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Suggest Treatment For Recurrent High Fever In A Child

Posted on Mon, 20 Jul 2015

Question: Dear Sir,

Every month my daughter is having high fever. we don't know why? even we visited doctor and they told us to do some test. I want you also to check those reports.

Thanks
XXXX

Answered by Dr. Sumanth Amperayani (36 minutes later)

Brief Answer:
Please answer the questions below

Detailed Answer:
Hi by what you quote I feel that it could be recurrent viral illness. But to be more specific in guiding you I need more information. Kindly answer the questions below -

1. Each episode of fever lasts how many days?
2. How is the activity of the kid in between 2 fever episodes on the same day?
3. How is the food intake when the kid is not having fever?
4. Is there any painful voiding of urine or burning sensation?
5. Is there any past history of Urinary tract infection?
6. What was the birth weight and what is the current weight?

I did not get any reports in this interaction. Please upload again.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Sumanth Amperayani (26 minutes later)

1. Each episode of fever lasts how many days?
4-5 days

2. How is the activity of the kid in between 2 fever episodes on the same day?
dull, not active.

3. How is the food intake when the kid is not having fever?
dal rice, soup milk, corn flakes , biscuits

4. Is there any painful voiding of urine or burning sensation?
nope

5. Is there any past history of Urinary tract infection?
Its okay

6. What was the birth weight and what is the current weight?

2.5 kg now it is 10 kg

Answered by Dr. Sumanth Amperayani (1 hour later)

Brief Answer:
Looks like recurrent viral illness - Don't worry

Detailed Answer:
Hi....by the history points you have provided I feel that it is recurrent viral illness. You need not worry.

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.

Most important thing to remember. 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.

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).,

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Sumanth Amperayani (22 minutes later)

Is there any issue with reports? I checked some values are high like Burn/cet, wbc, rbc.

Answered by Dr. Sumanth Amperayani (52 minutes later)

Brief Answer:
All reports are normal - Don't worry

Detailed Answer:
Hi....all the reports are normal. Do not worry.

I have gone through the reports in detail.

The elevated BUN/ Creatinine levels need not be worried about.

This can happen if the kid is recovering from viral illness or while recovering from diarrhea. Very rarely it can happen in hemorrhage.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Sumanth Amperayani (40 hours later)

Dear Sir,

we got results for test i.e. TISSUE TRANSGLUTAMINASE IGA, SERUM
and value is 0.8.

it is okay ?

Thanks XXXX

Answered by Dr. Sumanth Amperayani (32 minutes later)

Brief Answer:
I need the normal ranges please

Detailed Answer:
Hi...The investigation or blood test which you are quoting is done by different methods in different labs. So according to the lab the normal ranges vary. So, I request you to upload the test result as you have done previously or let me know the normal ranges so that I can guide you further.

I remember that in your last uploads the value was mentioned as awaited.

Kindly upload the test result.

regards - Dr. Sumanth

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

Follow up: Dr. Sumanth Amperayani (5 minutes later)

Dear Sir,

kindly check. mishi report 10.pdf has been uploaded.

Thanks XXXX

Answered by Dr. Sumanth Amperayani (11 minutes later)

Brief Answer:
It is normal report - Do not worry

Detailed Answer:
Hi...the test report is normal. This test is done to check if there is Celiac disease which is an allergy to certain wheat protein.

But as it has come out as negative you need not worry.

By the way hope the kid is completely recovered now and is doing fine.

Only a small suggestion is that - do not worry too much about the appetite and food intake now, it will take some time to regain the lost appetite.

I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. In this way even in health care magic you can follow up always with a single doctor who knows the history of your kid completely. Please find the link below -
www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

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