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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever With Vomiting And Fatigue?

My 4 year old year old is running fever .(102.) He has been running fever off and on for three days now. His other symptoms include, loss of appetite, thirsty, vomiting and extremely tired. they did a CBC and it came back normal. so I am afraid that it is tonsillitis. But he just came out of one 2 weeks ago.
Wed, 29 Apr 2015
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Pediatrician 's  Response
Fever with the other mentioned symptoms could be caused due to some viral infections. Tonsillitis is one possible cause which may have either a viral (eg. Epstein Barr virus) or a bacterial cause (like Streptococcus) but is associated with sore throat.
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Diabetologist Dr. Dr. Abhay A Mali's  Response
Hi

After going through the history your baby it is more likely to be a viral fever.Viral fever remains for upto seven days. after initial peak of three four days, it gradually starts decreasing its peak and frequency also.

As his CBC reports are normal, don't get afraid. Instead hydrate him with plenty of water, lemon water etc. Give him adequate nutrition. Give paracetamol round the clock for two more days according to his weight.
you may also start multivitamin if you have any. Monitor his temperature two to four hourly. If he is persistently febrile then consult a pediatrician.

Your history is not suggestive of tonsillitis as in that case baby might had sore throat, difficulty in swallowing,cough etc.

if fever persists till fifith day then please consult a pediatrician.
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What Causes Fever With Vomiting And Fatigue?

Fever with the other mentioned symptoms could be caused due to some viral infections. Tonsillitis is one possible cause which may have either a viral (eg. Epstein Barr virus) or a bacterial cause (like Streptococcus) but is associated with sore throat.