Why I Don’t Reduce a Fever – And What I Do Instead

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Why I don't reduce a fever
Wellness Mama » Blog » Health » Why I Don’t Reduce a Fever – And What I Do Instead

It’s hard to watch when our loved ones suffer from a high temperature. Many have sent emails and asked in my Facebook group, “Should you let a fever run its course in young children?” While we can all agree on plenty of fluids, I’m not quick to use over-the-counter medications to reduce it. Some pediatrics now suggest letting the fever run its course during flu season.

I try to avoid fear-mongering and want to avoid fever phobia and misconceptions. Over the years, my home remedies have helped my family fight illness more quickly and usually prevent recurring infections. So, let’s look at what causes a fever and when to seek medical attention before looking at natural remedies for fever.

[Note: I am not a doctor, nurse, or medical professional and do not play one online. Always check with a doctor or medical professional if a medical need arises.]

What Causes a Fever?

Fever is a natural response to infection or illness that increases body temperature. A fever is a good sign as it means the body is responding and fighting infections. When the normal body temperature rises, it is part of the natural immune system response we should allow to continue in most cases.

Fever can be caused by a bacterial or viral illness, or in rare cases, by poisoning, heatstroke, environmental toxins, or a malfunctioning hypothalamus. For most of us, a simple viral infection causes fever and will fade on its own as the body heals. There are a few exceptions, but more on that later.

When Is a Fever Too High for a Child?

Despite what seems like popular belief, in most cases, a low-grade fever less than 103°F will not cause brain damage, and a fever stemming from an infection will usually not go above this unless other factors (hot environment, etc.) are present.

In many cases, those who suffer brain damage or other problems from an illness suffer from the illness itself, not the high fever. The Natural Institutes of Health and the U.S. Library of Natural Medicine states a fever less than 107°F is unlikely to cause brain damage or other problems unless accompanied by more severe symptoms. (Although I don’t like letting them go this high and have never had a child’s fever anywhere near this high).

Even fevers high enough to cause febrile seizures do not indicate a severe problem in themselves. Most febrile seizures pass quickly and don’t cause permanent damage. They aren’t a symptom of epilepsy.

I highly recommend the book How to Raise a Healthy Child In Spite of Your Doctor for a more detailed explanation about the benefits of a fever and why reducing it can be harmful.

If one of my family members has a fever less than 103-104°F that I know is not the result of poisoning, severe bacterial infection, heatstroke, or toxins, I find it best to wait it out. Nevertheless, I will monitor symptoms and use home remedies to make the person more comfortable.

This is my personal preference in this situation. While I’ve never found temperatures at this point or lower to be harmful, it is always important to do your research and talk to a medical professional if you feel the situation warrants it. In my experience, most fevers from illness hover in the 101-103°F range and are an effective part of the immune system’s response to infection, like making antibodies.

Should You Let a Fever Run Its Course?

There are several reasons it is better not to reduce a fever. Since fever is part of the body’s natural way of fighting illness or infection, reducing the fever can make the illness last longer, as it lets the virus live for a longer time.

Additionally, most OTC conventional fever treatments, called antipyretics, may do more harm than good. Acetaminophen, Motrin, Tylenol, and Advil (the medications most often given to children to reduce body temperature and fever) have side effects or even cause organ damage. Specifically, Tylenol can hurt the liver, and Advil can damage the kidneys or cause bleeding in the digestive tract, especially when given regularly.

Also, medications, like antipyretics, are foreign substances in the body, which the body must metabolize and filter. Doing so takes energy the body could be using to fight the illness.

While a fever can be uncomfortable, it is possible to comfort the ill person without reducing the fever with home remedies. The medications that reduce fever often also get rid of body aches or uncomfortable symptoms, so the two are thought to go hand in hand. While certainly, medical intervention and pyretic medicine are absolutely warranted at times, they aren’t my first line of defense for a mild fever or common cold.

When Should I Take My Child to the ER for a Fever?

In most cases, a fever is a healthy and natural immune response we should allow to run its course. There are exceptions, and in these cases, it is essential to seek medical care and make sure there is no severe problem. While I let most illnesses run their course in our home, I don’t hesitate to seek medical help immediately if the situation warrants it.

