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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever, Loss Of Appetite And White Sores To A 2 Year Old?

My two and half year old granddaughter has had a fever for the past two days. Her fever broke last night but today she is listless and not eating and we noticed her breathe is awful. We checked her mouth and she has white sores appearing around her gum line? What could this be?
Thu, 23 Jul 2015
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Pediatrician, Pulmonology ,  's  Response
Hi,...by what you quote I feel that it could be a viral illness. The white sores you are seeing could be aphthous ulcers which can occur sue to the stress of the viral illness itself.

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.
Regards - Dr. Sumanth
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What Causes Fever, Loss Of Appetite And White Sores To A 2 Year Old?

Hi,...by what you quote I feel that it could be a viral illness. The white sores you are seeing could be aphthous ulcers which can occur sue to the stress of the viral illness itself. 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. Regards - Dr. Sumanth