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Saturday, November 14, 2009
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Chills

Alternative Names

Rigors; Shivering


Home Care

Fever (which can accompany chills) is the body's natural response to a variety of conditions, such as infection. If the fever is mild (102 degrees Fahrenheit or less) with no side effects, no professional treatment is required. Drink lots of fluids and get plenty of rest.

Evaporation cools the skin and thereby reduces body temperature. Sponging with comfortably warm water (about 70 degrees Fahrenheit) may help in reducing a fever. Cold water, however, is uncomfortable, and may increase the fever because it can trigger chills.

Medications such as acetaminophen are effective for fighting a fever and chills.

Do not bundle up in blankets if you have a high temperature. This will only cause the fever to rise.

HOME CARE FOR A CHILD

If the child's temperature is over 102 degrees Fahrenheit, or if the child is uncomfortable, give pain-relieving tablets or liquid. Non-aspirin containing pain-relievers such as acetaminophen are preferred. Ibuprofen may also be used. Follow the recommended dosage on the package label.

Children who have symptoms of a viral infection should not be given aspirin because of the risk of Reye syndrome.

If the child's temperature is over 103.5 degrees Fahrenheit 1 to 2 hours after giving medication for fever, place the child in a tub of lukewarm water up to the navel. Rub a wet washcloth or towel over the child's body for 20 minutes or for as long as can be tolerated. Add warm water as needed to keep the water temperature constant and keep the child from shivering. Pat (don't rub) the child dry with a towel.

  • Dress the child in light clothing, provide liquids, and keep the room cool but not uncomfortable.
  • Don't use ice water or rubbing alcohol to reduce a child's temperature. These can cause shock.
  • Don't bundle a feverish child in blankets.
  • Don't wake a sleeping child to give medication or take a temperature -- sleep is more important.

Call your health care provider if
  • There is stiffness of the neck, confusion, significant irritability, or sluggishness.
  • There is a significant cough, shortness of breath, abdominal pain or burning, or frequent urination.
  • A child younger than 3 months has a temperature of 101 degrees Fahrenheit or more.
  • A child between 3 months and 1 year has a fever that lasts more than 24 hours.
  • The fever remains above 103 degrees Fahrenheit after 1-2 hours of home treatment.
  • The fever does not improve after 3 days, or has lasted more than 5 days.
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Review Date: 02/22/2009
Reviewed By: Linda Vorvick, MD, Family Physician, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org).
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