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Need To Consult A Pediatrician Urgently

Posted on 3 days ago

Question: need to consult a pedietrician urgently pls connect

Answered by Dr. Muhammed Aslam TK (1 hour later)

Brief Answer:
Kindly give details

Detailed Answer:
Hi dear,

Kindly give details of problems you are facing: Including child’s age, weight, symptoms and their duration, test reports and details of treatment taken so far

Kindly get back with details, so that I can guide you better
Regards, Dr Aslam
Thanks.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Muhammed Aslam TK (16 minutes later)

Right sir Child is 1 yr and 10 month old girl and weight approx 12 kg and height 2 feet 6 inches. She has urine infection as can share report puss cells are 40-75..and fever approx 101 yesterday night. Started cefixime syrup twice a day 3 ml ...calpol 250 after every 6 hrs 2.5 ml and zinc od 1.5 ml n Bevon drops 1 ml...urine culture report is pending but cbc report has infection sir and esr was 40 yesterday...now morning fever normal..pls suggest...

Follow up: Dr. Muhammed Aslam TK (1 minute later)

medication started on 23 rd night

Answered by Dr. Muhammed Aslam TK (15 minutes later)

Brief Answer:
Continue antibiotics

Detailed Answer:
Hi Amanadeep
Thank you for the details given

For a 12kg child, I would give 3.5ml of Calpol 250 suspension instead of 2.5ml.
To comment on the dose of cefixime, kindly let me know the concentration of Cefixime syrup you have- two concentrations available- 50 & 100mg per 5ml

A sudden onset fever with plenty of pus cells in urine probably suggests a urine infection as you rightly mentioned. As your doctor has already given empirical antibiotic and the fever is coming down, we need not worry much. Fever may come and go for initial 72 hours.

Just continue the antibiotic - this might need modification once the culture report is available. Usually we give the sensitive antibiotic for 7-10 days.

Also, if the culture turns out to be positive, we will need an ultrasound abdomen also to assess kidneys and urinary tract. Your doctor will discuss this.

I hope this answer will help
Let me know if I can assist you further
Regards, Dr Aslam

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Muhammed Aslam TK (11 minutes later)

it's omnix 100 cefixime syrup sir and we r giving 3 ml. twice a day..also waiting for urine culture...still sir any thing to add or any diet modification...we r adding more fluids too... doctor here also advised to stop bottle feed immediately but it's not possible instantly but we are trying for it...

Answered by Dr. Muhammed Aslam TK (2 hours later)

Brief Answer:
Dosage is correct

Detailed Answer:
Hi Amandeep,

You are giving the correct dose of cefixime

No diet modification is needed, but child will be having poor appetite for few days- so just increase the frequency of feeds. It is always better to feed using steel cup/spoon rather than bottles due to hygienic reasons. Although bottles feeds are not related to urine infection, it can cause bowel infection/gastro-enteritis. No need to stop all of a sudden, but try gradually. Until then, ensure that the bottle is washed well in hot water daily before using

I hope this answer will help
If you need further clarification, I will be happy to help; otherwise you can close the discussion and kindly rate the answer.
Wishing you good health
Regards, Dr Aslam

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Muhammed Aslam TK (8 minutes later)

thanks sir for the prompt response...good day

Answered by Dr. Muhammed Aslam TK (4 minutes later)

Brief Answer:
You are welcom

Detailed Answer:
Thank you for your kind words and once agin wishing you and family healthy days ahead. Looking forward to address your future concerns.
Take care

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Nagamani Ng