Can children take a bath when they have a high fever?

If a child often has a high fever, it means that his body resistance is relatively low. In this case, you should take extra care of your child's body. If you find a high fever, you first need to cool them down physically. Try not to give them some medicine at the beginning. You can let them take a warm bath to improve their physical condition so that the high fever will not go away.

Patients with high fever should be cooled down promptly and appropriately to prevent convulsions and other adverse consequences. For patients with a history of high fever convulsions or irritability, sedatives should be given while cooling down. For patients with fever awaiting diagnosis, the cause should be identified as much as possible, and no special treatment may be given for the time being, otherwise the fever pattern will change, the clinical signs will be blurred, and the diagnosis will be delayed.

(I) Cooling measures

1. Physical cooling: Place the child in a quiet, cool, well-ventilated environment. Use a cold towel or cold water bag to apply to the forehead, armpits, groin and other parts, or use an ice bag wrapped in cloth as a pillow on the head or place it on the above-mentioned parts. You can also use cold water (28-30℃) or alcohol (30-50%) to bathe the limbs, both sides of the torso and the back. If the child develops pale skin or cold skin during sponge bathing, stop immediately. Cold saline (30-32°C) enema can also be used, which is more suitable for those suspected of poisoning with mycobacterium oxysporum. It can not only reduce the temperature but also facilitate the collection of stool samples for examination.

2. The commonly used acupoints for acupuncture cooling are Quchi, Hegu, Dazhui, Shaoshang, Shixuan, etc.

3. Drug-induced cooling: For immature infants, young babies and weak children, antipyretics are generally not used to reduce the temperature. Commonly used antipyretics include APC 5-10 mg/kg/time, or Arusan 1-2 tablets each time for infants aged 1-2 years (each tablet contains 0.06 grams of aspirin and 0.015 grams of luminal). You can also use pediatric antipyretic suppositories (paracetamol suppositories), for children aged 1 to 6 years, 1 tablet/time, 1-2 times a day, and insert the suppository into the anus.

(II) Other symptomatic treatments

When the fever is high, the insensible water loss increases, and the appetite decreases, so water and electrolytes should be replenished in time. For those who have difficulty taking oral fluids, intravenous rehydration should be given, and attention should be paid to the supply of calories. A 1:4 (sodium solution: glucose solution) solution should be used, and potassium salts can be given appropriately.

For patients with restlessness, recurrent convulsions or ineffectiveness of general cooling measures, chlorpromazine and promethazine may be used as appropriate.

3. Etiological treatment

For high fever caused by infection, effective antibiotics should be selected according to the condition. Local infection lesions should be cleared promptly. High fever caused by non-infectious diseases also requires appropriate treatment measures based on different causes.