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Published on: 3/5/2025

If I Have a Fever, Should I See Primary Care? Guidelines for When to Seek Medical Attention.

Fever is a common symptom that can indicate an underlying infection or illness. Whether or not to seek medical attention for a fever depends on several factors, including the severity of the fever, accompanying symptoms, and the duration of the fever.

answer background

Explanation

Duration of Fever

  • Persistent Fever: If your fever lasts more than 3 days without improvement, it is advisable to consult a healthcare provider for further evaluation.
  • Recurrent Fever: If you experience recurrent fevers (fever that comes and goes) over a period of time, this warrants medical attention.

Severity of Fever

  • High Fever: A fever of 103°F (39.4°C) or higher in adults, or 102°F (38.9°C) or higher in children, should prompt a visit to a healthcare provider, especially if it persists despite over-the-counter medications.
  • Fever in Infants: For infants under 3 months with a fever of 100.4°F (38°C) or higher, seek immediate medical attention.

Accompanying Symptoms

  • Severe Symptoms: If you have severe symptoms accompanying the fever, such as:
  • These symptoms may indicate a more serious condition that requires prompt medical evaluation.

Underlying Health Conditions

  • Chronic Illness: If you have underlying health conditions (such as heart disease, diabetes, or a weakened immune system), it is important to consult your healthcare provider sooner if you develop a fever, as you may be at higher risk for complications.

Response to Treatment

  • Ineffective Home Treatment: If you have taken over-the-counter medications (like acetaminophen or ibuprofen) to reduce the fever and it remains high or continues to rise, it is advisable to seek medical attention.

(References)

  • Sandoughi M, Fazeli SA, Naseri-Ramroudi F, Barzkar F. Best Practice for Prolonged Fever in Primary Care Setting: Close Follow-Up or Empiric Antibiotic Therapy? Korean J Fam Med. 2018 Sep;39(5):318-321. doi: 10.4082/kjfm.17.0118. Epub 2018 Jul 4. PMID: 29972895; PMCID: PMC6166114.

  • Eskerud JR, Laerum E, Fagerthun H, Lunde PK, Naess A. Fever in general practice. I. Frequency and diagnoses. Fam Pract. 1992 Sep;9(3):263-9. doi: 10.1093/fampra/9.3.263. PMID: 1459379.

  • de Bont EG, Lepot JM, Hendrix DA, Loonen N, Guldemond-Hecker Y, Dinant GJ, Cals JW. Workload and management of childhood fever at general practice out-of-hours care: an observational cohort study. BMJ Open. 2015 May 19;5(5):e007365. doi: 10.1136/bmjopen-2014-007365. PMID: 25991452; PMCID: PMC4442146.

  • Finley CR, Chan DS, Garrison S, Korownyk C, Kolber MR, Campbell S, Eurich DT, Lindblad AJ, Vandermeer B, Allan GM. What are the most common conditions in primary care? Systematic review. Can Fam Physician. 2018 Nov;64(11):832-840. PMID: 30429181; PMCID: PMC6234945.

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