High temperature (fever) in children

A high temperature (fever) is very common in young children. The temperature usually returns to normal within 3 or 4 days.

Checking a high temperature

A normal temperature in babies and children is about 36.4C, but this can vary slightly from child to child.

A high temperature is 38C or more.

If your child has a high temperature, they might:

  • feel hotter than usual when you touch their back or chest
  • feel sweaty
  • look or feel unwell

Use a digital thermometer, which you can buy from pharmacies and supermarkets, to take your child's temperature.

What to do if your child has a high temperature

If your child or baby has a high temperature, you can usually look after them at home. The temperature should go down over 3 or 4 days.

What to do if your child has a high temperature

Do

  • give them plenty of fluids

  • look out for signs of dehydration

  • give them food if they want it

  • check on your child regularly during the night

  • keep them at home

  • give them paracetamol or ibuprofen if they're distressed or unwell – check the packaging or leaflet to make sure the medicine is suitable for your child, or speak to a pharmacist or GP if you're not sure

  • get medical advice if you're worried about your child

What to do if your child has a high temperature

Don't

  • do not undress your child or sponge them down to cool them – a high temperature is a natural and healthy response to infection

  • do not cover them up in too many clothes or bedclothes

  • do not give aspirin to children under 16 years of age

  • do not combine ibuprofen and paracetamol, unless a GP tells you to

  • do not give paracetamol to a child under 2 months

  • do not give ibuprofen to a child under 3 months or under 5kg

  • do not give ibuprofen to children with asthma unless it's been recommended by a doctor

Call 111 or your GP surgery now if your child:

  • is under 3 months old and has a temperature of 38C or higher, or you think they have a high temperature
  • is 3 to 6 months old and has a temperature of 39C or higher, or you think they have a high temperature
  • has other signs of illness, such as a rash, as well as a high temperature
  • has a high temperature that's lasted for 5 days or more
  • does not want to eat, or is not their usual self and you're worried
  • has a high temperature that does not come down with paracetamol
  • is dehydrated – such as nappies that are not very wet, sunken eyes, and no tears when they're crying

Call 999 if your child:

  • has a stiff neck
  • has a rash that does not fade when you press a glass against it
  • is bothered by light
  • has a fit (febrile seizure) for the first time (they cannot stop shaking)
  • has unusually cold hands and feet
  • has blue, pale or blotchy skin, lips or tongue
  • has a weak, high-pitched cry that's not like their normal cry
  • is drowsy and hard to wake
  • is extremely agitated (does not stop crying) or is confused
  • finds it hard to breathe and sucks their stomach in under their ribs
  • is not responding like they normally do, or is not interested in feeding or normal activities

Causes of a high temperature in children

A high temperature is the body's natural response to fighting infections like coughs and colds.

Many things can cause a high temperature in children, from common childhood illnesses like chickenpox and tonsillitis, to vaccinations.