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What Causes Fever, Red Rashes On Stomach, Hands And Face?

Posted on Mon, 6 Apr 2015

Question: My daughter 11 months old having fever 102C on 9 march,her weight is 8 kg and height is 29 inchs.
Dr suggest to give Augmentin syrup 4 ml twice in a Day and Meftal p 3.5 ml thrice a day
Now fever has down for 2 days but on baby body there are some red rashes can seen on stomach, hand and face little itching also there. Now Dr suggest to give Atarax 13 drop twice a day one lotion
On 15 march she recover from rashes and fever i stop Atarax drops
But now on 18 march morning again she is having rashes on her whole body more than previous time
I had attached the images baby abdomen

Answered by Dr. Sumanth Amperayani (2 hours later)

Brief Answer:
Looks like Hand Foot Mouth Disease - Don't worry

Detailed Answer:
Hi XXXXXXX ..

Thanks for your direct query on Health Care magic and the trust in me.

I have gone through the images and the details you have provided.

This looks like a hand foot mouth disease rash or an innocuous papular urticaria..

Nothing to worry about. This is very temporary and will heal in a few days.

Regarding Hand Foot Mouth Disease - this is one viral illness among all other exanthemas which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome.

You can use Hydroxyzine (Atarax) at 1-2mg/kg/dose (Maximum 10mg) every 6th to 8th hourly for 7 days.

The exact dose for your kid will be - Syrup Atarax (10mg/5ml strength) 5ml every 6th hourly (that is 4 times a day) for 7 days.

This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it.

Regarding Papular Urticaria - all the above holds good - except for the fact that there will not be any skin peeling.

Whatever it is - both are self limiting and very simple viral / allergic phenomenon which are not serious.

Hereafter I suggest - Do not use antibiotics without proper blood culture and unless they are specifically indicated. I remember answering the same query few days back about rash after Amoxicililn - Clavulenate.

Please do not use Mefenamic acid for fever.

Please keep me posted about the progress.

Regards - Dr. Sumanth

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

Follow up: Dr. Sumanth Amperayani (7 hours later)

Thank you Dr for your advice,I visited to the local Dr he suggest allegra suspension 1 tblspoon
Is there any side effects by this medicine

Answered by Dr. Sumanth Amperayani (31 minutes later)

Brief Answer:
You can use Allegra as suggested

Detailed Answer:
Hi...there are no serious side effects for Allegra (Fexofenadine). You can go ahead with the prescription.

Regards - Dr. Sumanth

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. Vaishalee Punj