Fever and rashes in children: when to get help

Can a fever be looked after at home?

The NHS says a child with a fever can usually be looked after at home. It recommends giving plenty of fluids and checking on the child regularly, including overnight.

When does a fever need 999?

The NHS says to call 999 for a stiff neck, a rash that does not fade when a glass is pressed on it, or a first seizure caused by fever. The same list includes cold hands and feet, blue, grey or pale skin, lips or tongue, being drowsy and hard to wake, extreme agitation or confusion, and difficulty breathing. A rash that does not fade when a glass is pressed against it is described as non-blanching, and the NHS treats it as an emergency.

When should NHS 111 or the GP be contacted?

For a baby under 3 months with a high temperature, the NHS says to call NHS 111 or contact a GP. For babies aged 3 to 6 months, the NHS also advises calling NHS 111 or contacting a GP when the temperature is high. For older children, the NHS advises calling NHS 111 or contacting a GP when a fever has lasted 5 days or more. Signs of dehydration, such as fewer wet nappies, sunken eyes and no tears when crying, also call for advice from NHS 111 or a GP.

What about rashes in babies?

Healthier Together pages say that most baby rashes are harmless and go away on their own, and that dry or peeling skin in the first week or two is normal. Tiny white or yellow spots on the nose or face (milia) usually clear within a few weeks without treatment. Healthier Together lists signs that need urgent help from a health professional: a rash that does not fade under the glass test, redness around the belly button, and a baby who is pale, very sleepy or breathing hard.