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Old Mar 21st, 2014, 15:27 PM   1
susan_1981
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20 month old with temperature of 39.6


My son picked up my sick bug that I had last weekend yesterday. He was pretty sick yesterday and hasn't been right today. He hasn't eaten but then I didn't either. He's been drinking water though. But his temperature is really high. It's 39.6. We have one of those digital ones that you hold over their head, press a button and it tells you. We did it a few times and it varied from between 39.4 and 39.6. I'm not used to having a poorly child. He hasn't been ill like this ever. He's only ever had colds and then nothing major, never a temperature. His bottom fang teeth (I have no idea what they're called - incisors?) are coming through. Look really inflamed so I'm not sure if it's that that's causing it, the sick bug or both. I've taken him out of his sleeping bag, turned the heating down and dosed him up on paracetamol and his temperature is now down to 38 degrees so I'm assuming the paracetamol is working.

Is that kind of high temperature normal?



 
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Old Mar 21st, 2014, 15:34 PM   2
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My son around the same age had something similar not long ago.
I think I posted on here and was advised to call NHS24 which I did. They asked me to take him in to see the duty doctor, he was checked over and was fine, it was a viral thing. I just had to make sure he took paracetamol and that brought his temp down.

Im sure your son will be fine but I would just call to be on the safe side and give you peace of mind.



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Old Mar 21st, 2014, 15:40 PM   3
PoppyPainting
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That's the level of temp that I believe means you should seek medical advice. However as youve got it down for now fingers crossed it stays down. I'd keep a very close eye on him tonight... Also if he continues to keep nothing down drinks wise get some dioralyte or equivalent to replace the sugars and salts that he's lost. I saw your post earlier re his appetite, I'd trust him that he knows he's not hungry but you need to watch his hydration, ice lollies if you can't tempt him with anything else. I really hope he's better soon, my lo was very sick 2 weeks ago so I know how tough it is



 
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Old Mar 21st, 2014, 16:18 PM   4
susan_1981
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Thanks girls. I checked on him again and his temperature was down to 37.8 so much more normal. He has been drinking lots of water today but will definitely be keeping a close eye on him this evening. I think it may be a combination of his teeth and the sick bug. It kinda freaks me out because I'm just not used to him being like this. He's never been ill like this. He only ever gets the odd cold. Today, he hasn't been himself. He's been a lot quieter than usual, wanting to lay on me (which he never ever does) and just keeps flopping on to the sofa. But in between, he's been playing and also been noisy. It's almost like it's coming in waves x



 
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Old Mar 21st, 2014, 16:34 PM   5
sheldonsmommy
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Hopefully he continues to improve! Fevers sometimes spike at night, so just continue to monitor. If it spikes again you can try a tepid bath whilst waiting for the medication to start working.

If it were me, I wouldn't take my kiddo to emerg unless his behaviour drastically changes (gets lethargic, drowsy, stops eating and drinking) with a temperature of over 39. Just the fever alone I would just treat symptomatic ally, then see a doctor if it doesn't break in 48 hours.

But I'm a registered nurse, so you need to find where you're comfortable and seek assistance if you are really worried.



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Old Mar 21st, 2014, 17:18 PM   6
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Quote:
Originally Posted by sheldonsmommy View Post
Hopefully he continues to improve! Fevers sometimes spike at night, so just continue to monitor. If it spikes again you can try a tepid bath whilst waiting for the medication to start working.

If it were me, I wouldn't take my kiddo to emerg unless his behaviour drastically changes (gets lethargic, drowsy, stops eating and drinking) with a temperature of over 39. Just the fever alone I would just treat symptomatic ally, then see a doctor if it doesn't break in 48 hours.

But I'm a registered nurse, so you need to find where you're comfortable and seek assistance if you are really worried.
I'm also medically trained and I would err more on the side of caution, not wait for my child to become drowsy and lethargic before seeking advice

Susan1981 if his temp goes above 39 again I'd ring 111. Yes it may be this sick bug and there is not a thing they may be able to do about it, but it's best to seek medical advice mainly because a fever that high can cause febrile convulsions. Sounds like you've done all the right things with the meds and cooling him down. You could bathe him with tepid water too and make sure he's not too wrapped up

It is scary to see them like that, my son had an awful chest infection a few months ago, he was floppy and sleepy and just lay on me. When I got him to the GP his temp was 40.6 and she sent us through to the hospital just because of his temp.

Hope your boy is feeling much better soon xxx



 
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Old Mar 21st, 2014, 17:49 PM   7
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I'd go in. My LO had a fever that high recently, and they told me to go in. Turned out to be pneumonia and double ear infection. What you said about your LO not being himself sounds especially worrisome.



 
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Old Mar 22nd, 2014, 05:01 AM   8
susan_1981
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Thanks everyone. I called NHS Direct as his temperature was up again this morning at 39.1. Gave him some ibroprofen and it brought it right down to 37.4. He woke up very grumpy which is unusual for him but he seems absolutely fine now after having a good night's sleep. NHS Direct said that they were happy for me to just monitor him at home and if he gets worse, then to call back. He does seem to have a bit of a cold which she said could be causing the temperature. She said it could be a sore throat. But his cold isn't bad and he's never had a temperature like this before, and he's definitely had worse colds than this. I said I wondered if it was teething but she said this doesn't cause fevers - I thought it could.

He seems fine now. He's up playing with his cars as usual. Going to try and give him some breakfast once again and see how that goes. If he seems ok throughout the day, then I'll leave it but if he does take a nosedive in the next few hours, I'm going to take him to the walk in centre at the hospital x



 
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Old Mar 22nd, 2014, 10:38 AM   9
sheldonsmommy
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That seems like a good plan. My eldest has had one or two illnesses like this and it really isn't fun, I feel for you guys.

There appears to be some disagreement on whether or not teething causes fever (I happen to believe they cause low-grade fevers), but due to the nature of your little guy's symptoms it sounds like some sort of virus.



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Old Mar 22nd, 2014, 15:57 PM   10
susan_1981
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Yeah I'm thinking virus. My friend's little boy was rushed to hospital with a high temperature this evening. She said it was ranging from 39.6 to 40.1. By the time he was in the ambulance, it was 43!!! They couldn't find anything wrong with him and suspect it may be a viral thing. His temp has been down all evening so I'm hoping he's over the worst. Still hasn't eaten though. He had one bite of a fish finger which he stored in his mouth once again for about an hour. I have no idea if he actually swallowed it or spat it out somewhere! x



 
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