The need to talk to get medical advice quickly in cases like this is one of the many reasons why I’ve used telemedicine services where I can speak with a doctor online quickly. Of course, it doesn’t always replace going to a local doctor or even the emergency room, but it is a helpful first step in evaluating a situation.

When to Go to the Doctor

In general, these are the times I seek medical attention for a fever. Still, a parent’s intuition/research and conversation with your healthcare provider are essential for determining when a fever is severe. I seek help when:

  • A child under three months has a fever over 100.4? or exhibits any serious symptoms
  • A fever over 104? (this can signal a more severe infection or poisoning)
  • Fever for more than two consecutive days
  • Other symptoms like stiff neck, listlessness, or sensitivity to light
  • The person is unable to hold down food for more than a few hours or shows any signs of dehydration
  • Refusal to drink water
  • Difficulty breathing, shortness of breath, or any sign of respiratory distress (Seek immediate help)
  • The person has been exposed to toxins or poisons that may have caused the fever
  • My mother’s intuition says there is something more serious going on, even if the child appears fine

Of course, I am a mom, not a doctor, and the above are my personal guidelines. You will want to come up with your own together with your doctor’s advice.

Natural Remedies for Fever

While I try to avoid unnecessary over-the-counter medications to treat fever, I’m also not in favor of letting an ill person suffer any more than is necessary. Fortunately, there are some easy home remedies to comfort the afflicted without drugs or medicine. For most illnesses, this is my protocol:

  • Lots of fluids – for hydration and help the body flush the illness. We stick to water, my electrolyte recipe with lemon juice, and herbal teas like chamomile, peppermint, or catnip.
  • Double doses of fermented cod liver oil – which seems to greatly reduce the duration of the illness and also gives the ill person important immune-boosting nutrients. We use capsules for adults and gel for kids who can’t swallow pills. I also give this daily to all family members to help boost immune function so the body can handle illness more quickly.
  • Probiotics – to support immune and gut health. You’ve probably heard the saying, “All disease begins in the gut.” Probiotics, but especially during illness.
  • Apple cider vinegar with the mother – for an extra boost of good bacteria.
  • Elderberry syrup – to boost immune function and make the ill person more comfortable. Here’s a recipe to make your own that’s cheaper than store-bought options.
  • Homemade elderberry popsicles – that I make and keep in the freezer for when anyone has a sore throat.
  • Vitamin C – that’s also packed with antioxidants.
  • Bone broth and homemade soups – to nourish and provide nutrients that aid in healing.
  • Coconut oil – small doses mixed into food or smoothies for its antibacterial and antiviral properties.
  • Hot water baths – with Epsom salts or magnesium and a sprinkle of powdered ginger to help alleviate muscle aches.
  • Peppermint tea and ginger tea – also work for head and muscle aches associated with an illness.
  • Natural sleep tincture or chamomile tincture to help soothe achy muscles and promote relaxing sleep if anyone is achy or having trouble resting comfortably.
  • Feverfew – I don’t generally recommend it for kids without a doctor’s advice, so check with yours, but this herb has natural anti-inflammatory health benefits.
  • Homeopathic remedies – like Genexa’s cold crush.

TIP: I highly recommend printing out a version of this and keeping it on hand in a cabinet with the remedies if you become ill. Even though I am the one to help a family member when they don’t feel well, I’m often not the best at remembering to do these things when I’m sick. This way, my husband can help me remember to do these things when I’m under the weather.

More From Wellness Mama

This article was medically reviewed by Dr. Jennifer Walker, an internal medicine physician. As always, this is not personal medical advice, and we recommend that you talk with your doctor or work with a doctor at SteadyMD.

What do you do when a family member is sick? Have any natural remedies for fever? Share them below!

