When to see a doctor with a child's fever
The height of the fever alone rarely decides. Age, duration and accompanying symptoms do. This list helps at 3 a.m.
Last updated: 24 September 2026
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- a seizure, especially the first or one lasting over 5 minutes,
- difficulty breathing, grunting, chest sucking in, blue lips,
- a rash that does not fade when pressed with a glass,
- cannot be woken, floppy, unresponsive,
- stiff neck, bulging fontanelle in a baby.
Under 3 months
Any fever ≥ 38 °C: contact a doctor the same day, even if the baby looks well. Do not give fever medicine without advice.
3–6 months
- fever ≥ 39 °C,
- fever lasting over 24 hours,
- much less active than usual, not feeding.
Any child — see a doctor within a day
- fever over 3 days, or returning after a fever-free day,
- no urine for 8 hours, crying without tears, dry mouth,
- ear pain, pain when passing urine, severe tummy pain,
- a rash that appeared with the fever,
- fever does not drop after medicine or returns very quickly,
- the child is listless, "not themselves", cannot be comforted — a more important sign than the number.
Log the times of readings, doses and symptoms: the doctor will start with "since when and how high". A list from the last days shortens the visit and reduces the chance that something is missed.
These numbers are conversions from leaflets and guidelines. Before giving a medicine, confirm them at the source:
- NHS: paracetamol for children · NHS: ibuprofen for children
- NICE NG143 — fever in under 5s · AAP HealthyChildren.org
- Polish medicines register (URPL) — official leaflets of the products listed here
- Your own country's medicines regulator and the leaflet in the box always take precedence.
Don't want to calculate and write this down every time?
Oh Fever does it from your child's profile and the product you use: it converts the leaflet dose to weight, counts down to the next dose and watches the daily limit — on iPhone and Apple Watch. Free for one child.
Read next
NICE NG143 — Fever in under 5s
American Academy of Pediatrics — Medications used to treat fever
This content is for information only and does not replace your doctor or the medicine leaflet. Doses on this page are the mg/kg ranges from manufacturers' leaflets converted to body weight. Check the strength on the package before giving any medicine. For high fever, any fever in an infant under 3 months, or worrying symptoms, contact a doctor.