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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

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What To Do For Severe Fever In Child?

My daughter is 3 years old. We are from Nepal but have been living in Australia for last one year. She has been getting high fever which gets up to 40 C every 15 to 21 days. It was more severe in winter months here, she has had lots of check ups but nothing has been diagnosed. Many times she has had tonisilitis during fever. Now she is in fever but this time her tonsils are not swollen. Fever started from Wednesday 12 January and it is still high. I took her to GP yesterday and was told to wait before medication is given. She has been on penicillian for treating tonsilitis for last every fever. This may be viral fever so we are waiting. How long viral fever can be and what should be done if fever gets very high?
Tue, 26 Feb 2019
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Pediatrician, Pulmonology 's  Response
Hi,

By what you say I feel that this could be a recurrent viral illness. I will explain you how a viral illness behaves so that you can be more confident. 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 every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Sumanth Amperayani,
Pediatrician, Pulmonology
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What To Do For Severe Fever In Child?

Hi, By what you say I feel that this could be a recurrent viral illness. I will explain you how a viral illness behaves so that you can be more confident. 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 every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology