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Suggest Treatment For Low Fever, Cough And Vomiting
Question: hi my son is 4 years old and has a low fever of 99.5,yesterday he had 99.2,stuffy nose and when he blow greenish/ yellowish ticker mucus coming out,has coughing with a loose mucus, eating little bit drinking fairly enough BUT 2 nights now when he sleeps and can not breath he woke up wanna blow his nose starts to cough and than he starts vomiting...not a lot is coming out but it scares me....do we need to go seek pediatric help?Or is this some way of cleaning and his immune system fighting procedures to get rid of the cold?Please help.
Brief Answer:
Viral cold and upper respiratory infection
Detailed Answer:
Hi....Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose (ceiling dose 500mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.
For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days.
For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion.
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
Viral cold and upper respiratory infection
Detailed Answer:
Hi....Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose (ceiling dose 500mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.
For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days.
For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion.
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
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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