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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Fever, Runny Nose And Watery Eyes. Have Shivering. Given Tylenol. Concerned?

My 4 1/2 year old son has a fever of 102, has a runny nose & is complaining of "watery" eyes & his eyes are hurting; his eyes do appear watery (& red) & his pupils are dilated.
He seemed fine this morning but he had an early 3 hour nap (he doesn't usually nap but he was up late both Fri & Sat night. He was also running around outside much of Sat & it was very hot & muggy); when he does nap it very seldom exceeds 2 hours.
We were in some woody areas yesterday but he had no tics etc on him that we saw. He didn't complain of being bitten or anything. There were a lot of people there as well.
We went for a swim in our pool for about an hour after his nap today. He was his usual active self and also as usual he was shivering a little when we came out (the pool was 88 F, which was also the outdoor temp, chemical reading were per usual with chlorine at the high end of the range; nothing was added today). He had a difficult time warming up, but had a hot bath & seemed fine when he got out. He asked for macaroni & cheese & watched TV while I made it. I didn't notice anything wrong until I realized he hadn't eaten anything though he said he was full (he hadn't eaten much today: a couple of tomatoes, a handful of carrots, a glass of milk....it's often difficult to get him to eat, especially on hot days); I felt his forehead & took his temp of 102.
Just recalled he ate 1 small apple from the neighbor's tree just before swimming & he just requested another one; he often eats them & does so each year.
It's primarily the eye issues that cause me concern. Is there anything I should be doing other than tylenol & waiting it out?

Fri, 30 Aug 2013
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Pediatrician 's  Response
Hi,

Thank you for your query on Healthcare Magic.

Your child seems a viral illness with upper respiratory tract infection.

For fever, you can continue Tylenol in prescribed dose every 6th or 8 th hourly depending on the presence of fever.

If there is high grade fever like more than 102 degree F, you can do tepid sponging with lukewarm water.

Maintain his hydration by giving plenty of oral fluids.

Give him soft diet and ask him to take rest.

Monitor his activity, hydration, and temperature at regular intervals.

Consult the pediatrician for physical examination to look for any focus of infection and for specific treatment.

Hope I have answered your query.

Regards.
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Have Fever, Runny Nose And Watery Eyes. Have Shivering. Given Tylenol. Concerned?

Hi, Thank you for your query on Healthcare Magic. Your child seems a viral illness with upper respiratory tract infection. For fever, you can continue Tylenol in prescribed dose every 6th or 8 th hourly depending on the presence of fever. If there is high grade fever like more than 102 degree F, you can do tepid sponging with lukewarm water. Maintain his hydration by giving plenty of oral fluids. Give him soft diet and ask him to take rest. Monitor his activity, hydration, and temperature at regular intervals. Consult the pediatrician for physical examination to look for any focus of infection and for specific treatment. Hope I have answered your query. Regards.