Topic Overview
Fever is the body's normal and healthy
reaction to infection and other illnesses, both minor and serious. It helps the
body fight infection. Fever is a symptom, not a disease. In most cases, having
a fever means you have a minor illness. When you have a fever, your other
symptoms will help you determine how serious your illness is.
Temperatures in this topic are oral temperatures. Oral
temperatures are usually taken in older children and adults.
Normal body temperature
Most people have an average
body temperature of about
98.6°F (37°C), measured orally
(a thermometer is placed under the tongue). Your temperature may be as low as
97.4°F (36.3°C) in the morning
or as high as 99.6°F (37.6°C)
in the late afternoon. Your temperature may go up when you exercise, wear too
many clothes, take a hot bath, or are exposed to hot weather.
Fever temperatures
A fever is a high body
temperature. A temperature of up to
102°F (38.9°C) can be helpful
because it helps the body fight infection. Most healthy children and adults can
tolerate a fever as high as
103°F (39.4°C) to
104°F (40°C) for short periods
of time without problems. Children tend to have higher fevers than
adults.
The degree of fever may not show how serious the
illness is. With a minor illness, such as a cold, you may have a temperature,
while a very serious infection may cause little or no fever. It is important to
look for and evaluate other symptoms along with the fever.
If you
are not able to measure your temperature with a thermometer, you need to
look for other symptoms of illness. A fever without other symptoms that lasts 3
to 4 days, comes and goes, and gradually reduces over time is usually not a
cause for concern. When you have a fever, you may feel tired, lack energy, and
not eat as much as usual. High fevers are not comfortable, but they rarely
cause serious problems.
Oral temperature taken after smoking or
drinking a hot fluid may give you a false high temperature reading. After
drinking or eating cold foods or fluids, an oral temperature may be falsely
low. For information on how to take an
accurate temperature, see the topic
Body Temperature.
Causes of fever
Viral infections
, such as colds and
flu, and
bacterial infections, such as a
urinary tract infection or
pneumonia, often cause a fever.
Travel
outside your native country can expose you to other diseases. Fevers that begin
after travel in other countries need to be evaluated by your doctor.
Fever and respiratory symptoms are hard to
evaluate during the flu season. A fever of
102°F (38.9°C) or higher for 3
to 4 days is common with the flu. For more information, see the topic
Respiratory Problems, Age 12 and Older.
Recurrent fevers are those that occur 3 or more times within 6 months and
are at least 7 days apart. Each new viral infection may cause a fever. It may
seem that a fever is ongoing, but if 48 hours pass between fevers, then the
fever is recurring. If you have frequent or recurrent fevers, it may be a
symptom of a more serious problem. Talk to your doctor about your
fevers.
Treating a fever
In most cases, the illness that
caused the fever will clear up in a few days. You usually can treat the fever
at home if you are in good health and do not have any medical problems or
significant symptoms with the fever. Make sure that you are taking enough foods
and fluids and urinating in normal amounts.
Check your symptoms to decide if and when
you should see a doctor.
Check Your Symptoms
Home Treatment
It's easy to become dehydrated when you have a fever.
In the early stages, you may be
able to correct
mild to moderate dehydration with home treatment
measures. It is important to control fluid losses and replace lost
fluids.
Adults and children age 12 and older
If you become
mildly to moderately dehydrated while working outside or exercising:
- Stop your activity and rest.
- Get
out of direct sunlight and lie down in a cool spot, such as in the shade or an
air-conditioned area.
- Prop up your feet.
- Take off any
extra clothes.
- Drink a rehydration drink, water, juice, or sports
drink to replace fluids and minerals. Drink 2 qt (2 L) of cool liquids over
the next 2 to 4 hours. You should drink at least 10 glasses of liquid a day to
replace lost fluids. You can make an inexpensive rehydration drink at home. But
do not give this homemade drink to children younger than 12. Measure all ingredients precisely. Small variations can make the
drink less effective or even harmful. Mix the following:
- 1 quart (1 L) purified water
- ½ teaspoon (2.5 mL) salt
- 6 teaspoons (30 mL) sugar
Rest and take it easy for 24 hours, and continue to drink a
lot of fluids. Although you will probably start feeling better within just a
few hours, it may take as long as a day and a half to completely replace the
fluid that you lost.
