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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Headaches And Fever In A Child At Higher Altitudes?

We have been in the mountains for 7 days now. My daughter, age 4, woke up this morning complaining her forehead hurt. I figured it was a headache related to altitude so I gave her ibuprofen at 9am and we went about our day and drank lots of water. She complained of headache pain again around 2pm, so I gave her acetaminophen. Her headache did not go away and then she developed a low fever 100.3 so around 5:30 I tried to give her ibuprofen but she threw up 4 times and medicine didn t go down. After cleaning her up she went to sleep. At 7pm she woke again complaining of forehead pain so tried medicine again but she threw up again, so medicine didn t get in. Fever is 101.3. She s sleeping in little spurts but wakes up complaining of forehead pain but doesn t want to take medicine for fear it will make her vomit. Could this be something that needs medical attention? I should also mention my son (6) and brother (44) have also gotten sick on this trip with fevers, but no nausea. Fever only lasted 2 days for my son and my brother just got sick at the same time as my daughter today. This makes me think it s just a virus they have passed around.
Fri, 25 Sep 2020
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General Surgeon,  's  Response
Hello,

High altitude pressure changes of inhalation indicate problems with intra-cranial pressure most likely. There can be possible lack of aclimatization which will present like this. Primary therapy with:
- Anti-emetic as Ondancetron
- Ibuprofen with paracetamol for headache and fever
- Tepid sponging

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

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Causes Severe Headaches And Fever In A Child At Higher Altitudes?

Hello, High altitude pressure changes of inhalation indicate problems with intra-cranial pressure most likely. There can be possible lack of aclimatization which will present like this. Primary therapy with: - Anti-emetic as Ondancetron - Ibuprofen with paracetamol for headache and fever - Tepid sponging Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon