How long does a thermometer need to be in your mouth?
If you think you or your child may have a fever, you reach for a thermometer to check. However, getting an accurate reading means knowing the right way to use the type of thermometer you have. Several different ones are available, from temporal to oral, rectal to axillary, and it's easier than you may think to get it wrong. Show
Types of ThermometersYou have the option of digital or manual (mercury) thermometers for taking a temperature in three ways:
Two other types of digital-only thermometers are available:
The American Academy of Pediatricians recommends digital thermometers for taking a child's temperature because they're fast and accurate. The specific type of digital thermometer they suggest varies by age.
*Discard old rectal thermometer and buy a new one for oral use. Oral Thermometer UseOral thermometers are not the best option for young children, who may not be able to keep their mouths closed long enough to get a good reading. To use an oral thermometer:
Don't take an oral temperature right after eating or drinking something; it will affect the results. Axillary Thermometer UseWhile this is the least accurate way to get a child's temperature, it's often used in schools and daycare to avoid spreading germs. To use an axillary thermometer:
Rectal Thermometer UseRectal thermometers are specifically designed with short tips that allow them to get a proper reading without going too far into the body. This method should be used for infants or those whose temperature cannot be taken any other way. To use a rectal thermometer:
Cleaning Your ThermometerWash your thermometer before and after use with cold water, then rubbing alcohol. Rinse thoroughly to remove the alcohol. Tympanic Thermometer UseThese in-the-ear thermometers are very popular, especially among parents of small children, since they're faster than regular digital thermometers and are easy to use. However, tympanic thermometers can be difficult to use on babies and are often inaccurate because their ear canals are so small. To use a tympanic thermometer:
Make sure excess earwax isn't built up before using this method, as it can cause less accurate results. Temporal Thermometer UseThe newest and most expensive thermometer on the market, temporal thermometers read heat coming from the temporal artery, which is right under the skin of your forehead. They are the fastest and probably the easiest thermometers to use. However, they may read too low at times. Different models may have different instructions for use. Generally, to use a temporal thermometer:
Note: Some models require a swipe across the forehead and on the neck below the ear. This is fairly new technology, but research suggests that it's at least as accurate as tympanic devices. Mercury ThermometersMercury thermometers are no longer sold in the United States. They pose a danger if they break and release the mercury, which is toxic. If you have an old mercury thermometer that you decide to use, shake it to get the mercury down to below 96 degrees F. Then hold it in place for about five minutes to get an accurate reading. Temperature RangesThe "normal" body temperature is usually stated as 98.6 degrees F. However, there's actually a range of body temperatures that's influenced by all kinds of factors, including age, height, weight, sex, ethnicity, and even time of day and activity level. Interestingly, what's average appears to have dropped over time. A 2017 study found that the average body temperature is closer to 97.88 degrees F. This is relatively new information, though, and it hasn't yet impacted what the medical community considers normal and abnormal.
When to Call the DoctorNot all fevers need treatment. If a fever is making you uncomfortable, you can take over-the-counter fever reducers such as aspirin (adults only), Motrin or Advil (ibuprofen), or Aleve (naproxen). Certain temperatures or symptoms do warrant medical attention, though. When it comes to your child, you should call the doctor when:
For an adult, you should call the doctor if you have a fever:
Any fever over 105 degrees F is a life-threatening emergency. Call 911 or have someone take you to the emergency room right away. Frequently Asked Questions
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Additional Reading
By Kristina Duda, RN Thanks for your feedback! How long should I leave the thermometer in my mouth?Using a digital oral thermometer
You should keep your mouth closed during this time. Place the thermometer tip under the tongue. Hold the thermometer in the same spot for about 40 seconds.
How long do you leave a mercury thermometer in your mouth?ORAL TEMPERATURE
After shaking the mercury down, place the thermometer under the child's tongue, with the bulb toward the back of the mouth. Tell your child to keep the lips firmly closed, but not to bite the thermometer. 3. Leave the thermometer in place for 3 minutes.
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