby 3 month old or less, and if fever is over 104 degrees.”
And here’s what Dr. Chow-Johnson has to say:
- “Fevers are safe. A fever is the body’s way of controlling its immune response. Your child’s body is controlling the temperature and it’s going to fluctuate no matter what you do. Don’t awaken a child from a deep sleep to give medications for the fever. Sleep is more important.
- Take oral temperatures when possible and rectal ones when not. Ear, sticker, pacifier and temporal artery thermometers are not reliable. Stick to a good, old-fashioned digital thermometer for the best accuracy. As far as how frequently a fever needs to be checked, once a day is sufficient.
- There is not a maximum number on the thermometer that means go to the emergency room, unless your child stops drinking, urinating or responding well. But if children are doing all three, parents can monitor them from home.
- Your goal should be your child’s comfort, not reducing the fever. Be generous with fluids, ice chips and popsicles. Dress children in light clothing and give tepid baths to help cool them down. Don’t use rubbing alcohol as this can be absorbed into the skin. Give fever reducers only if your child feels uncomfortable, not solely to reduce the temperature. And don’t alternate fever-reducing medications, as this could lead to overdosing or excessive medication that your child doesn’t need.
However, experts also say that there are times you should seek medical attention for a fever
Here is the criteria outlined by Dr. Chow-Johsnon:
- “A child who is less than 8 weeks old and has a fever of 100.4 degrees or higher should be seen by a physician immediately
- A child who is undergoing chemotherapy or has a compromised immune system
- If there is no clear source for the child’s fever (no cough, runny nose or known pain) and the fever has lasted for 2-3 days
- If a fever lasts for more than 5 days, see a physician, even if your child looks well.”
Loyola Medicine: Let Fever Might Be Your Child’s Friend (emphasis mine)
Ahhh, I’m swooning! And the best part is she’s not alone: Another pediatrician, Dr. Natasha Burgert, says pretty much the exact same thing.
“There is no ‘number’ on a thermometer that requires a trip to the Emergency Department. Nope, not even 104F degrees. With very specific exceptions, kids do not have to maintain a “normal” temperature during times of illness.” (Fever: 5 Facts You Should Know)
American Academy Of Pediatrics Issues New Advice On Fevers
“Parents have been told for generations that a high fever can be dangerous to kids. If you don’t get your child’s fever down, you’ll run the risk of frying brain cells, doctors have warned.
But now the American Academy of Pediatricians has turned that conventional wisdom on its head. A new report published this month in Pediatrics states that not only is there no need to bring down a fever in an otherwise healthy child, but there is a downside to treating a fever – it can prolong the illness that originally sparked the high temperatures.
The only reason to treat a fever is to make a child more comfortable, a co-author of the report said. ‘In a normal child there’s no set temperature at which you’d need to treat a fever,’ said Dr. Janice Sullivan, a professor of pediatrics and pediatric critical care at the University of Louisville. ‘Our recommendation is primarily to treat discomfort associated with an illness rather than the fever itself. So, when children are uncomfortable or crying, then you should treat them with medication.’
Sullivan and her colleagues scrutinized studies on fevers and found that there was no evidence that a fever by itself could harm a child – unless the child was under the age of 3 months or had heart problems. In fact, the researchers determined that bringing fevers down could actually prolong illness. That’s because fevers are one of the body’s lines of defense against viruses, Sullivan explained.
‘Studies done in children with chicken pox, for example, found that children whose fevers weren’t treated had about a day less that they were considered contagious compared to those who were treated,’ she said.”
This reminds me of the American Academy of Pediatrics updated stance on ear infections. New data suggests that they’re often misdiagnosed, and the old method of treating earaches with antibiotics may have actually caused an increase in actual ear infections. (source) The American Academy of Pediatrics now recommends a “wait and see” approach instead, acknowledging that most of the time it’s best to let small illnesses run their course. Here are some natural remedies many parents have found helpful for earaches. But I’m getting off topic here – back to fevers!
What About Febrile Seizures?
One of the most common objections to letting a child ride out a fever seems to be concern over febrile seizures. Here are two things worth considering when weighing that concern:
1. Febrile seizures are not considered harmful.
According to the Royal Children’s Hospital In Melbourne, “Most children with fever suffer only minor discomfort, however 1 in 30 will have a febrile convulsion at one time or another. This usually happens between the ages of 6 months and 6 years. Febrile convulsions are not harmful to your child and do not cause brain damage. They are, however, quite upsetting to parents to witness.
Most children with febrile convulsions only ever have one fit. Some children will have one or more seizures, usually during illnesses which cause a fever. There is no increased risk of epilepsy in children who have febrile convulsions.”
While that’s true for simple febrile seizures (which last than 15 minutes), the Epilepsy Foundation does list three risk factors which may increase the risk of developing epilepsy later on:
- “Risk factors for later epilepsy include:
- Abnormal development before the febrile seizure.
- Complex febrile seizures: These are defined as seizures that last longer than 15 minutes, more than one seizure in 24 hours, or seizures in which only one side of the body is affected.
- Seizures without fever in a parent or a brother or sister.
If the child has none of these risk factors, the chances of later epilepsy are just about the same as for any other child.” (emphasis mine)
In other words, the likelihood of developing epilepsy only increases if the child was developing abnormally prior to the febrile seizure, the febrile seizure was complex, or the child has a close family member who suffers from seizures that are not related to a fever.
