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What Causes Fever And Low Appetite Post An Undescended Testis Surgery?

Posted on Fri, 16 Dec 2016

Question: Hi Dr
My son
Year-old and four months, has conducted an operation today and I have a (undescended testicle) and after four hours we left the hospital was Dr. surgeon recommended taking Barsatamol every four hours, the degree now 39.60 temperature and a dose Ouellet of Albarsatamol two hours ago, but the temperature is still the same. Am I giving something last or whether his condition continued to normal in the heat being carried out the operation.
Note that he don't like to eat any thing, I have him XXXXXXX XXXXX

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
Cold sponging as detailed.

Detailed Answer:
Hi.
Noted the history about your son one year and four months old - operated for undescended testis today - advised paracetamol every 4 hours - temperature is now 39.6 in spite of Paracetamol 2 hours ago - not liking to eat anything...
Children of this age do not take anything orally if have fever or anything unusual for them.
If the temperature is not normal, please give cold sponging. This is done by applying tepid/tap water on a cotton clothe to all the body (except for operated area) and allow water to evaporate. Repeat this after the water is evaporated and continue till the temperature fall to normal. This can bring down the temperature to normal within 5-10 minutes. This is very important.
Fever in small children is usually a reflex phenomenon as a response to surgical trauma, but infection may have to be ruled out if the temperature continues to be elevated.
Please consult back to the operating Surgeon or a Pediatrician if the fever continues on.
Continue paracetamol as advised.
What is the dose the Doctor has advised/ what is the concentration of Paracetamol in 5 ml/ what is the weight of the child?

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

Follow up: Dr. T Chandrakant (27 minutes later)

Thanks Dr
He's wight around 12kg.
Dr advice as to take 6ml each 8 hours and give him one suppository contains 12.5mg of diclofenac sodium when he want to sleep.
Your advice Dr

Answered by Dr. T Chandrakant (58 minutes later)

Brief Answer:
I hope the fever has settled.

Detailed Answer:
Thanks for your feedback.
Please continue as advised. Should help him.
Rest of the advised as mentioned above.
Wishing him a good recovery.
I hope the cold sponging might have helped the child.

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

Follow up: Dr. T Chandrakant (25 minutes later)

thank Dr
Can we leave it crawls (crawling), is there any concerned?

Answered by Dr. T Chandrakant (14 minutes later)

Brief Answer:
could not get the meaning

Detailed Answer:
Please elucidate

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

Follow up: Dr. T Chandrakant (14 hours later)

Hi Dr
I went last night to family Dr because his temperature went to 40.5 -he advice to get cefixime(cefixime Trihydrate) 4.5ml with paracetamol each 8hours and 12.5 diclofenac Sodium every 22 hours.
Your advice Dr

Answered by Dr. T Chandrakant (2 hours later)

Brief Answer:
good, antiibiotic started. cold sponging when needed

Detailed Answer:
This is what I suggested.
Good that antibiotic- Cefixime has been started.
Continue as advised.
Cold sponging on high temperature.
Please give feedback about how is he now...

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

Follow up: Dr. T Chandrakant (1 hour later)

Thank you Dr
Today his temperature 37,3-38.7
My last question parcetmol concentration and period adviced
Is it each 4 hours with 5 ml or 8hours 5ml
And cold water when I have to start with him if his temperature more than 38
Thanks on advanced

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
As explained below.

Detailed Answer:
Thanks for your feedback.
Nice to know that temperature is under control.
The dose of Paracetamol is children is maximum 15 mg per kg of body weight - 6 - 8 hourly.
With weight of approximately you can give 150 to 180 mg at 8 hourly interval. Now it depends upon the concentration of Paracetamol in 5 ml in the bottle that you have. The dosages can be altered as per the need of the patient.
Once the temperature comes to normal and if the child is playful and drinking/eating well the dosages can be reduced in concentration and/or frequency.
This is the general principle and yet, you have to follow the instruction given by your Doctors as they know the exact/expected condition of the child.

I hope this answers your query.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar