Would you get DD4 seen for 40.7 fever ?

[poorlya]

It only started in last night and responds to medicine.

But she keeps shivering and spiking up to 40.7.

I need to give meds every 3 hours at the most before it spikes that high again.

I don't know where it's coming from. No cough, cold, throat looks ok to me ( I'm not a doctor ).

She's been to the bathroom fine, I've been making her drink lots of water etc / trying to keep her cool.

I wouldn't usually go to seek help so fast, but the fever keeps spiking so high.

My 2 year old had exactly this two weeks ago spiking hugely high fevers which were controlled with calpol but no other symptoms. We rang 111 and they told us to go to A+E. It's something viral going about. My 6 month old had it a week later. I hope your babe feels better soon x

I’m really glad you’ve recognised that you shouldn’t be diagnosing a child you don’t know online. It’s why your ‘very likely sepsis’ diagnosis was so out of line.

That would be for you. Better safe than sorry! To be bold enough to tell a stranger not to worry 🙄
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DS1 often spikes temp over 40 with ear or throat infections. He's allergic to ibuprofen so can only rely on paracetamol to help. He's also T1 diabetic which has been fun when his throat is too sore to swallow. Best thing we've been given for him is Difflam spray from chemist which numbs the back of your throat so can still get fluids in. Hope your dd feels better soon.

@Fluffypuppy1 Up until very recently, NHS guidelines for children did vary regionally. Since 2017, all unwell adults seen have been scored on what’s called a NEWS (national early warning score) chart to determine risk of sepsis. This plots temp, blood pressure, heart rate, oxygen etc and gives them all a score. At a certain score people are monitored more closely on a ward, sent to A&E, have bloods done…things like that, and it’s generally worked very well for picking up sepsis and other major acute illness. This is tricky to do with kids as kids of different ages have different parameters and kids may “present” differently when ill. A playing child may be deathly ill while one that’s really listless may be, relatively, fine. This meant that all hospitals had their own charts and reference ranges which wasn’t very helpful. Since November 2023 a national PEWS chart has been in place which should make things a bit clearer. I include it here not so you use it (please please get your kids seen if you have any doubt at all) but just so people can see how things score. The one I’m linking to is for ages 5-12 but younger/older kids and babies have their own as the parameters are different for those ages. https://www.england.nhs.uk/wp-content/uploads/2023/11/pews-observation-and-escalation-chart-5-12-years-updated.pdf

At no point did I say not to worry or not to get help. Quite the opposite actually, I shared what happened with my own child and how I also chose to get a GP appointment same day and that in my case, it was fine and turned out to be benign, if not very scary when I myself was going through a similar experience. Like OP, I had DS assessed by a doctor in person to rule out anything horrible as I think any parent would.

At no point did I offer a diagnosis, any advice or anything else. In fact the only person here suggesting they ‘very likely’ knew what was wrong with this child via the internet was you.

No one needs a prefect badge to call out stupidity on the internet but I’ll totally accept one, thanks!

Im very glad you’re focusing on attacking me rather than doubling down on your original comment though, it’s a great sign you’ve realised how exceptionally dim and indefensible it was in the first place.

Give it a rest I'm not reading that essay, life's too short for that. You must have other things to do surely!