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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever And White Coating On Tongue?

My 4 yr old daughter has a fever, the highest last night of 102.2. I am giving her a fever reducer. She has a whitish tounge with bare spots as if she has been rubbing her teeth on her tounge to scrape the white stuff off. I am bringing her to the doctors in the morning until then, should I be more concerned that the fever has not broke yet? ( started early last evening) also she has a metabolic condition called MCADD.
Thu, 8 Jan 2015
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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 500mg per 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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What Causes Fever And White Coating On Tongue?

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 500mg per 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