Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
165 Doctors are Online

Child. Recurring fever and ear infection. On amoxicillin and ibuprofen. Advice - Online Doctor Chats

Date : 11-Jun-2013
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:hello doctor
Doctor:Good afternoon
User:good afternoon
Doctor:I am Drxxxxxxx
User:Hello Dr
Doctor:How can I help you today?
User:I am travelling with my family to the US
User:my son has been having high fever since 3 days.
User:From Thursday onwards
User:I am currently in the US and met a physician in the day time today in the US
User:He was diagnosed with mild ear infection
User:and prescribed Amoxicillin oral dose once every 12 hours
User:They also prescribed 2 medications for fever
User:1) IBUPROFEN based ( recommended every 6 hours)
User:or 1) Acetaminophen based.
User:doctor advised to use either of the two
User:we were using Ibuprofen..
User:but fever seems to recur each time.
User:we are not able to wait for another 6 hours
User:within 4 hours fever shoots up to 102.5
User:i wanted to understand whether to continue with the doses or switch over to the other one
Doctor:How old is your son?
User:2 years 8 months
User:weight : 13+ kgs
Doctor:Actually Ibuprofen based is advised for pain and Acetaminophen mostly takes care of the fever
User:ok we now gave him P-250 which I believe is the latter
Doctor:If he has pain in ear then go ahead with Ibuprofen, if fever is the problem he is having then switch to acetaminophen
Doctor:Is the fever getting controlled with it?
User:he never complained of pain.
User:the doctor diagnosed some infection
Doctor:Ok....I get the whole scenario..
Doctor:The antibiotics are taking care of the infection.
User:we had given IBuprofen dose at 7PM US time
Doctor:We need to take care of the fever until infection is under control.
User:and by 11:30 fever XXXXXXX to 103.1
User:11:30PM I mean
Doctor:Yes, I would advise that give him acetaminophen
User:the anti-biotic dose was given 9 hours back
Doctor:four times a day
User:and it was the first dose
User:he has had only 1 dose
User:of anti-biotic
User:doctor advised to give once in 12 hours
Doctor:Yes, antibiotics work fast...thus his infection is getting under control
Doctor:Continue the antibiotics
User:but fever is not subsiding
Doctor:When did you give acetaminophen last?
User:since morning we gave 2 doses of Ibuprofen
User:just 10 minutes we gave P-250(Acetaminiohen )
Doctor:I think 3:17 am there
User:It is 00:17 hours in Pacific time
User:we have both P-250 and Meftal as well
User:which one should be preferred? should work in a few minutes
User:Is meftal also acetaminophen based?
User:typically how many days fever lasts?
Doctor:No, Meftal seems to be another medicine
Doctor:Usually it lasts 2-3 days.
User:today is the third day
Doctor:Also try sponging with wet cloth.
Doctor:Don't wrap him in warm clothes.
User:ok we are doing the sponging
Doctor:I meant 2-3 days after starting of antibiotics.
User:we were worried because today morning fever shot up to 105. that is when we had rushed to physician
User:here in the US
Doctor:Give P-250 every 4-6 hours until fever is under control.
Doctor:How did you measure the fever?
User:should we wait for fever to rise
User:or give it every 4 hours
User:arm-pit measure and added 1degree to the measure.
Doctor:Give every 4 hours initially.
Doctor:and when the fever is under control then you may space it out.
Doctor:Give antibiotics some time to work.
User:fever is still 103.3
Doctor:It is the best thing to control infection.
User:10 minutes after giving of P-250
Doctor:If you feel that fever is getting controlled with antibiotics and P-250, then you may visit doctor in the morning.
Doctor:If it is not getting controlled then visit the doctor.
User:ok you mean *not* getting controlled
User:ok fine
Doctor:Sorry for the mistake.
User:no problem
Doctor:Usually doctors in US like to give 2-3 days time from start of antibiotics.
User:the next anti-biotic dose is due in next 1.5 hour
User:we gave that just over 10 hours back
User:also he is not eating much
Doctor:My suggestion is that you don't panick
Doctor:Try to control the fever with acetaminophen.
Doctor:Yes, give him nutritious diet.
Doctor:If fever seems to be very high then visit the physician earlier.
User:ok doctor
Doctor:Can I help you with anything else?
User:thanks for your assistance
User:have a nice day
User:no other questions
Doctor:Hope I could help.
User:yes thanks. we feel better especially in a foreign land.
Doctor:Please log-in again if you have any more queries
User:thank you
User:ok thanks
Doctor:I can understand.
User:thanks I will end the chat session then
Doctor:Thankyou for asking the query
Doctor:Wish your son a quick recovery.
User:thanks bye
Doctor:Bye for now.
Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor