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What Causes Fever Along With Puffy Swollen Eyes In Children?

Posted on Mon, 1 Jun 2015

Question: My 8 year old daughter had a fever and a stomach virus 2 weeks ago, I noticed that her eyes stayed swollen after her illness with no allergy symptoms, till this day her eyes are puffy and swollen, and we took her to the dr today and she had no ongoing infection, what concerns me is that she now has a fever of 101.0, and the dr checked her today and said she had no infection, she does have allergies and complains about her throat being sore but the dr found no signs of infection. What do I do I am concerned?

Answered by Dr. Dr. Pradeep Kumar Jain (40 minutes later)

Brief Answer:
Fever with throat symptoms suggests infection

Detailed Answer:
Hello

Thanks for the query

Fever in the presence of throat symptom is suggestive of some kind of infection (viral or bacterial).
The signs like redness and swelling in tonsil may not be there in the initial few days.That may be the reason that your physician did not find any signs.

As the viral infection is much more common than bacterial I would like to give antipyretic like paracetamol for controlling the fever along with syrup containing combination of anti allergic and decongestant like chlorpheniramine and phenylephrine for congestion.
Warm saline gargle and steam inhalation are good remedies to relieve the symptoms. I won' get overly worried for eye puffiness and would like to monitor whether it get subsided over a period of time as she recovers from illness.
The fever due to viral infection should start decreasing after 2-3 days.
So I would like to monitor the fever and if it persists get her evaluated by a pediatrician and to assess the need of antibiotic.
I hope this will help
I shall be glad to answer if you have any more queries
Wish your child speedy recovery
Regards

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

Follow up: Dr. Dr. Pradeep Kumar Jain (6 minutes later)

Thanks for the answer however, she just got over a very bad virus 2 weeks ago, what can cause ongoing fevers? Like this I get nervous. I was reading about nephrotic syndrome on web md, and my wife asked the dr she said to stop worrying about it, you think the dr would have been able to identify this type of disease? Thanks and sorry for all the questions, just worried because she is sick again, also can allergies cause her to get fever? she has bad seasonal allergies.

Answered by Dr. Dr. Pradeep Kumar Jain (9 minutes later)

Brief Answer:
Allergy usually does not causes fever

Detailed Answer:
Thanks for the follow up

Allergic illness itself does not causes fever usually.It may get precipitated by viral infection which may cause fever.
To me the current illness appears to be unrelated to previous one.
In nephrotic syndrome there may be swelling of eyes due to loss of proteins in urine. But it is very unusual that the swelling remain limited to eyes only for such a long duration in this condition.In nephrotic syndrome swelling starts from the eyes and gradually involves whole body over 4-5 days.
Still I would like to get a urine test done to see protinuria to alleviate your anxiety and to rule out any remote possibility of nephrotic syndrome.
Regards

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