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Suggest Medication For Fever After Vaccinations

Posted on Fri, 27 Feb 2015

Question: hi my son is 4 months and 24 days old..he weighs 6.5 kg..he had his third dtap,hib and ipv shots today..we gave him crocin syrup 2 times today at a gap of 4 hours...2.5 ml..but the fever keeps coming back..i just checked it was 100.2 f....pls suggest me dosage for both ibugesic plus(each 5 ml contains ibuprofen 100 mg & paracetamol 162.5 mg) and calpol 120 mg suspension(each 5 ml contains paracetamol 120mg)...which one is better as i dont want to continue with the crocin syrup ..please suggest me dosage and suggestion of which one of these can i give to releive my baby..i am really worried..

Answered by Dr. Deepak Kishore Kaltari (18 minutes later)

Brief Answer:
Syrup Ibugesic plus will be good option

Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day

Dear Mr XXXXXXX

Fever and discomfort are quite common after vaccination.
I would suggest you the following

1. I would recommend Ibugesic plus syrup 2.5ml every 6th hourly

2. Local application of hot water fomentation at site of injection

Do get back to me if you need any further assistance, will be glad to assist you.

Take care

Best regards
Dr Deepak Kaltari
Consultant Pediatric Surgeon

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (12 minutes later)

THANKS FOR YOUR PROMPT REPLY...
i will surely give him the recommended dose given by you..i had one more question which is a little different..as i can see that you are also related to surgery...my child testes was undescended at birth(left)..now at 4 months and 24 days we can feel the testes in his groin region...what should we do? whom to approach ? and what is the correct time to think about any hormonal therapy or surgery?pls can u guide me? it will be really helpful sir

Answered by Dr. Deepak Kishore Kaltari (8 minutes later)

Brief Answer:
Assessment by Pediatric Surgeon at 6 months of age

Detailed Answer:
Dear Mr XXXXXXX

As the Testis has noT descended into scrotum even at 4 months , it's unlikely to descend down to its normal location that is in the scrotal sac.

Being a Pediatric Surgeon, I routinely encounter such cases. Following are my recommendation

1. Assessment by Pediatric Surgeon at 6 months of age .

2. If the Testis is still in undescended and present in groin , it will require Open Orchidopexy at 6 to 7 months of age by Pediatric Surgeon.

3. There is no role for hormonal therapy

Wishing you and your family a very happy and healthy life.

Take care

Best regards
Dr Deepak

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (21 hours later)

hi..i am attaching a pic along with this question..my son is 4 months and 25 days old today..his granny made him wear silver in his hand and some reddish spots developed which u can see in the pic..then she replaced it with some plastic hard material kada ..that thing made it spread upwards and now he has it on both the hands..please can u telme what it is?and also suggest me the treatment for it?my sister is a gp and she told me atarax drop (5 drops 3 times)and syp azee 3.5 ml one time but i dont seem to have faith in her....i 'd better get help from an expert with kids because i dont want to take a chance with my child...your help is appreciated...his weight is 6.5 kg .

Answered by Dr. Deepak Kishore Kaltari (22 minutes later)

Brief Answer:
The rash is due to Urticaria

Detailed Answer:
Dear Mr XXXXXXX

The rash is due to Urticaria possibly caused by contact dermatitis. I would suggest you the following

1. Syrup Cetrizine 2.5 ml twice a day

2. Local application of Calamine lotion

This should take care of the rash

Take care

Best regards
Dr Deepak

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (1 hour later)

thanks so much..its of really great help..sir we are already giving him relent syrup for nasal congestion but the dosage is 1.25 ml ...i think it has cetrizine also..can we give relent or shall we switch over to plain syrup cetrizine?if relent then what dosage? and also we should avoid atarax?..you've helped us alot..thank u so much sir..

Answered by Dr. Deepak Kishore Kaltari (4 minutes later)

Brief Answer:
Continue relent syrup

Detailed Answer:
Dear Mr XXXXXXX

You can definitely use Relent. The allergy should subside with it. Atarex won't be needed . Steroid also will not be indicated if symptoms resolve.
Give relent in dosage of 2.0ml twice a day .

I'm happy to know I was useful.

Wishing you and your family a very happy and healthy life. .
regards
Deepak

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar