What to do when your toddler has a fever: A calm parent's guide

Fever in toddlers can be alarming, especially if it's your first time dealing with one. But in most cases, a fever is the body’s natural response to infection—and not something to panic about. Here's a calm, step-by-step guide to help you know what to do when your little one’s temperature starts to rise.

Step 1: Understand What a Fever Is

A fever is a body temperature above 100.4°F (38°C). It’s often a sign that your child’s immune system is fighting off an infection, such as a cold, flu, or virus. While it can make your child uncomfortable, a fever alone is not usually dangerous.

Step 2: Take an Accurate Temperature

Use a digital thermometer to take your toddler's temperature. For toddlers, rectal thermometers are the most accurate, but you can also use an ear or forehead thermometer if used properly.

Normal toddler temperature ranges:

Normal: 97°F–100.3°F (36.1°C–37.9°C)

Fever: 100.4°F (38°C) or higher

Step 3: Monitor Symptoms, Not Just the Number

Look at the whole picture. Is your child playful or lethargic? Are they drinking fluids, wetting diapers, and responding normally? A child with a 102°F fever who’s otherwise acting fairly normal is often less concerning than a child with a 100.5°F fever who’s very listless or unresponsive.

Step 4: Keep Them Comfortable

You don’t necessarily need to bring the fever down unless your child is uncomfortable. Here are a few comfort tips:

Dress them in light clothing

Offer lots of fluids (water, milk, Pedialyte)

Encourage rest

Give lukewarm baths (never cold)

Use a fan gently to cool the room

Step 5: Medication—When and What

You can use over-the-counter fever reducers like acetaminophen (Tylenol) or ibuprofen (Advil) only if your child is uncomfortable or the fever is very high, and only in age-appropriate doses. Always check with a pediatrician or pediatric nurse if you’re unsure about dosage.

See our dosing guidelines by weight at this link: www.alaskachildrens.com/outreach

Note: Ibuprofen is not recommended for children under 6 months. Avoid aspirin, as it has been linked to Reye’s syndrome in children.

Step 6: Know When to Call the Doctor

Call your pediatrician if:

Your child is under 3 months old and has a fever over 100.4°F (38°C)

The fever lasts more than 3 days

Your child is very drowsy, unresponsive, or not drinking fluids

The fever is 104°F (40°C) or higher

There are signs of dehydration (dry mouth, no tears, fewer wet diapers)

They have a seizure, stiff neck, rash, or trouble breathing

Step 7: Trust Your Instincts

You know your child best. If something doesn’t feel right, don’t hesitate to call your healthcare provider—even if just for reassurance.

Final Thoughts

A fever in toddlers is usually not a cause for alarm. Stay calm, monitor their symptoms, keep them comfortable, and reach out to your doctor if you’re unsure. Your calm presence is one of the most comforting things your toddler can have during a fever.