When does fever end?

When does fever end?

When is the child healthy again?

When can the child go back into the community?

A child is considered healthy when all symptoms have subsided and she or he is out of recovery. In simple febrile infections this means two days with no fever. 

During recovery children are still limping, pale, prone to sweating, and picky. In the morning they may be given warm lemon-honey liquid, mild sage tea during the day, linden tree tea, elder flower tea or chamomile tea in the evening. Warm clothing is important, so the child does not get a cold way too early. Activities should be reintroduced gradually.

Usually, the end of the recovery can be seen by the fact that the child is energetic again, active, with rosy cheeks, appetite is returning, playing, and "has an urge to go."

In times like this it's usually one extra day, and then the child can go back to the community. It's unnecessary to wait (1-2 weeks) for the last drop of colds to disappear completely. By this time, the child itself is no longer contagious. However, in the kindergarten the child may get infected by others in a few days. This is normal in nursery, kindergarten, elementary school, or in case in which the child has several siblings.

From this point of view kindergarten can be considered an “immunological gym”. Kids practice going through things little by little, with less fever and fewer absences.

Nursery is, of course, a bit more difficult terrain, because children are even smaller, more responsive, and recover more slowly (and sometimes with more complications).

After a well-endured febrile illness, children sometimes develop new qualities. For example, they become more talkative, liberated, will have better sleep or appetite, and they appear to be better at something than before. This is a sign that the disease they endured made them more robust. In other words, the child came out of a crisis by gaining something from it.

 

How to prevent new febrile infections?

By allowing optimal, seamless exposure to common infections. It is a common experience that after some (even high) febrile illnesses, there is a greater break; illnesses are less frequent, shorter and less severe.

Seek medical attention with recurrent fever if:

  • within three weeks fever returns to over 38.5 degrees with 2-3-day intervals,
  • if you have travelled to a far eastern country in the past year,
  • if you have had febrile infections more than 10-12 times a year and possibly with complications.

A toddler who moves about in the community, visits a swimming pool, or comes from a large family may have 8-10 feverish illnesses in an average year.

 

See also our article on the stages of fever.

 

Refer to the literature by numbers in this document here: References

Version update: 08th March 2020