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Analysis of routine urine and blood tests for fever, medications - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
Doctor :  
How can i help you?
User :   hi
User :   my daughter have a fever from last 4 days
Doctor :  
ok
User :   i consult local doctor
Doctor :  
ok
User :   i have now test result.but i am not so confident abt local doctor
Doctor :  
ok
User :   can help me by analysing her lab report
Doctor :  
yes i shall
User :   ok
Doctor :  
please provide me her lab reports
User :   i am giving the details of urine report first
Doctor :   ok

User :   color: yellow
User :   volume:10ml
User :   appearence cloudy
User :   pH 5.0
User :   suger-nil
User :   protin: 1+
Doctor :  
ok
User :   pus cell 3-5
User :   epith cell 2-5
User :   rbc 0-3
Doctor :  
ok
User :   other-mucous threads
User :   thats for urine report
Doctor :  
ok
User :   and in blood report
Doctor :  
now provide me the blood report
User :   DLC: User :   neutrophils-88
User :   lymphocyte-12
User :   monocytes-00
User :   eosinosphils-00
User :   basophils-00
User :   MP-ICT-negative
Doctor :  
ok
User :   ESR-23
User :   hemoglobin-10.6
Doctor :  
ok
User :   tlc-9950
User :   thats all
Doctor :  
ok
User :   medicine prescribed: User :   cefadrox kid tablets
Doctor :   ok
User :   and paracetamol
Doctor :  
ok
User :   but fever in same level
User :   temp around 101-104 degree
Doctor :  
ok
User :   headace also there
User :   what ur advise or prescribe
User :   her age is 8 yrs only
User :   weight 25 kg
Doctor :   the blood and urine report are indicating that she is suffering from acute infection
User :   ok
Doctor :  
and it is probably a viral infection
User :   ok
Doctor :   apart from fever what other symptom she have?
User :   head pain
User :   weakness
Doctor :  
generalized body pain?
User :   stool in semi liquide type
User :   yes have body pain
Doctor :  
stools are semi liquid because she is consuming the tablet cefadrox kid tablets
Doctor :  
this can cause loose stools or semi liquid stools
Doctor :  
not to worry
Doctor :   to summarize
Doctor :  
she is having high fever, weakness, body ache, head ache
User :   ys
Doctor :  
this symptoms goes in favor of viral febrile illness
Doctor :  
as her blood and urine also says there is acute infection
User :   ok
Doctor :   viral infections take 7 to 8 days for the recover from the initial fever
Doctor :  
this is because the body takes a week time to produce appropriate lympocytes
User :   ok
Doctor :   the levels of lymphocytes in blood is 12%
User :   ok
Doctor :  
once it increases to 25 to 40 % the fever will subside
Doctor :  
till that time the high temperature like 103 or 104 temperature keep coming
Doctor :  
so not to worry much
User :   ok
Doctor :  
the main treatment here is supportive
User :   wht medicine do u prescribe for her
Doctor :  
paracetamol 3 to 4 times a day
Doctor :  
what is the dosage she is taking at present?
User :   half at the time of high temp
User :   and cefadrox also half 2 times
Doctor :   ok

Doctor :  
paracetamol can be given half tab (500mg)three times a day like every 8 hours and other half tab at the time of high temperature
User :   how much mg paracetamol u r prescribing for each time
Doctor :  
and cefdrox only two times a day for 5 days
User :   ok
Doctor :   paracetomol 250 mg tablet or half 500mg tablet ok
Doctor :  
not consume more than 1500 mg per day of paracetamol
User :   ok
User :   ok
Doctor :  
and apart form that
User :   diet
Doctor :  
give her lot of fluids like water
Doctor :   tender coconut
Doctor :  
her urine ph is 5 very concentrated meaning she require more water
Doctor :  
water, tender coconut, fresh fruit juice of orange
Doctor :  
to be consumed more
User :   can she take cool bath
Doctor :   its called tipid sponging and it is done when she has very high temperature and fever is not responding to tablet in half hour.
User :   ok
Doctor :   apart from this diet
Doctor :   Rice with milk and sugar is ideal for viral fevers
Doctor :  
avoid spicy and chilly stuff
User :   and abt her normal daily bath
Doctor :  
yes she can but with warm water
Doctor :   it will take a week time for the fever to resolve
User :   ok
Doctor :  
and it will take 15 days for the weakness to get resolved
User :   thanx for ur advice
User :   may i know ur name sir
Doctor :  
is ther anything else i can help you with
Doctor :  

Doctor :  
please fill the feed back form
User :   ok sir
Doctor :   thanks for consulting health care magic

Doctor :  
bye for now
User :   bye
User :   good night
Doctor :   bye
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