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Suggest Treatment For Persistent Fever, Leg And Throat Pain In A Child
Question: hello Doctor,
my daughter is 4 years old and her weight is 15.6 kg. yesterday evening, she was complaining of pain in legs. I checked her temp and it was 98.9 f. I gave her crocin. today morning, she is having 99.8 f fever and throat pain. she is coughing also but very less. no other symptom is there...no running/stuffy nose.
please suggest what medicine I should give. can we start antibiotics?
thanks
XXXX
my daughter is 4 years old and her weight is 15.6 kg. yesterday evening, she was complaining of pain in legs. I checked her temp and it was 98.9 f. I gave her crocin. today morning, she is having 99.8 f fever and throat pain. she is coughing also but very less. no other symptom is there...no running/stuffy nose.
please suggest what medicine I should give. can we start antibiotics?
thanks
XXXX
Brief Answer:
Looks like viral illness - no need for antibiotic
Detailed Answer:
Hi...Thank you for consulting in Health Care magic.
By what you quote I feel your daughter is going through a viral illness. No need to give antiiotics. I will explain you how a viral illness behaves so that you can be more comfortable.
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.
Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 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.
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.
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.
Cetrizine is a prescription drug and you will need one for it.
Regards - Dr. Sumanth
Looks like viral illness - no need for antibiotic
Detailed Answer:
Hi...Thank you for consulting in Health Care magic.
By what you quote I feel your daughter is going through a viral illness. No need to give antiiotics. I will explain you how a viral illness behaves so that you can be more comfortable.
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.
Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 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.
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.
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.
Cetrizine is a prescription drug and you will need one for it.
Regards - Dr. Sumanth
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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