How to Manage Your Fever: FAQs on Diagnosis and Treatment-Part 2


Diagnosing fever in a child by using a thermometer

In my previous article I covered the types of illness and the causes. In case you have missed it, click below to read- FEVER FAQ- Part 1

When assessing a fever, we doctors employ a systematic approach to ensure accurate diagnosis and effective management.

One of the primary tools used in diagnosing fever is the thermometer, an instrument that measures body temperature. Various types of thermometers are available, including digital, infrared, and mercury-in-glass thermometers.

Different types of thermometers to measure fever

Digital thermometers are commonly used due to their accuracy and ease of use. Infrared thermometers, which measure temperature from the forehead or ear, are also prevalent in clinical settings.

To obtain an accurate reading, body temperature can be measured via

  • oral (in the mouth with thermometer placed below the tongue),
  • rectal (thermometer placed in the rectum via anal opening),
  • axillary (underarm), or
  • tympanic (ear) methods.
  • infrared thermometers

I normally apply the oral technique as it gives you a measure of the “core” temperature. Rectal method is more appropriate for infants, children and unconscious or comatose patients who are not able to hold the thermometer in their mouth.

Other methods usually tell you the surface temperature, which is not the exact measure of internal body temperature.

The choice of method depends on the patient’s age, condition, and preference, with rectal measurements often being the most precise for infants and young children.

In addition to temperature measurement, we doctors evaluate accompanying symptoms to determine the potential causes of illness.

Common symptoms include chills, sweating, headache, muscle aches, fatigue, and irritability. More severe symptoms, such as difficulty breathing, persistent vomiting, chest pain, or seizures, are red flags that necessitate immediate medical attention.

Understanding the patient’s medical history is crucial for an accurate diagnosis. A comprehensive history includes:

A body temperature exceeding 100.4°F (38°C) is generally regarded as indicative of illness.

  • recent travel,
  • exposure to infectious diseases,
  • vaccination status, and
  • any ongoing medical conditions or medications.

This information can help pinpoint possible causes of illness and guide further investigations.

Physical examinations also play a significant role in diagnosing health conditions. During the examination, healthcare providers assess vital signs, such as heart rate and blood pressure, and look for physical signs of infection or illness. Swollen lymph nodes, rashes, and abnormal lung sounds can offer valuable clues about the underlying condition.

Ultimately, knowing when to seek medical attention for a fever is vital. While mild fevers often resolve on their own, persistent or severe fevers warrant professional evaluation.

Fever in infants under three months, a fever lasting more than three days, or a fever in individuals with weakened immune systems should be promptly addressed by a doctor for appropriate management and treatment.

Managing and treating an illness involves several steps. First, drink plenty of fluids like water, herbal teas, and clear broths to stay hydrated.

Rest is crucial to help the body recover. Over-the-counter medications such as acetaminophen (paracetamol) and ibuprofen can reduce temperature and ease discomfort. Follow the directions suggested by your doctor to avoid side effects.

Sometimes, prescription medications are needed, especially for severe infections like bacterial pneumonia and urinary tract infection. Antibiotics or antivirals may be prescribed by a doctor after an evaluation. Treating the root cause is key to managing health effectively.

Keep a close eye on the high temperature by regularly checking with a thermometer. Persistent, high, or severe symptoms like trouble breathing, chest pain, or confusion require immediate medical attention. Consulting your doctor ensures proper treatment.

Using these methods can reduce temperature discomfort and minimize complications. Knowing when to seek medical help is important for overall health.

Useful Resource- NIH

Preventing illness is not easy if some sort of epidemic is going on, be it influenza, malaria or dengue.

However, you can try to prevent it by following the few tips discussed below-

  • Preventing fever starts with good hygiene practices, such as regular hand washing-do it every time.
  • Vaccinations are crucial for immunity against diseases like influenza and measles-so get yourself vaccinated.
  • Regular health check-ups aid in early detection and management of health issues-visit your doctor at the slightest hint of fever.
  • Avoiding excessive heat exposure helps regulate body temperature and can prevent fever due to heat stroke- you can use a cap or hat to shield your head and drink lots of fluid to ward off dehydration.
  • Adopting a healthy lifestyle boosts the immune system and lowers infection risk- timely meals, sleep and exercise improve immunity.
  • Include a balanced diet, regular physical activity, adequate rest, and stress management in daily routines.

When seeking further knowledge about the causes of illness, its types, management, and myths surrounding it, it is imperative to rely on credible sources for accurate information. And I do this regularly.

Understanding illness extends beyond simple definitions and symptoms, as it involves a comprehensive overview of its context in health science.

The following are reputable resources that provide detailed insights and updates on health:

  • Centers for Disease Control and Prevention (CDC): The CDC offers extensive information on the causes of fever, diagnostic procedures, and management strategies. They frequently update their guidelines to reflect the latest research and epidemiological trends.
  • World Health Organization (WHO): WHO’s resources encompass global health perspectives, offering in-depth discussions on fever in varying contexts, including infectious diseases and public health impacts.
  • Mayo Clinic: Mayo Clinic’s website provides a rich repository of medical literature detailing different types of fever, their symptoms, and treatment options.
  • WebMD: A user-friendly platform that simplifies complex medical information covering the spectrum of fever, from causes to myths, ensuring accessibility for a general audience.

While these resources are invaluable for augmenting your understanding of fever, they should complement, rather than replace, professional medical advice.

Consulting healthcare professionals is crucial for personalized assessments and treatments, ensuring that any underlying causes are appropriately diagnosed and managed.

Relying on expert guidance is paramount for effective health management and achieving optimal outcomes.

Fevers are often misunderstood, leading to myths and misconceptions. Understanding fever myths can help in better management and treatment.

Some of the common misunderstandings are listed below:

  • Myth No. 1All fevers are dangerous
    • Not all fevers are dangerous; most indicate that the immune system is working.
  • Myth No. 2- All fevers need immedate treatment
    • Mild to moderate fevers do not always need immediate treatment.
  • Myth No. 3- Fevers increases infections
    • In fact, fevers inhibit the growth of bacteria and viruses, aiding recovery.
  • Myth No. 4- Fever occurs to being too cold
    • No, in fact fevers result from infections or health issues, not from being too cold.
  • Myth No, 5-Types of fever vary
    • True. Types of fevers vary, such as intermittent, remittent fevers, etc. I have explained these types above in a paragraph- Types of Fevers.

I hope this article and the previous one has cleared away any doubts about health and its management.

My next article will be on improving your health and vitality by adding Sprouts to your diet-do subscribe and get this article in your mail.

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