Fever Is Not a Disease, but the Body’s Defense Mechanism
Fever in children continues to be one of the most common concerns for parents. Pediatric Specialist Dr. Süreyya Paksoy stated that fever is not a disease as commonly believed, but rather a natural defense mechanism developed by the body against infections.
Dr. Paksoy from ENTO Ear, Nose and Throat Surgical Medical Center explained that fever is mostly caused by viral infections:
"When germs enter the body, the immune system is activated and stimulates the brain's temperature regulation center, increasing body temperature. This enables immune cells to fight microorganisms more effectively."
Emphasizing that fever is a sign that the child is fighting an illness, Dr. Paksoy said:
"Fever is not an enemy; it is a deliberate response of the body."
She added that chills, shivering, and cold hands and feet may occur during this process.
Dr. Paksoy stated that the most common cause of fever in children is upper respiratory tract infections. Bronchitis, pneumonia, tonsillitis, middle ear infections, gastrointestinal infections, and urinary tract infections may also cause fever.
She noted that fever does not always need to be reduced:
"If the child generally appears well, providing plenty of fluids, dressing them lightly, and keeping the environment cool are usually sufficient. We do not recommend cold showers or the use of alcohol or vinegar. Paracetamol should be the first choice among fever-reducing medications, and the dosage should be adjusted according to the child’s weight. Aspirin should never be used in children. Ibuprofen should not be given without a physician’s recommendation. Up to the age of 2–3 years, rectal temperature measurement is the most reliable method. Ear measurements must be performed correctly, while non-contact measurements have a higher margin of error."
Febrile Seizures
Dr. Paksoy explained that febrile seizures can occur between 6 months and 5 years of age:
"They are usually associated with a rapid rise in fever caused by viral infections and are generally short-lived, leaving no permanent damage."
During a seizure, parents should place the child on their side and avoid restricting movements. Putting a spoon, finger, or any object into the child's mouth may result in broken teeth or injury and should not be done. Attempting to give fever-reducing syrup or water orally during the seizure may cause the liquid to enter the lungs. It is also incorrect to place the child in a cold shower or rub them with alcohol.
"Remain calm during the seizure and call emergency services if it lasts longer than five minutes."
Dr. Paksoy stated that febrile seizures are usually not caused by meningitis. However, emergency evaluation is necessary if there is confusion, neck stiffness, rash, or worsening general condition. She advised families not to panic about fever:
"What matters is not how high the fever is, but the child's overall condition."
https://www.hurriyet.com.tr/yerel-haberler/izmir/ates-hastalik-degil-vucudun-savunma-mekanizmasi-43198340
