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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Recurring Fever

Dear Doctor, my son is 14 months old, he is having recurring fever for past 6 days, his platelet is 446000, but hemoglobin count is 8. I am giving him distacolor syp, mepthal p, ibugesic, for fever. After medication fever is gone for 5/6 hrs, but again his fever rises to 102. What treatment do u suggest? his dengue and malaria results are negative.
Mon, 29 Dec 2014
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Pediatrician, Pulmonology ,  's  Response
Hi...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 (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.

Meftal-P contains Mefenamic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Meftal-P. I have publication against the use of Mefenamic acid in a renowned journal. I am attaching the link, please go through it.

medind.nic.in/ibv/t10/i5/ibvt10i5p453.pdf

Regards - Dr. Sumanth
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Suggest Remedy For Recurring Fever

Hi...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 (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Mefenamic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Meftal-P. I have publication against the use of Mefenamic acid in a renowned journal. I am attaching the link, please go through it. medind.nic.in/ibv/t10/i5/ibvt10i5p453.pdf Regards - Dr. Sumanth