Fever is a natural response by the body and is part of the healing process. Find out why reducing a fever can be bad and what to do instead.
Sources
  1. U.S. National Library of Medicine. (2020). Fever: Medlineplus medical encyclopedia. MedlinePlus.
  2. Leung, A. K., Hon, K. L., & Leung, T. N. (2018). Febrile seizures: an overview. Drugs in context, 7, 212536.
  3. Geddes L. (2020). The fever paradox. New scientist (1971), 246(3277), 39–41.
  4. Ghanem, C. I., Pérez, M. J., Manautou, J. E., & Mottino, A. D. (2016). Acetaminophen from liver to brain: New insights into drug pharmacological action and toxicity. Pharmacological research, 109, 119–131.
  5. Kim, M., Lee, E. J., & Lim, K. M. (2021). Ibuprofen Increases the Hepatotoxicity of Ethanol through Potentiating Oxidative Stress. Biomolecules & therapeutics, 29(2), 205–210.

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Katie Wells Avatar

About Katie Wells

Katie Wells, CTNC, MCHC, Founder of Wellness Mama and Co-founder of Wellnesse, has a background in research, journalism, and nutrition. As a mom of six, she turned to research and took health into her own hands to find answers to her health problems. WellnessMama.com is the culmination of her thousands of hours of research and all posts are medically reviewed and verified by the Wellness Mama research team. Katie is also the author of the bestselling books The Wellness Mama Cookbook and The Wellness Mama 5-Step Lifestyle Detox.

Comments

244 responses to “Why I Don’t Reduce a Fever – And What I Do Instead”

  1. Teresa Avatar

    Just found your Blog today as I was looking for a good Pumpkin anything recipe made with Coconut Flour. Going to try your muffins today. I stink at baking so hopefully I can pull this off. Just wanted to say that “How To Raise a Healthy Child in Spite of Your Doctor” was my go to book for my 4th born. (wish I had read it sooner). She is 12 and has NEVER been to the doctor for a sick visit. Love that book!

  2. Sarai Rodriguez Avatar
    Sarai Rodriguez

    Hi wellness mama!! I hope to hear back from you soon as this is something I’m going through right now. Would you let your child fight strep naturally? My daughter caught it from her cousin and I’m at a loss of what to do

    1. Wellness Mama Avatar

      I would be very cautious about that, as strep can have long term ramifications if not caught and treated. I’ve heard of people going a more natural route with it, but always check with your family’s primary care provider first. My husband had it recently and did go on an antibiotic to get rid of it. As much as I dislike taking antibiotics, in some cases they are needed…

  3. Serenity Avatar

    I guess it would be helpful to mention what happened with their cold. My son started out with the typical throat pain, cough, sneezing. Then soon after, a fever . Unfortunately, my husband gave him meds for it, but that’s because he’s not convinced by when I say otherwise. Also he’s on night duty and doesn’t want to deal with loss of sleep.
    My 18 month old daughter seemed to have the same beginning but never a fever. A few days ago she wouldn’t even let me put her down and would just cry and cry. Took her to the dr, they said no ear infection. We assume it was because of her teeth.

  4. Serenity Avatar

    Can you please shed some light on the position given by MDs that “colds only last 10-14 days”. I first would like to know if this is true. Second, it has been my experience that when I happen to take my child to the pediatrician for sickness, they’ll asK how long they’ve been sick for. If I respond with any number over 9 days, they write a script for antibiotics and say “well sickness beyond 10 days is usually sinus infection.” So my second question would be, is that true? Also, how can they tell if they didn’t really test for it? Anyway, our family is currently sick. My five year old son for 11 days and my 18 month old daughter for about 9 days. I’m done with giving my son antibiotics unless absolutely necessary. So how can I really tell if something is really wrong? The symptoms my son and daughter both have right now are cough and stuffed nose. My daughter has the added pains of really swollen gums from teething and on top of that, constipation issues (that she has always had). At this point I’m confused as to what is/isn’t truly a concern. And even if they had an infection , would antibiotics be the best choice. …

    1. Wellness Mama Avatar

      This is a really tough question that it seems that most doctors can’t even answer without doing a test of some kind. Since illnesses can be viral, bacterial or otherwise and can last different lengths of time depending on the person’s immune system and the type of illness, there is really no answer that fits everyone. In our family, we’ve usually been able to kick illnesses in under a week, and the couple times that my husband has gone the conventional route, it usually takes him longer to kick it, but that is just our experience. I hope your family bounces back soon!

