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Fever: Treatment or Not?
Fever is one of the scariest problems parents face with their children, but it doesn’t have to be. Fever is one of the body’s defense mechanisms to fight infection and is not harmful in itself. Normal body temperature is about 37 degrees Celsius or 98.6 degrees Fahrenheit. This varies somewhat from person to person and tends to be higher in the afternoon and evening than in the morning within what is called a diurnal variation.
During infections, the body reacts by increasing body temperature. A fever is defined as a temperature above 38 degrees Celsius or 101.4 degrees Fahrenheit. Fever is one of the classic or main symptoms of infection and can actually help the body fight and kill bacterial and viral pathogens. A fever does no harm to a person with a fever. A fever can naturally raise the body temperature slightly above 105 degrees, but there is a limit to how high the temperature can rise.
Heatstroke is a separate problem, caused by a combination of dehydration and high ambient temperatures. In this situation, the body temperature rises due to the failure of the body’s self-regulatory systems, and the skin becomes dry and hot, and confusion, shock, and death may follow. This is basically never the case with fever from illness.
Treatment of fever should be aimed at making the febrile patient comfortable, not at achieving a normal body temperature. There is no evidence that treating fever shortens illness, prevents complications, or is important for reasons other than convenience. Tylenol and Ibuprofen are the drugs most commonly used to treat fever, although aspirin is also an effective option in adults.
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