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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

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How Can High Fever And Throat Pain In A Child Be Treated?

My 4 yr old daughter has 101.0 fever and we can t seem to get it lower. Late last evening as high as 102.7. We use cool wet towel to help keep it lower and she is taking acetaminophen oral suspension every 4 hours. She has complained about some throat pain too. Is maintaining 101.0 ok or should we take her to the ER considering the possibility of strep throat?
Mon, 22 Oct 2018
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Pediatrician, Pulmonology 's  Response
Hi,

By what you quote i feel that your kid might be having a viral sore throat or a streptococcal infection. I suggest you see your pediatrician and get a rapid streptococcal antigen test done. If it is positive then she will require antibiotics. If it is negative then it might be viral illness and doesn't require antibiotics at all.

Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like Cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Sumanth Amperayani
Pediatrician, Pulmonology
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How Can High Fever And Throat Pain In A Child Be Treated?

Hi, By what you quote i feel that your kid might be having a viral sore throat or a streptococcal infection. I suggest you see your pediatrician and get a rapid streptococcal antigen test done. If it is positive then she will require antibiotics. If it is negative then it might be viral illness and doesn t require antibiotics at all. Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like Cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani Pediatrician, Pulmonology