2. Giving fever reducers may actually induce a febrile seizure.
Febrile seizures are associated with a rapid change in body temperature in either direction. (source) Many parents have reported that their child experienced a febrile seizure after receiving a fever reducing medication. This suggests that in some cases, fever reducers may bring the fever down too quickly and cause a febrile seizure. Also, there’s another way fever reducers may trigger febrile seizures. According to Amy Love, NTP, CGP, CILC, “fever reducers can CAUSE the febrile seizures because they suppress the body’s attempt to create a fever, and so it has to try harder, thus causing a higher fever (that rises faster), called a rebound fever.”
So what are febrile seizures?
Though the mechanism is considered unknown, new research may offer clues. According to this study, febrile seizures may be related to the function of calcium channels within the body. We know that calcium channels are temperature sensitive, and some experts theorize that part of the function of a fever is to activate calcium channels, which in turn activates white blood cells that mount an immune response. One retrospective study speculates that some “simple febrile seizures” may in some cases actually be a “hypocalcaemic convulsions due to vitamin D deficiency” masquerading as a simple febrile seizure. In other words, if an individual is calcium deficient when a fever stimulates the calcium channels, it might cause some episodes categorized as simple febrile seizures. Another study found that iron deficiency/anemia is a risk factor for febrile seizures. Again, this is just speculation, but we’re going to revisit this idea in the home remedy section so I wanted to mention it.
How To Treat A Fever Naturally
So fevers aren’t scary and we should watch the child instead of the thermometer, but does that mean we can do nothing to help our children (or ourselves) be more comfortable? Of course not! Here are some home remedies that are thought to support immune function and increase comfort levels during a fever.
#1 ~ Calcium
According to Dr. Bernard Jensen, one of the main functions of a fever “is to pull ionizable calcium out of the bones and draw it into the blood where it is useful for fighting infections.” (source) The process may be part of what makes us feel achy, and some care providers suggest giving the body what it needs without requiring it to withdraw from “the bank.” Some expert believe that calcium works with the fever to make it more effective, which may reduce illness duration. One small study of patients with dengue fever did find that supplementation with calcium and vitamin D (which assists with calcium absorption) reduced the duration and overall symptoms of the illness. Calcium is best obtained from food, but it can also be obtained through supplements. Calcium citrate malate and calcium orotate are though to be two of the most bioavailable forms. (Vitamin D may also be helpful for increasing absorption)
#2 – Bone Broth
It seems that Grandma was right after all – chicken soup is good for more than just the soul. Though some have thought that the comfort associated with chicken soup was a placebo effect, research published in CHEST: The Joural of the American College of Chest Physicians, suggests that “chicken soup may contain a number of substances with beneficial medicinal activity.”
Several components of broth are thought to be beneficial, but the one that has been most studies is cartilage. In Nourishing Broth, Sally Fallon Morell and Dr. Kaayla Daniel detail research which suggests that cartilage supports healthy immune function by “stimulating just about every time of white blood cell the body needs to mount a strong defense against unwanted microbes.” (page 95)
Of course, it’s also rich in bioavailable calcium, which as I just mentioned is likely to be beneficial as well.
If you’re not sure where to start, here’s an easy tutorial on making bone broth in a slow cooker.
#3 – Gelatin
Another component of bone broth is gelatin, which may make skin look more youthful, support digestion, improve sleep, and support immune function. In Nourishing Broth, Morell and Dr. Daniel mention that research on the benefits of gelatin for immune function is limited and sometimes contradictory, but they suggest that this may be due to differences in the raw materials used to make the gelatin. Gelatin can be derived from several animals with different methods – some use just the hide, some use the hide and cartilage, and some “gelatin” studies actually used isolated compounds found within gelatin – glycine for example.
One study did find that gelatin “stimulates phagocytosis, the process by which a cell surrounds, engulfs, and eats microorganisms and cellular debris.” (page 96) However, that’s not the reason I included it here. Whether or not it benefits immune function directly, it’s a very soothing, easily digestible source of nourishment. If I didn’t have access to homemade bone broth, I’d dissolve this grass-fed gelatin in hot chamomile tea or this one in cold water.
#4 – Herbal Infusion
Certain herbs, such as elder flower and yarrow, are thought to benefit immune function. In this post Megan Visser, RN, show you how to make an herbal infusion that you can either drink or make into a smoothie pop. (The smoothie pop is #8 on this list.)
#5 – Apple Cider Vinegar
What happens if/when we feel it’s time to try to bring the fever down? Apple cider vinegar is an old remedy used by grandmothers and great-grandmothers that is thought to “draw out” the fever – people still swear by it! Soak a couple washcloths in diluted apple cider vinegar (1 part vinegar and 2 parts water), then place them on the forehead and tummy, or add a cup to a warm bath. Some people also soak a cloth in and wrap it around the soles of the patient’s feet.
#6 ~ Warm Bath
A cold bath can shock the body into trying to raise the internal thermostat even more, but a warm to extra warm bath (depending on comfort level) may be helpful, especially when a cup of apple cider vinegar is mixed in.
#7 ~ Herbal Freezer Pops
Want more info? Treating Fevers Naturally is a very guide written by Meagan Visser, an R.N. with a holistic perspective on fevers. It includes a lot of great info and recipes for keeping kids comfortable during a fever.
So, There You Go!
I’m not against scales, statistics, thermometers and all those other things mama’s are supposed to be fond of. I totally use scales to make soap, statistics to analyze the likelihood that Daddypotamus will make up for the fact that he will be traveling on our anniversary (sources say YES!). And thermometers . . . oh how I love them to make marshmallows! And sometimes I use them on my kids, too.
If by chance that thermometer starts setting off alarm bells for me, you can bet my house will be stinking like a garlic omelette with vinegar on the side!
Have you ever used a natural remedy to reduce a fever? How did it work for you?
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