  5. Faith Avatar

    I absolutely love your site! Every now and then when reading your site I find words or sentences missing form the text/ I only read on my iPhone 6 so I’m not sure if this is a problem for desktops too- but I did want to make you aware! I took a screenshot to show you, but I’m unsure if it will let me post a photo here or not. It appears that it may be where you have certain words or phrases hyperlinked? Just thought I’d let you know! Thanks for all of the awesome information. You’re wonderful!

  6. Rachelle Avatar

    Antibiotic drink : take blender add 1 tbs ginger paste, 1 tbs garlic paste, 1 tbs onion paste , 1 tbs aloevera paste , 1 orange zest , 1 tbs orange juice , some basil leaves quarter glass water blend it it’s ready

  7. Supreem Avatar

    never wrap yourself with thick bedsheet because it will cause the temperature to rise very quickly and when you will come out of bedsheet you will start shivering

  8. Mel Avatar

    My mother is often confused as to why I try to put off medicine taking and lean more towards herbal teas when I am ill. I personally am very conscious about what goes into my body and I want to avoid ruining my liver with some of the medications they sell. I guess one really comes to understand just how some doctors feel they aren’t doing their job unless they are prescribing medicine when they themselves have been given medicine that wasn’t needed and simply made them sick.

  9. Christina Avatar

    Also having the windows open so fresh air circulates through the room when you’re sick. It helps you get better faster and makes it less likely to pass it around a house full of people.

  10. Nata b Avatar

    Wellness mama how do you give that bio kult probiotic to children? My 9 month old has allergies and eczema and I want to start him on a probiotic. How much would you give? Also he has a milk allergy you think he will do OK with Bio kult?

  11. Paulina Avatar
    Paulina

    In terms of baths with fever… They are a little controversial. Causing the child to cool may cause shivering and no decrease in fever in fact could be counter productive. Keep your baby cool with light clothing and a cool towel on their head. Keep them out of baths until the peak of the fever has gone down.

  12. Haley Avatar

    Do you have any recommendations for fevers while pregnant? How high is ok to just keep doing cold compresses and the other things you mentioned here? I am really against taking medication when pregnant unless absolutely necessary. I’m 25 weeks right now and currently have a low fever. Thanks for all your posts; they have been so helpful for me!

  13. George Avatar

    Very interesting subject, but I am amazed that the oldest European traditions were not really discussed.
    The cold forehead compresses and the cold calf wraps always work, you only need to bring the fever down 1-2 degrees to stay safe and still have all the benefits.
    If nothing works and you need to do it fast, a warm ( body temp) coffee enema will do it..
    , and I’m not talking latte of mo caching, plain black coffee.
    I hope you never have to try but it does work in an emergency and will not destroy your liver.

  14. Sue Avatar

    Just wanted to say that the book you suggested, “How to Raise a Healthy Child…” has been my best resource when kids & grand kids have been ill since 1984, when it was first published. Basically, it endorses a mother’s common sense.

  15. Elaine Avatar

    Have you ever tried any garlic remedies? I know for sure my toddler can take eating minced fresh peeled garlic with honey olive oil and coconut oil.

  16. Erin Avatar

    I usually lean towards the natural side of things typically but until you’ve seen your child go into a febrile seizure for minutes which seem like hours and then start to turn blue you might think differently about fevers and using OTC reducers. When a small child is sick they should be treated especially with fevers over 100. Take it from me, I wish it upon no one to see that happen to their baby. It’s not worth waiting it out when you can do something about it.

