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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Prolonged Fever With Ear Pain In A Child?

My 10 yr old son is having fever for the 6th day today. temp in range of 98.9-100.3 for last 3 days. he is administered calpol 250 6ml . he has cough also. Xyzal M 5ml was given at night for the past 4 days as per his doctor s advice. Had ear pain in left ear. Dr said he has congestion in that ear and has prescribed otogenic ear drops to be put only whn ter is pain. why is the fever not subsiding ?
Wed, 23 Sep 2020
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General & Family Physician 's  Response
Hi,

Fever is the symptom mainly of either respiratory, gastrointestinal, or urogenital system infections. It may also due to skin infections involving the lymphatic system. Ear infection also causes fever. The treatment has two steps. First the symptomatic treatment and cause specific treatment. Since fever induce dehydration more quickly in children, anti-pyretics such as paracetamol along with plenty of oral fluids in necessary. Paracetamol is prescribed in the dosage of 15mg per kg in children.

High grade fever for the first two to three days signifies commonly viral infection. Depends on the viral agent, treatment involves supportive up to active management. In case of bacterial infection, antibiotics are advised. Blood and urine investigation helps very to narrow down the diagnosis. Consult the pediatrician and discuss the need for investigations, since your child has fever for three days. If the child gets improving with otogenic drops, wait for two more days.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pradeepraj, General & Family Physician
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What Causes Prolonged Fever With Ear Pain In A Child?

Hi, Fever is the symptom mainly of either respiratory, gastrointestinal, or urogenital system infections. It may also due to skin infections involving the lymphatic system. Ear infection also causes fever. The treatment has two steps. First the symptomatic treatment and cause specific treatment. Since fever induce dehydration more quickly in children, anti-pyretics such as paracetamol along with plenty of oral fluids in necessary. Paracetamol is prescribed in the dosage of 15mg per kg in children. High grade fever for the first two to three days signifies commonly viral infection. Depends on the viral agent, treatment involves supportive up to active management. In case of bacterial infection, antibiotics are advised. Blood and urine investigation helps very to narrow down the diagnosis. Consult the pediatrician and discuss the need for investigations, since your child has fever for three days. If the child gets improving with otogenic drops, wait for two more days. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pradeepraj, General & Family Physician