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What Causes Recurrent Fever In A Child Despite Taking Medication?

Posted on Wed, 7 Oct 2015

Question: My girl child 7 yrs has chills 96 F under armpit. Relieved after giving Fenceta syrup (paracetamol & ibuprofen) but recurs after 3 hrs. Is it an internal fever? The body temperature was low.

Answered by Dr. Diptanshu Das (50 minutes later)

Brief Answer:
No, it is not 'internal fever'

Detailed Answer:
Thanks for asking on HealthcareMagic.

I do not think that it is 'internal fever' and Fenceta syrup (paracetamol & ibuprofen) need not be given unless the temperature is raised. Rather, it could be due to a pyrogenic reaction which has an allergic component and giving phenergan (promethazine) should help.

Regads

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Diptanshu Das (6 hours later)

yesterday I had given her Phenergan syrup 5ml which is 5mg. Was the dose too low?

Answered by Dr. Diptanshu Das (54 minutes later)

Brief Answer:
The dose varies with body weight

Detailed Answer:
Thanks for asking back.

Phenergan (promethazine) can be given at the dose of 0.1 mg/kg (maximum 12.5 mg) given by mouth every 6 hours as needed. It is ok to give 5 ml to your child but the exact dose will need to be calculated based on her body weight.

Regards

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Diptanshu Das (1 hour later)

Her temperature elevated this morning to 102F.

Answered by Dr. Diptanshu Das (39 minutes later)

Brief Answer:
If temperature is raised, give her paracetamol

Detailed Answer:
If the temperature is greater than 100°F, you need to give her Fenceta syrup (paracetamol & ibuprofen). The dose should be 15 mg/kg/dose of paracetamol. You should also give tepid sponging.

Regards

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Above answer was peer-reviewed by : Dr. Sonia Raina