Many people find that taking a lukewarm [80°F (27°C) to
90°F (32°C)]
shower or bath makes
them feel better when they have a fever. Do not try to take a shower if you are
dizzy or unsteady on your feet. Increase the water temperature if you start to
shiver. Shivering is a sign that your body is trying to raise its temperature.
Do not use rubbing alcohol, ice, or cold water to cool
your body.
Dress lightly when you have a fever. This will help
your body cool down. Wear light pajamas or a light undershirt. Do not wear very
warm clothing or use heavy bed covers. Keep room temperature at
70°F (21°C)
or lower.
If you are not able to measure your temperature, you
need to look for other symptoms of illness every hour while you have a fever
and follow home treatment measures.
Medicine you can buy without a prescription
| Try a nonprescription
medicine to help treat your fever or pain: |
|
Talk to your child's doctor before switching back and
forth between doses of acetaminophen and ibuprofen. When you switch between two
medicines, there is a chance your child will get too much medicine.
|
Safety tips
| Be sure to follow these
safety tips when you use a nonprescription medicine: |
- Carefully read and follow all directions
on the medicine bottle and box.
- Do not take more than the
recommended dose.
- Do not take a medicine if you have had an
allergic reaction to it in the past.
- If
you have been told to avoid a medicine, call your doctor before you take
it.
- If you are or could be pregnant, do not take any medicine other
than acetaminophen unless your doctor has told you to.
-
Do not give aspirin to anyone younger than age 20
unless your doctor tells you to.
- Do
not give your child naproxen (such as Aleve) to children younger than
age 12 unless your child's doctor tells you to.
|
Be sure to check your temperature every 2 to 4 hours to make
sure home treatment is working.
Symptoms to watch for during home treatment
Call your doctor if any of the following occur during home
treatment:
-
Level of consciousness
changes.
- You have
signs of dehydration and you are unable to drink
enough to replace lost fluids. Signs of dehydration include being thirstier than usual and having darker urine than usual.
- Other symptoms develop, such as pain in one area of the body,
shortness of breath, or urinary symptoms.
- Symptoms become more severe or frequent.
Prevention
The best way to prevent fevers is to reduce
your exposure to infectious diseases.
Hand-washing is the single most important prevention
measure for people of all ages.
Immunizations can reduce the risk for fever-related illnesses, such as the flu. Although no vaccine is 100% effective, most routine immunizations are effective for 85% to 95% of the people who receive them. For more information, see the topic Immunizations.
Preparing For Your Appointment
To prepare for your appointment, see the topic Making the Most of Your Appointment.
You can help your
doctor diagnose and treat your condition by being prepared to
answer the following questions:
- What is the history of your fever?
- When did you fever start?
- How
often do you have a fever?
- How long does your fever
last?
- Does your fever have a pattern?
- Are you able to
measure your temperature? How high is your fever?
- Have you had any other health problems over the
past 3 months?
- Have you recently been exposed to anyone who has a
fever?
- Have you recently traveled outside the country or been
exposed to immigrants or other nonnative people?
- Have you had any
insect bites in the past 6 weeks, including tick bites?
- What home
treatment measures you have tried? Did they help?
- What
nonprescription medicines have you taken? Did they help? Keep a fever chart of
what your temperature was before and after home treatment.
- Do you
have any
health risks?
Other Places To Get Help
Organization
|
Centers for Disease Control and Prevention: Travelers'
Health
|
| 1600 Clifton Road |
| Atlanta, GA 30333 |
| Phone: |
1-800-CDC-INFO (1-800-232-4636) |
| TDD: |
1-888-232-6348 |
| Email: |
cdcinfo@cdc.gov |
| Web Address: |
wwwn.cdc.gov/travel |
| |
|
The CDC's Travelers' Health Web site provides health
information for the traveler. The Web site provides information on
immunizations that are needed for travel to various areas of the world. It also
provides information for safe travel, including traveling with children and
with people who have special needs. Information about current outbreaks of
disease in the world is also provided. The CDC is the leading federal agency
for protecting U.S. citizens' health and safety by providing credible health
information and health promotion.
|
|
Credits
|
By
|
Healthwise Staff |
|
Primary Medical Reviewer
|
William H. Blahd, Jr., MD, FACEP - Emergency Medicine |
|
Specialist Medical Reviewer
|
H. Michael O'Connor, MD - Emergency Medicine |
|
Last Revised
|
September 13, 2012 |