HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Suggest Treatment For Intermittent Fever In A Child

Posted on Mon, 27 Feb 2017

Question: Sir,
Daughter XXXXXXX weight 12 kg. Is having intermittent fever since week and no other symptoms like cough, vomitting. But when to local doctor he advised for Ibugesic plus in day 4 times. But he insisted for blood test. attached.

What can the reason for fever as it is coming in day twice since Friday.

please advise what action need to be taken.

Answered by Dr. Arun (1 hour later)

Brief Answer:
Am not seeing any report

Detailed Answer:
Hi
Did you attach the report?
Please get helpdesk assistance.
No report is seen here.
Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Arun (1 hour later)

reports

Answered by Dr. Arun (1 hour later)

Brief Answer:
Viral infection

Detailed Answer:
Hi
Thanks for attaching reports.
I have seen the reports.
Based on the reports it looks like a viral infection as lymphocytes count is high.
But he needs more tests for dengue, malaria and typhoid if fever persists.
Another thing is that he has mild iron deficiency anemia which can improve with iron supplements.
I would suggest
1. Go for additional tests like i mentioned if fever persists.
2. Urine culture may help too as there is a trace of blood in urine test which may Indicate urinary infection.

Wishing your child good health.
Regards
Dr Arun

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Arun (8 hours later)

how do we came to know about iron deficiency?
which supplement should be given?
Child is playing as regular. So is there specific antibiotics should be given for fever.

Answered by Dr. Arun (12 hours later)

Brief Answer:
Reports indicate

Detailed Answer:
Your childs reports show low haemoglobin and low rbc indices which means iron deficiency anemia.
I usually prescribe iron supplements like trifer or orofer drops 1ml once daily for 3 months.
Antibiotics - may not be needed as reports show viral picture.
Consult with your doctor and get him reexamined if fever persists. He might prescribe antibiotics if required ( antibiotics are prescription only medicines, should be prescribed by your doctor only if felt required).
Go for additional tests too as advised earlier.
Regards

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

Follow up: Dr. Arun (32 hours later)

Hi,

Yesterday done widal test and results were negative.

Today doctor said the latest haemogram, has neutrophils and lymphocytes count more then normal so admitted her.

Please find reports.

Please tell me what are normal ranges for CBC for children of 2 years.

Answered by Dr. Arun (17 hours later)

Brief Answer:
Seen reports looks like viral

Detailed Answer:
I have seen the reports. Definitely lymphocytes count is high ( normal upto 35 percent).
This goes with viral infection.
Normal hemoglobin is 11 to 15.
Normal Wbc is 4000 to 10000.
Normal neutrophil is upto 55 percent.
Wishing your child speedy recovery.
Regards

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