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Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
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Treatment of Childhood Infections
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Growth And Development Including General Paediatri
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Fever remains the most common concern prompting parents to present their child to the emergency department. Fever has traditionally been defined as a rectal temperature over 100.4 F or 38 C. Temperatures measured at other body sites are usually lower. The threshold for defining a fever does vary significantly among different individuals, since body temperatures can vary by as much as 1 F. Low-grade fevers are usually considered less than 102.2 F (39 C).
Fever itself is not life-threatening unless it is extremely and persistently high, such as greater than 107 F (41.6 C) when measured rectally. Risk factors for worrisome fevers include age under 2 years (infants and toddlers) or recurrent fevers lasting more than one week. Fever may indicate the presence of a serious illness, but usually a fever is caused by a common infection, most of which are not serious. The part of the brain called the hypothalamus controls body temperature. The hypothalamus increases the body's temperature as a way to fight the infection. However, many conditions other than infections may cause a fever.
Fever in Children - Causes:
Causes of fever include:
- Bacterial infections
- Viral infections, like influenza (the "flu")
- Illicit drugs
- illnesses related to heat exposure
- Rarely, inflammatory diseases
When to seek medical care:
- The child is younger than 6 months of age (regardless of prematurity).
- One is unable to control the fever.
- One suspects a child may become dehydrated from vomiting, diarrhea, or not drinking (for example, the child has sunken eyes, dry diapers, tented skin, cannot be roused, etc.).
- The child has been to a doctor but is now getting worse or new symptoms or signs have developed.
Although you may have done your best to care for your child, sometimes it is smart to take your child to the emergency department. The child's doctor may meet you there, or the child may be evaluated and treated by the emergency doctor.
Take a child to an emergency clinic when any of the following happen:
- One has serious concerns and is unable to contact the child's doctor.
- One suspects the child is dehydrated.
- A seizure occurs.
- The child has a purple or red rash.
- A change in consciousness occurs.
- The child's breathing is shallow, rapid, or difficult.
- The child is younger than 2 months of age.
- The child has a headache that will not go away.
- The child continues to vomit.
- The child has complex medical problems or takes prescription medications on a chronic basis (for example, medications prescribed for more than two weeks' duration)
Home Remedies for Fever in Children:
The three goals of home care for a child with fever are to control the temperature, prevent dehydration, and monitor for serious or life-threatening illness.
- The first goal is to make the child comfortable by reducing the fever below 102 F (38.9 C) with medications and appropriately dressing the child. A warm water bath can also be helpful .
- To check a child's temperature, one will need a thermometer. Different types of thermometers are available, including glass, mercury, digital, and tympanic (used in the ear).
- Glass thermometers work well but may break, and they take several minutes to get a reading.
- Digital thermometers are inexpensive and obtain a reading in seconds.
- Oral temperatures may be obtained in older children who are not mouth breathing or have not recently consumed a hot or cold beverage.
- Monitoring and documenting the fever pattern is achieved using a thermometer and a handmade chart.
- Acetaminophen and ibuprofen are used to reduce fever.
- Follow the dosage and frequency instructions printed on the label.
- Remember to continue to give the medication over at least 24 hours or the fever will usually return.
- Children should not be overdressed indoors, even in the winter.
- Overdressing keeps the body from cooling by evaporation, radiation, conduction, or convection.
- The most practical solution is to dress the child in a single layer of clothing, then cover the child with a sheet or light blanket.
- A sponge bath in warm water will help reduce a fever.
- Such a bath is usually not needed but may more quickly reduce the fever.
- Put the child in a few inches of warm water, and use a sponge or washcloth to wet the skin of the body and arms and legs.
- The water itself does not cool the child. The evaporation of the water off the skin cools the child. So, do not cover the child with wet towels, which would prevent evaporation.
- Contrary to the popular folk remedy, never apply alcohol in a bath or on the skin to reduce fever. Alcohol is usually dangerous to children.
- The second goal is to keep the child from becoming dehydrated. Humans lose extra water from the skin and lungs during a fever.
- Encourage the child to drink clear fluids but without caffeine (and not water). Water does not contain the necessary electrolytes and glucose. Other clear fluids are chicken soup, other rehydrating drinks available at the grocery or drugstore.
