Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Remedies For Fever When Diagnosed With Dengue
Question: Hi sir
My child is suffering from fever since last one month(from 12sep 17) he treated by two doctor till 20 Sep
On 21 Sep he was detected with dengue (in/sg positive) but plts count 1.8 and admitted
He was managed with iv fluid and antibiotics and recovered and get discharge on 27
He was ok till 03 October 17 but on 04 Oct again fever with temp 102 f and a stoke of siezure
Now he is admitted and all reports like cbc, widal, dengue ,chest xray lft are normal but fever is not recovering with stomach pain
My child is suffering from fever since last one month(from 12sep 17) he treated by two doctor till 20 Sep
On 21 Sep he was detected with dengue (in/sg positive) but plts count 1.8 and admitted
He was managed with iv fluid and antibiotics and recovered and get discharge on 27
He was ok till 03 October 17 but on 04 Oct again fever with temp 102 f and a stoke of siezure
Now he is admitted and all reports like cbc, widal, dengue ,chest xray lft are normal but fever is not recovering with stomach pain
Brief Answer:
Need more information - revert back with answers
Detailed Answer:
Hi....I understand your concern. I need more information before guiding you further. Kindly revert back with answers.
1. Exactly which day of continuous fever is it today?
2. What is the maximum recorded temperature per day?
3. How is the activity of the kid when there no fever in-between?
4. How long was the seizure?
5. How many times was it?
6. Was there any weakness of any body part after seizure?
7. Is there any family history of seizure like this?
Regards - Dr. Sumanth
Need more information - revert back with answers
Detailed Answer:
Hi....I understand your concern. I need more information before guiding you further. Kindly revert back with answers.
1. Exactly which day of continuous fever is it today?
2. What is the maximum recorded temperature per day?
3. How is the activity of the kid when there no fever in-between?
4. How long was the seizure?
5. How many times was it?
6. Was there any weakness of any body part after seizure?
7. Is there any family history of seizure like this?
Regards - Dr. Sumanth
Above answer was peer-reviewed by :
Dr. Prasad
1-since 04 October
2-104f
3-Normal
4- aprox 1.5 minute
5-only one time
6-No
7-No
2-104f
3-Normal
4- aprox 1.5 minute
5-only one time
6-No
7-No
Brief Answer:
This is simple febrile seizure with viral illness
Detailed Answer:
Hi.... this looks like an viral illness for the cause of fever along with simple febrile seizure.
I will explain you how are viral illness behaves and also about febrile seizure, so that you can be more confident.
Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.
Febrile seizures are seizures which occur during high fever in some kids. They usually occur form 6 months to 6 years of age and usually are self limiting after 6 years of age. They usually do not leave any focal neurological deficits also. Rather than the height of the temperature the rapidity of rise of temperature is more important.
In general, antiepileptic therapy, continuous or intermittent, is not recommended for children with 1 or more simple febrile seizures. Parents should be counseled about the relative risks of recurrence of febrile seizures and recurrence of epilepsy, educated on how to handle a seizure acutely, and given emotional support.
If the seizure lasts for longer than 5 min, buccal or intranasal midazolam (Available as Midacip Nasal spray) may be used and is often preferred by parents.
If the parents are very anxious concerning their child’s seizures, intermittent oral diazepam (0.33 mg/kg every 8 hr during fever) or intermittent rectal diazepam (0.5 mg/kg administered as a rectal suppository every 8 hr), can be given during febrile illnesses. Such therapies help reduce, but do not eliminate, the risks of recurrence of febrile seizures.
Regards – Dr. Sumanth
This is simple febrile seizure with viral illness
Detailed Answer:
Hi.... this looks like an viral illness for the cause of fever along with simple febrile seizure.
I will explain you how are viral illness behaves and also about febrile seizure, so that you can be more confident.
Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.
Febrile seizures are seizures which occur during high fever in some kids. They usually occur form 6 months to 6 years of age and usually are self limiting after 6 years of age. They usually do not leave any focal neurological deficits also. Rather than the height of the temperature the rapidity of rise of temperature is more important.
In general, antiepileptic therapy, continuous or intermittent, is not recommended for children with 1 or more simple febrile seizures. Parents should be counseled about the relative risks of recurrence of febrile seizures and recurrence of epilepsy, educated on how to handle a seizure acutely, and given emotional support.
If the seizure lasts for longer than 5 min, buccal or intranasal midazolam (Available as Midacip Nasal spray) may be used and is often preferred by parents.
If the parents are very anxious concerning their child’s seizures, intermittent oral diazepam (0.33 mg/kg every 8 hr during fever) or intermittent rectal diazepam (0.5 mg/kg administered as a rectal suppository every 8 hr), can be given during febrile illnesses. Such therapies help reduce, but do not eliminate, the risks of recurrence of febrile seizures.
Regards – Dr. Sumanth
Above answer was peer-reviewed by :
Dr. Prasad
Thanks sir
Definitely his treatment is undergoing in hospital but what type of liquid/food should be given to him from home side to early recovery As he is not taking any solid food he takes only liquid please suggest me
Definitely his treatment is undergoing in hospital but what type of liquid/food should be given to him from home side to early recovery As he is not taking any solid food he takes only liquid please suggest me
Brief Answer:
There are no dietary restrictions
Detailed Answer:
Hi... there are no dietary restrictions. You can give the kid anything which is palatable for him.
If he has diarrhoea, it is better to avoid high sugar containing liquids and fruit juices.
Otherwise you can give him anything he wants, no restrictions at all.
Regards - Dr. Sumanth
There are no dietary restrictions
Detailed Answer:
Hi... there are no dietary restrictions. You can give the kid anything which is palatable for him.
If he has diarrhoea, it is better to avoid high sugar containing liquids and fruit juices.
Otherwise you can give him anything he wants, no restrictions at all.
Regards - Dr. Sumanth
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. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
