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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For High Fever

hi for three years and 10 months kid the urine report result as given below Micro: Pus cells 5-6/HPF Epithelial cells 2-4/HPF, others are nill. what will be the impact of these cells. the kid is having continious high fever since three days even though we are using antibiotics. please provide some information.thanks in advance.
Mon, 6 Apr 2020
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Pediatrician 's  Response
Hi,

It would be more easy for me if I get a few more details:
Any symptoms other than fever, like frequent or painful urination, abdominal pain, vomiting, sever headache?
From the given details, your kid is having high fever for past 3 days. If I was your treating doctor, after a thorough physical examination to rule out other conditions like pharyngitis, I will treat this as case of urinary infection (even though reports are only marginally abnormal). In such cases, I used to send urine culture before starting antibiotics, reports of which will be available by 3rd days. Fever not coming down after 3 days means, he is not responding to the given antibiotics.

We need to change the antibiotic depending on culture, or empirically to another group if culture was not done. Kindly get back to your doctor without delay. Meanwhile, give him paracetamol every 6-8 hours and frequent oral fluids.

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

Regards,
Dr. Muhammed Aslam TK, Pediatrician
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Suggest Medication For High Fever

Hi, It would be more easy for me if I get a few more details: Any symptoms other than fever, like frequent or painful urination, abdominal pain, vomiting, sever headache? From the given details, your kid is having high fever for past 3 days. If I was your treating doctor, after a thorough physical examination to rule out other conditions like pharyngitis, I will treat this as case of urinary infection (even though reports are only marginally abnormal). In such cases, I used to send urine culture before starting antibiotics, reports of which will be available by 3rd days. Fever not coming down after 3 days means, he is not responding to the given antibiotics. We need to change the antibiotic depending on culture, or empirically to another group if culture was not done. Kindly get back to your doctor without delay. Meanwhile, give him paracetamol every 6-8 hours and frequent oral fluids. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam TK, Pediatrician