- A child should urinate light-colored urine at least every four hours if well hydrated.
- If diarrhea or vomiting prevents one from assessing hydration, seek medical attention.
- The third goal is to monitor the child for signs of serious or life-threatening illness.
- A good strategy is to reduce the child's temperature below 102 F (39 C).
- Also, make sure the child is drinking enough clear fluids .
- If both these conditions are met and the child still appears ill, a more serious problem may exist.
- If a child refuses to drink or has a concerning change in appearance or behavior, seek medical attention.
Hello Doctor, I m very concerned about my 1 and a half month baby's weight. He weighs 4.2kg now. His birth weight was 3.25kg. How much weight 1 and a half months baby should weigh? I m really pissed off by my relatives who come and say your baby is underweight, your breastmilk is not sufficient . Please help!
Can I give my 10 months old baby glucon-D (orange or lemon or plain) with water as he rebels plain water. He is very reluctant to drink water.
Hi my 40 days old newborn gets lot of gas and he used to fart a lot two weeks before. Lately he is not able to fart. He struggles alot. So doc gave Neopeptine drops to help me pass the wind. Also she gave colicaid if the child gets close. Can you explain what are two drops for. As I feel both means the same. And why so much of gas is formed in this body. Its too much as compared to other kids.
These are some tips which can help students who keep study whole night and force them to keep them awake and don't like to study at day time
1) sleep during day
2) take some nervous stimulants at night (ex- tea, coffee) but avoid milk you may feel more sleepy
3) keep yourself busy in one or the other activity
Like mathematics statistics and any writing work
4) use your mobile phone to study (it contains blue lite which will prevent to fall asleep)
5) hang a rubber band over your wrist and give a small current by dragging it suddenly and dropping it this will activate your brain and prevent to go into sleep
6) keep a positive affirmation that you want to awake all night
5 months old is having fever and will vomit after every feeding. I am bottle feeding her. Earlier was giving cow milk as well as formula milk both but from last 15 days switched to formula milk only as prescribed by doctor. Had her blood test she was having her tlc nd platelet levels high. Doctor put her on anti biotic as it all started from cold and cough. She was fine last week but since yesterday again having little cold and fever and vomiting after each feed. She would cough a little and vomit her milk. Paed is not available today. Having some queries:- 1. Formula milk is okay for baby? (i know it is but a little confirmation is required in this case. Why she is getting cold cough again) 2. Use of ac with baby? 3. How to bath baby with lukewarm water or cold? 4. Start of solid foods? Or can I make her taste the fruits or water?
My baby is 1 month old, I want to know the baby care products, which brand is best? Especially which cream should I use for my baby?
Is it normal for young children to stop taking or needing naps? My 3½-year-old hasn’t taken a nap in quite a while, but seems to do OK.
My son is about 5 years old. On 19/07/2016, suddenly his movement was abnormal and became unresponsive for 1 minute, associated with uprolling of eye balls and frothing from mouth. His body temperature was very high about 102 F. He rushed to Max and doctor admitted for 1 day and gave a medicine as Crocin and Meftal-P. He was discharged on 20/07/2016 as well condition. But, on 22/07/2016, He is suffering from leg pain and leg is not properly moving. Please advice.
Hello Sir, My son is of 2.7 years old and 13 kg in weight. He is frequently affected with sudden dry cough which is followed by high fever, light wheezing. He will be hospitalized and doctors gave antibiotics through IV. Doctors prescribed oral medicines and budecort respules in nebulization. I am very tensed as he get that once in 10 days what to do? What treatment should be taken and What type of medicines to be used in nebulizer What type of food should be given to increase immunity?
Are there any long-term effects associated with taking adhd (attention deficit hyperactivity disorder) medications? if so, what are they and what medications are implicated?
Eat a balanced diet which contains whole cereals, pulses, dal, all seasonal fruits, salads and vegetables, milk and milk products. Keep away from sweets, junk food, oily food as much as possible.
Exercise daily. For children outdoor play daily is exercise.
Get your child's weight and height checked periodically by your pediatrician. This will help to detect deviation from growth early.