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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Fever In Toddlers

My daughter is 4.4 years old, 21.8 KG weight. she has fever of 102.3, and my doc has prescribed Lariago 10 ml 2 times for 3 days, and Meptal-P 8 ml twice a day for next 3 days. We are in Hyderabad, India. I had malaria symptoms and undergoing treatment for the past 3 days, had high fever - 104, 184 was my sugar level, and low BP too. Since today evening my daughter who is very close with me, has been developing fever, and hence the medicines. Pls advise what would be the best way forward on my daughter s health.
Mon, 8 Dec 2014
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Pediatrician, Pulmonology ,  's  Response
HI...if your daughter is developing fever in being in contact with you, then it is not malaria and mostly it is viral illness. Viral illness spreads by close contact and malaria spreads by mosquito bites.

Now in south India, Dengue is in full swing. I do not recommend the usage of Meftal-P which has the side effect of dropping platelet counts, because as such in any viral illness, there can be drop in platelet counts.

Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.

Paracetamol can be given in the dose of 15mg/kg/dose every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.

Regards - Dr. Sumanth
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Suggest Remedy For Fever In Toddlers

HI...if your daughter is developing fever in being in contact with you, then it is not malaria and mostly it is viral illness. Viral illness spreads by close contact and malaria spreads by mosquito bites. Now in south India, Dengue is in full swing. I do not recommend the usage of Meftal-P which has the side effect of dropping platelet counts, because as such in any viral illness, there can be drop in platelet counts. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn t require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15mg/kg/dose every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - Dr. Sumanth