A healthy living blog from Marshfield Clinic

Thermometer basics: Which type is best for your child?

Dad holding his baby boy

Feeling your child’s forehead isn’t particularly accurate for gauging fevers. An age-appropriate thermometer is best to use when you suspect your child is feverish.

When children are sick, one of the first things you check is whether they have a fever. Although it’s common to feel the forehead or back of the neck to gauge fevers, this method isn’t particularly accurate.

Today most thermometers use digital or infrared technology and are available as armpit, ear, forehead (temporal), oral or rectal models. To protect families from exposure should the thermometer break, mercury thermometer use is discouraged.

Your thermometer choice largely depends on your child’s age. Rectal thermometers are most accurate and recommended for children up to three months. Armpit temperatures typically are the least accurate.

Fever shouldn’t be the only concern

“Getting the most accurate temperature reading for young children is important because the height of their body temperature is more critical than it is for adults,” said Dr. David Holz, a Marshfield Clinic pediatrician. “But fever alone, whether high or low, isn’t the only indicator of how sick a child may be. In some cases, the fever may be the least worrisome symptom.”

Difficulty with breathing, unable to take fluid, dehydration, as well as showing a change in mental status such as confusion or unusual sleepiness, are causes for concern.

“Temperature height doesn’t necessarily correlate with a health problem,” Holz said. “A child with symptoms of dehydration should see a doctor even if that child doesn’t have a high temperature.”

Safe thermometer use

Household thermometers can be important tools for keeping your family well. They work best when you:

  • Read instructions before using
  • Follow the manufacturer’s method for keeping clean
  • Store in a safe place
  • Avoid using rectal and oral models interchangeably

Keep your thermometer handy at home and when you’re mobile. Be prepared for everything with your on-the-go med pack.Chart - Thermometer Basics - use guide by age

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