Managing Sudden Fever in 10-Month-Olds: When to Use Suppositories?

A 10-month-old baby suddenly develops a fever in the middle of the night?

Hello, doctor.
I apologize for the interruption.
I would like to ask about my baby who suddenly has a fever with no additional symptoms.
The ear temperature fluctuates between 38.5 and 39.2 degrees Celsius, while the axillary temperature is around 37.8 degrees Celsius.
We do not have any antipyretic syrup at home, but we do have a brand new rectal suppository prescribed by a pediatric clinic.
Is it safe to use it directly, or would it be more appropriate to go to the emergency room for evaluation? Since my two children often experience similar situations, we end up going to the emergency room at night, which not only incurs high costs but also causes a lot of hassle.
Once we get to the hospital, it usually ends up being just an observation, and I feel like it wastes medical resources, so I came here to ask.

Liang Bao Ma, 20~29 year old female. Ask Date: 2019/08/31

Dr. Xiao Kaiwen reply Pediatrics

If an infant or young child has just started to have a fever but is still active, you can initially administer antipyretics and observe them.
After the fever subsides, it is advisable to visit a pediatric clinic or office during the day.
However, if the child remains lethargic after taking antipyretics, or if the fever persists for more than three days with continuous high temperatures, it is recommended to seek evaluation at a pediatric emergency department.

Reply Date: 2019/08/31

More Info

When managing a sudden fever in a 10-month-old child, it is essential to approach the situation with caution and informed judgment. Fever in infants and young children can be concerning, especially when it reaches temperatures between 38.5°C (101.3°F) and 39.2°C (102.6°F), as you have described.
First, it is important to understand that fever is a common response to infection or illness in children. In infants, a fever can indicate a range of conditions, from benign viral infections to more serious bacterial infections. The absence of additional symptoms, such as coughing, vomiting, diarrhea, or irritability, can sometimes suggest that the fever may not be due to a severe illness. However, it is crucial to monitor the child closely for any changes in behavior or the development of new symptoms.

Regarding the use of suppositories, if you have a pediatric fever-reducing suppository that has been prescribed by a doctor, it is generally safe to use it as directed. Suppositories can be an effective way to manage fever in infants, especially if oral medications are not an option due to vomiting or refusal to take medicine. However, it is essential to ensure that the dosage is appropriate for your child's age and weight, as indicated on the packaging or by your healthcare provider.

If the fever persists or if your child exhibits any concerning signs—such as lethargy, difficulty breathing, persistent crying, or a rash—it is advisable to seek medical attention. While it may seem inconvenient to visit the emergency room, especially if it feels like a frequent occurrence, it is better to err on the side of caution when it comes to the health of an infant.
In your case, if the fever remains high and there are no other symptoms, you might consider using the suppository first and monitoring your child's response. If the fever does not decrease after a reasonable time or if it rises further, it would be prudent to consult a healthcare professional.
Additionally, if you find that your child frequently experiences fevers without clear causes, it may be beneficial to discuss this pattern with your pediatrician. They can provide guidance on when to seek care and may suggest further evaluation to rule out any underlying issues.

In summary, while it is generally acceptable to use the prescribed fever-reducing suppository for your child, close monitoring is essential. If the fever persists or if you have any concerns about your child's health, do not hesitate to seek medical advice. Your child's well-being is the priority, and healthcare providers are there to help you navigate these situations effectively.

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