Suggest Treatment For High Fever, Diarrhea And Vomiting

Posted on Mon, 6 Apr 2015

Question: hey i was trying to get some answers about my son, He has been having a fever fomr 100 to 106 since 03-06-2015 and some thorwin up and bad dieaia and not eating barel drinking and sleeping all the time and not playing hardly

Answered by Dr. Sumanth Amperayani (25 minutes later)

Brief Answer:
Please answer the questions below

Detailed Answer:
Hi...Thank you for consulting in Health Care magic. There are several issues in your kid which i need information about. I have certain questions for you.

Questions:
1. What is his exact date of birth?
2. What is his current weight and height?
3. How is the attaining of developmental milestones?
4. Is there any abdominal pain or distension
5. Is the stool oily and floats in the pan?
6. Is there any colour change in the hair or skin?
7. Is there any history of recurrent serious infections?
8. Was he hospitalized any time till now and if so for what?
9. Was there any history of urinary tract infections in the past?

Regards - Dr. Sumanth

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

Follow up: Dr. Sumanth Amperayani (4 minutes later)

01-19-2011
36 lbs
not sure on height
no
and no it is pure water
hair no skin pale
no
took to the er and his primaly dr and they said it not high
no

Answered by Dr. Sumanth Amperayani (9 minutes later)

Brief Answer:
Suggestions on recurrent fever

Detailed Answer:
Hi...thank you for getting back with the details.

With the weight percentile being normal and keeping in mind the history provided by you, I put forth these possibilities -

1. Recurrent viral illness.
2. Urinary tract infection
3. Prolonged viral illness
4. Least and rarest possibility Lymphoreticular Malignancy with high fevers.

I suggest you do -

1. Complete blood count and peripheral smear examination.
2. Urine routine and nitrites.
3. Renal function testing.
4. Liver function tests.
5. Serum LDH.
6. Serum uric acid.

Meanwhile I will explain you how a viral illness presents -

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.

Regards - Dr. Sumanth

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

Follow up: Dr. Sumanth Amperayani (2 minutes later)

he is not active he sleeps all the time and dont want to get up

Answered by Dr. Sumanth Amperayani (3 minutes later)

Brief Answer:
This might be malaise associated with illness

Detailed Answer:
Hi...this is malaise due to viral illness and can be a chronic fatigue associated with prolonged viral illness or recurrent viral illness too.

I suggest you get back to your local pediatrician and get the suggested tests done and proceed further. Your son needs to be evaluated definitely.

Regards - Dr. Sumanth

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

Follow up: Dr. Sumanth Amperayani (6 minutes later)

i did she said there i nothing worng if he dont go over 107 and i belive i need to get him checked at another dr

Answered by Dr. Sumanth Amperayani (16 minutes later)

Brief Answer:
Please get a second opinion

Detailed Answer:
Hi...You are right. Please get a second opinion. But with the second doctor, kindly discuss about out interaction and the possibilities and investigations I have suggested.

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