  17. Brendan Tonson Avatar
    Brendan Tonson

    Thought I’d add my 2 cents (medical student). While I don’t disagree with mild fevers generally being unremarkable and not REQUIRING treatment. I think the argument is very weak as to why you shouldn’t for comfort. The 4 reasons she quotes are:
    1. Its unnatural and takes longer. There’s no evidence that it takes longer. The cause of fever is pyrogens and it has been suggested that fever was originally designed to kill of temperature sensitive bacteria. Except none of the common illnesses are temperature sensitive. So it does not appear to serve a useful purpose anymore.
    2.Tylenol causes liver failure. Tylenol is essentially just paracetanol (known in America as acetominophen)which is a analgesic (pain relief) and antipyretic (lowers fever). From the textbook “In recommended doses and for a limited course of treatment, the side effects of acetominophen are mild to non-existent”. Liver failure does occur, but only from large overdoses, typically by those trying to commit suicide.
    3. Medications or foreign substances that your body must filter out which requires energy. yes just like almost anything you eat, your body filters it. The amount of energy put into this in miniscule. But what does take alot of energy is overheating and maintaining you body at a fever temperature. So that point is just moot.
    4. You can comfort the person without reducing fever. Yes… you can also comfort them while giving them a fever reducing medication that also helps with any aches/pains associated with the illness.
    – So basically none of her reasons for avoiding antipyretics appear to have any merit. Unless you are allergic or pregnant (increased risk of child having asthma) there is no good reason not to relieve discomfort this way for fevers over 38.5 °C (101.3 °F). And also if it was going to unexpectedly turn into a dangerously high fever, you have already started treating it. As a side note, ibuprofen is more effective at lowering temperature in children than paracetamol.
    – I truly wish people would stop using anecdotal based health on the whims of those who speak out. This is precisely why many children go umimmunized to their detriment. Just because you have a bad experience with one doctor doesn’t mean the system is flawed. Unless it is evidence based medicine you are gambling your health on someones “best guess”.

  18. Willow Avatar

    I’ve read through most of the comments. If you are an adult and are choosing to treat yourself or not treat yourself for fevers, that is 100% your right. However, when it comes to children I believe there are other things to consider. I get the feeling that people somehow think because something is natural it is totally safe, when in fact it can be extremely dangerous. For instance, the above recipe linked for elder berry syrup. Did you know elder berries naturally contain cyanide? If they are not processed correctly you can get sick from them. There are also different types of elderberries, some toxic to humans. I sure as heck would put some sort of warning about this before recommending for people to make their own. This is the point I am trying to make. It is a great responsibility to the parents to go it on their own to treat their children and follow the stuff you read on the internet, verses listening to a person with 12 years intensive medical study. I got a strep infection as a child with a fever. I wanted to go to a dance that weekend and never told my parents. Because that strep infection went untreated the toxins built up in my bloodstream and seattled in my kidneys. I lost my kidney function and had to have a transplant. God forbid if something like this happened to your child, but if it did, would you want to carry the burden of not seeking help? For the people who scoff about the Drs never doing anything for a fever. The minute that Dr or nurse walks into a room they begin an assessment of that child. They are looking at his skin, his breathing, his demeaner, how worried mom is, etc etc… Once an assessment is complete they know if anything signals further assessment or tests. If he looks OK they send him home. To a lay person this could appear like “oh they never do anything for a fever so I’m not going to take him next time” when next time he could have a different symptom or rash that does warrant treatment. Do you really want to carry the burden of making a diagnosis yourself for your child? Finally, in this day and age where children are taken away from parents by states for neglect, do you really want to take even the slightest chance of being accused of neglect for not taking the child to the Dr or calling the Dr’ s offices for treatment? I sure wouldn’t’ t take that chance. Self treatment carries a huge responsibility and burden that I would think extremely long and hard about. Thanks

  19. Jill Avatar

    interesting that tylenol is a “foreign” substance but none of your remedies are?! We don’t naturally produce cod liver oil just as we don’t naturally produce tylenol.

  20. Wanda King Avatar
    Wanda King

    I think you’re correct that fevers occur in the body as a natural remedy for infections. I’m not a doctor either, but I’d read that after WWI, when aspirin was first introduced in the army; boys returned from the war bringing this “miracle” drug home to their families. When the flu started breaking out, aspirin was given to reduce temperatures. It has been theorized that fever destroys bad microbes; and without that natural occurrence, many people died from an overwhelming buildup of bacteria. Just a theory, but interesting. On the other hand, too high a temp can also be dangerous. – I think we probably use too many “miracle” meds these days; but it’s a personal choice that needs due consideration.

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