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By
Colleen Huber, Naturopathyworks.com
"Give me a fever, and I can cure any illness" --
Hippocrates
Many parents consider a fever to be something dangerous in itself.
There are some parents who are so afraid of fever that if their
child's temperature rises to 100 degrees or 101 degrees F, they
give them a liver toxin such as acetaminophen or a gut-scraping
ibuprofen. Worse yet, there are parents who give their child an
aspirin at the first sign of fever, which poses an extremely dangerous
risk for the life-threatening Reye's Disease.
How did fever come to be seen as so dangerous
a condition that we put our child's well being at risk in order
to suppress the temperature?
Let's first consider the functions of
fever and how it works. The two functions of fever are:
- To stimulate the immune system.
- To create an inhospitable environment for invading organisms.
That is, to turn up the heat high enough that the invading microbes
cannot live.
Typically, when any kind of microbe invades the body, it is eaten
alive by the first line of defense: macrophages ("big eaters").
Macrophages then recruit other immune system cells and make Interleukin
One (IL-1). IL-1 is one of several endogenous pyrogens, which means
that it is a part of your body that gives the signal to raise your
temperature.
How a Fever is Made
IL-1, along with other pyrogens and proteins, is released into
the blood and makes its way up to the hypothalamus in your brain.
The hypothalamus performs similar to a perfectionist in that it
says the temperature must be just 98.6 degrees F. It also tells
us that our hormones must be maintained just right at certain fixed
quantities in the bloodstream. So when the picky hypothalamus gets
the IL-1 signal, it knows that 98.6 degrees F just isn't enough
anymore.
Now we've got the highly unusual circumstance of many invading
pathogens, and in extraordinary times like these, the temperature
must be raised a few degrees if we're going to get rid of the bug
and keep the body healthy. So the hypothalamus makes another biochemical,
PGE-2. PGE-2 then increases the body temperature set point, to say
101 degrees or 102 degrees F, or wherever it's determined by the
hypothalamus to be sufficient for protecting the body from the bug.
So how does the body actually raise its
temperature, once the hypothalamus has determined that it's necessary
to do so?
If we're still healthy and youthful enough to accomplish everything
up to this point, then our heat-generating mechanisms include the
following:
- Shivering
- The hormone TRH
- Vasoconstriction
Another mechanism that takes place is piloerection, (raising the
small hairs), which is associated with suppressed sweat. Sweating
is a cooling mechanism, so we now have heat being generated but
not much is being lost. This results in a fantastic synergy of self-healing
mechanisms in our bodies -- a veritable symphony of coordinated
responses involved with fever.
The Benefits of Fever
-
More antibodies -- cells trained to specifically attack the
exact type of invader that your body is presently suffering
from -- produced more specific to that bug than any pharmaceutical.
-
More white blood cells (the good guys) produced, circulating,
mobilizing and armed to fight off the invading bugs specific
to the general category of invader.
-
More interferon produced (another immune system good guy, which
blocks spread of viruses to healthy cells).
-
Walling off of iron, which bacteria feed on.
-
Increased temperature, which directly kills microbes. (Most
bacteria and viruses actually grow better at temperatures lower
than the human body, which is why they like our cool noses in
the winter.) Parents, it's not your kids begging for fever-reducing
drugs; it's the germs.
Treating Fever the Naturopathic Way
Naturopathic treatment is to support a fever, unless it rises too
high or too quickly. A fever of 102 degrees F to 103 degrees F is
considered the optimal defense against microbes. Temperatures like
these also heal the body most effectively. Supporting a fever means
to work with it. For example, one effect of fever is to slow down
peristalsis, which is movement of food through the gut.
To support a fever, naturopathic physicians recommend either fasting
or eating foods such as broths and water till the fever breaks.
Fever is also best supported with rest. Even when the child appears
sleepy on the outside, the body is working quite hard to carry out
all the functions described above.
Exercise and activity both distract body energy from these vitally
important immune system processes. Naturopaths look at acute disease
as the body's attempt to cure. Therefore, it is best to support
the body's defenses; not suppress them by exercising or working
at these times.
Naturopathic physicians compare the fear of fever symptoms to the
fear of your car's engine light. To suppress a fever is like asking
your mechanic to disconnect the engine light, rather than asking
him or her to identify and fix the problem that caused the light
to come on in the first place. Parents should ask themselves how
they can approach their children's symptoms as logically as they
approach their cars: do we really want to suppress our warning signals?
In the case of fever, the warning signal is much more of an aid
to conquering illness, rather than as a source of damage in itself.
When Medical Attention is Warranted
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Infants less than 1-month-old, with a temperature greater than
100.4 degrees F. Seek care right away for fever in this age
group. While waiting for care, breastfeed as often as the baby
desires. The mother's milk has antibodies made right at the
breast as it encounters pathogens in the baby's mouth.
-
Infants from 1-month to 3-months-old, with a temperature greater
than 100.4 degrees F, if they appear ill. Again, breastfeed
on demand while waiting for care.
-
Children between 3 months and 36 months, with a temperature
above 102.2 degrees F, if they appear ill.
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Anyone with a temperature over 104.5 degrees F.
-
For children not in the above three categories, bed rest and
fluids will support the fever and allow it to do the job that
your child needs it to do.
Colleen
Huber, 46, is a wife, mother and student at Southwest College
of Naturopathic Medicine in Tempe, Ariz., where she is training
to be a naturopathic physician. Her original research on the
mechanism of migraines has appeared in Lancet and Headache Quarterly,
and was reported in The Washington Post.
Her
double blind placebo controlled research in homeopathy has appeared
in Journal of the American Institute of Homeopathy, European
Journal of Classical Homeopathy, and Homeopathy Today. Her website
Naturopathy
Works introduces naturopathic medicine to the layperson
and provides references to the abundant medical literature demonstrating
that natural medicine does work.
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