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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Other Things Should I Look For Along With High Fever?

my six year old has had a fever of 104.5 for 24 hours and doesn t have any other symptom we have been giving him Tylenol and ibuprofen and the lowest his fever got was 102.0 should I be concerned? what other things should I look for? after four hours of receiving the Tylenol or advil his fever goes back up from 102.0 to 104.0 so waiting the other four hours with his temp being at 104.0 scares me because I can only give it to him every 8 hours.
Fri, 3 Jul 2015
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Pediatrician 's  Response
I share your concern. Fever in a sis year old in the absence of other symptoms could be considered as viral fever. YOu can give Tylenol every 4 hours at 10-15 mg/kg dose. and also give tepid sponging . I would do some tests like CBC and Urine RE to find the focus of infection after a thorough examination of the systems. YOu look for symptoms like running nose, cough, pain on passing urine.I would in my clinical practice try an empirical trial of antibiotics after careful evaluation. YOu can consult your doctor for further evaluation of your child. Hope I have allayed your fears. Take care regards
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What Are The Other Things Should I Look For Along With High Fever?

I share your concern. Fever in a sis year old in the absence of other symptoms could be considered as viral fever. YOu can give Tylenol every 4 hours at 10-15 mg/kg dose. and also give tepid sponging . I would do some tests like CBC and Urine RE to find the focus of infection after a thorough examination of the systems. YOu look for symptoms like running nose, cough, pain on passing urine.I would in my clinical practice try an empirical trial of antibiotics after careful evaluation. YOu can consult your doctor for further evaluation of your child. Hope I have allayed your fears. Take care regards