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Suggest Treatment For Recurrent Fever, Cough, Chest Congestion And Cold In A 2-year-old

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Posted on Fri, 5 Apr 2024
Question: Hi doctor my 2 year 9 months kid is suffering from fever since 4days (throat infection). Initially doctor suggested p250 syrup 5 ml and if temperature is more ibugesic syrup (7.5 ml) and given antibiotic Azithral 200mg (4 ml once for 5 days). After 2 days fever reduced and he got Sevier cold now again his fever is back to 101 to 102 F. The doctor is saying its because of lung congestion and suggested if temperature is continuous use advent forte syrup for 6days (4ml twice daily). We have used Azithral for only 4 days, the question is can we use both the antibiotics together. Plz help........
doctor
Answered by Dr. Sumanth Amperayani (1 hour later)
Brief Answer:
It seems to be viral illness - stop antibiotics

Detailed Answer:

Hi,

Cough and cold are viral 95% of the times in children. They don't require antibiotics at all. In 4 days fever the kid has received 3 types of antibiotics and I recommend stopping all antibiotics and just giving only antiallergics and nasal saline drops.

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.

STOP ALL ANTIBIOTICS PLEASE.

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 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.

Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
Dr. Sumanth MBBS., DCH., DNB (Paed).,
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. Vinay Bhardwaj
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Answered by
Dr.
Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

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Suggest Treatment For Recurrent Fever, Cough, Chest Congestion And Cold In A 2-year-old

Brief Answer: It seems to be viral illness - stop antibiotics Detailed Answer: Hi, Cough and cold are viral 95% of the times in children. They don't require antibiotics at all. In 4 days fever the kid has received 3 types of antibiotics and I recommend stopping all antibiotics and just giving only antiallergics and nasal saline drops. 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. STOP ALL ANTIBIOTICS PLEASE. 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 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. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Dr. Sumanth MBBS., DCH., DNB (Paed).,