Oded Preis ,MD., talks about fever in infants and children.
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Interviewer: A very common question in parents is fever, is that a problem? Interviewee: In instances fever in children is another problem, it is a common appearance in children and that many causes obviously it say source of stress for a parents especially if it happens when the doctors is wrong. In principle the most important thing is to make a child comfortable. There is really no reason to be afraid of fever, fever means basically that the temperature regular of the child the thermos stat in the brain that controls the temperature of the child is a little bit out of control for they get to release of a chemicals we call pyrogens that maybe release by the body itself fighting infection or by chemicals that are release by bacteria for instance if it they may has on the child as an bacterial infection. By giving a fever reducing agents such as aminofen or ibuprofen, we actually masking what’s really going on and there is really no reason to be afraid of it. It just basically if the child is uncomfortable we make them feel a little bit more comfortable if the fever is very high we want it bring it down to magical level but in essence the fact of the fever is there. Actually it means the immune system is at work and it is bargain the infection and by giving high doses of fever reducing medication it may actually must a situation. Most fevers the cold of them can be diagnose very easy either by the physical exam if that is difficult sometimes the basic lab test can be done by the physician so in all essence, keep the child comfortable, manage his temperature if it’s high but fever itself should not be a source of stress appear at all. Interviewer: So if a kid is playful and looks alert and usually that kid is not in too much trouble is that right? Interviewee: Absolutely, if a kid is in trouble he will show the symptoms he will be the lethargic he will be unresponsive. If a child is playful even a little of uncomfortable by the fact that he is febrile there is no reason to be distress or anxious about it if necessary tipid bath may be able to reduce the temperature and make them feel— the child feel a little bit more comfortable and that is really all that’s necessary. Interviewer: So you can actually say fever is like blessing disguise if your immune is undoing it sharp? Interviewee: Absolutely IRA is a part of the body fighting in infection they have chemicals they called Pyrogens they all kind of chemicals that are being release either by the body or also in response to the bacteria a being broken down and releasing this type of chemicals affecting the thermos state the center or the primary regulatory center in the hypothalamus of the brain so that in essence the fact of the fever is that it tells us that something is going on by monitoring it closely, by monitoring it carefully we very quickly can come down and they diagnose they’ll find the cause of the fever. Interviewer: In another words your goals is to keep in control to observe the child using medicine if needed to get a high temperature there and realize that they got a high temperature there and realize that they got a feed the down it doesn’t mean the kid is even well, how’s that? Interviewee: In more instances by keeping the temperature in a comfortable zone, the child will feel or look better and whatever is going on probably will disappear on its own as the immune system my fights the causing agent for the infection. Obviously if the fever assess if the child is acting sick or acting uncomfortable and its time to seek medical consultation with the physician the next day or two days later but there is no reason to panic or to getting to a distress situation by running to a emergency rooms or doing anything unnecessary. Interviewer: With one exception and your kid is maybe three months that too much of fever we are a little bit more concern about the fever that we asses that very quickly essential. Interviewee: That is absolutely true in kids on the six weeks and