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Fever, chest congestion and urinary infection in a child - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   My Daughter (3.5 years old) has fever from five days, the fever appears every three or four times a day, It disappears as we give some paracetamol syrups,
The blood test shows negative for typhoid and malaria
please help us                                             
Doctor :   hi
Doctor :   D. here
Doctor :   Since when is she having fever?
Doctor :   was any antibiotic syrup started along with paracetamol?
User :   yes
User :   the antibiotic was there
Doctor :   how many times a day are you giving her antibiotic syrup? which antibiotic was given?
User :   2 times
User :   I dont know the exact name
Doctor :   and how many times a day are you giving her paracetamol syrup?
User :   when ever fever occurs
Doctor :   what other symptoms does she have?
User :   she has restless face and rigid eye lids
Doctor :   does she have any cold, running nose, cough?
Doctor :   does she have sounds while breathing?
User :   The local doctor said she has congestion in her chest
Doctor :   ok, is she getting any other syrup/medication for relieving congestion?
User :   No
Doctor :   since when is she on the antibiotic?
User :   from the past 3 days
Doctor :   ok. are the symptoms reduced?
Doctor :   has the frequency of fever come down in last 3 days time?
User :   no
Doctor :   then she should be taken for repeat examination and a possible change in medications to control her symptoms
User :   the antibiotic we are giving is zanocin OZ
Doctor :   ok, since 3 days are up and symptoms are not yet controlled, taking her back for repeat examination and higher antibiotic would be apropriate
User :   Ofloxacin & ornidazole
User :   is the antibiotic
Doctor :   ok
User :   she has burning sensation while urinating
Doctor :   burning while urination suggests urine infection, a rine test woild confirm any infection if present
User :   she has stomach pain too
Doctor :   is she having enough water?
Doctor :   she should be adequately hydrated to counteract dehydration and fever
Doctor :   give her atleat 1-1.5 litres of fluids per day, it will aslo help in making urin einfection flushed out
Doctor :   and i suggest to take her for repeat examination and urine test to confirm urine infection and teat that too
Doctor :   along with symptomatic relief for her stomach pain and congestion
User :   Sir what type of fever it is
Doctor :   as per your histiry, the fever could probably be due to respiratory infection complicated with secondary urine infection
Doctor :   which is not letting the fever to come under control despite antibiotic use
Doctor :   a higher antibiotic should be tried to control the symptoms
User :   Can you suggest any medicine
Doctor :   since I am not examining her personally i would not be prescribing antibiotics
Doctor :   they are prescription medications and should be prescribed after exact cause is made out
User :   OK doctor
User :   thank you
Doctor :   is there anything else i can help you with?
User :   I should follow your advise thank you
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service. Please chat with our doctors 24/7 for medical queries.
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