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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Persistent Temperature, Aches, Cough And A Runny Nose Be Treated?

OK--Thanks. My 10 yr old has a cough and runny nose and started with a fever tonight. Her temp was 102.3 at 12:30 and I gave her motrin. It was 101 at 1:30 and she was feeling very achy, so I gave her tylenol. Now at 2:30 it s back to 102. A little worried. What to do?
Sat, 28 Apr 2018
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Pediatrician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

First, please make sure she doesn't have an illness that is more serious than a viral infection.
Does she have skin rash? Is she alert, knows who you are and where she is?
In supine position, ask her to lift her head and touch her chest with her chin. If there is no rash, she is alert, and can touch her chin then, it is unlikely she has a serious illness.

Some physicians feel that a child's fever ought to be treated with only one fever medicine. This is because acetaminophen and ibuprofen are equally effective for fever. And acetaminophen is given every 4-6 hours while ibuprofen is every 6-8 hours so this leaves room for a potential mistake in dosing. Make certain you are giving the fever medicine as it says on label.
She will feel better if she is not dehydrated, so remember to offer fluids (which can include Popsicles and Jello) frequently.
I hope she is well in 2-3 days.

If you have more concerns, please get back in touch.

Regards,
Arnold Zedd, MD, FAAP



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How Can Persistent Temperature, Aches, Cough And A Runny Nose Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. First, please make sure she doesn t have an illness that is more serious than a viral infection. Does she have skin rash? Is she alert, knows who you are and where she is? In supine position, ask her to lift her head and touch her chest with her chin. If there is no rash, she is alert, and can touch her chin then, it is unlikely she has a serious illness. Some physicians feel that a child s fever ought to be treated with only one fever medicine. This is because acetaminophen and ibuprofen are equally effective for fever. And acetaminophen is given every 4-6 hours while ibuprofen is every 6-8 hours so this leaves room for a potential mistake in dosing. Make certain you are giving the fever medicine as it says on label. She will feel better if she is not dehydrated, so remember to offer fluids (which can include Popsicles and Jello) frequently. I hope she is well in 2-3 days. If you have more concerns, please get back in touch. Regards, Arnold Zedd, MD, FAAP