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Lower respiratory tract infection and urinary tract infection - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3387 Questions
User :   my son is 2.5 years old. For the last one month he has been having fever 3 times, each time lasting around 2-3 days. The temperature goes upto 40 degrees C, and we have been using Voltaren suppositor every time (3 times a day when it goes above 39 degrees). Last time we got his urine checked for infection, but it was clear. This time, he also has a running nose and cough ( congestion) apart from high fever. The cough is pretty bad that he vomitted at night once with a lot of sputum. he has taken his prevenar vaccination at the age of 18 months. Only one vacination was taken. Is there any other diagnosis for this?Regards.
Doctor :   hi
User :   hello
Doctor :   give me a couple of mins to read your query.
User :   hello dr. sure
Doctor :   is he eating well?
User :   yes, he is eating well.
Doctor :   any frequent episodes of crying?
User :   no. he doesnt cry. he seems to be pretty active till the temperature reaches 40 degrees. at 40 degrees, he shows signs of being tired.
Doctor :   generally a common cold and fever in a child is most commonly a viral infection.
User :   he is currently on Zinnat antibiotic for the last 2 days and he vomits it out.
Doctor :   the temperature is surely high
Doctor :   even now
User :   yes, even now he has 40 degrees, and i just gave him a voltaren suppositor
Doctor :   Ok
Doctor :   since when has his fever started again?
User :   it started on 10th march.
Doctor :   ok
Doctor :   the cough produces sputum always ? or has it been just an episode with vomitting
Doctor :   are you with me?
User :   cough is with sputum.. however he hasnt been spitting it out, mostly swallows. the vomitting was only one episode and that time we saw a lot of sputum. otherwise whenever we give hm zinnat antibitoc he vomits it, not much sputum that time
User :   sorry, yes i am here
Doctor :   any chest X ray done?
User :   no. we havent done a chest xray
Doctor :   have you noticed the sputum color if at all he coughs it up at times?
Doctor :   any rashes in the body?
User :   dark offwhitish color. possibly greenish yellow
User :   no rashes in the bosy
Doctor :   was your child a premature baby at birth? or any problems after birth?
User :   body i mean
User :   yes he was. he did have problems at birth. he was part of a twin. he had placenta abruption, and had drunk a lot of blood which was subsequently pulled out at the time of birth. but he has not been having any problem till recently. he eats very well among the twins.
Doctor :   ok
Doctor :   what other investigations have been done so far with respect to his fever ?
User :   we took him to different doctors twice. One dr. comented on his having chest infections. apart from that we did his urine analysis, which turned out fine.
Doctor :   ok
User :   throat infection i mean, not chest infection
Doctor :   any neck swelling which is visible to you , any problems in swallowing he complains of?
User :   no. he doesnt. he doesnt complain of pain.
Doctor :   ok
Doctor :   I would like to suggest this to you
Doctor :   it could be these possibilities
Doctor :   1. a upper respiratory infection
Doctor :   2.lower respiratory tract infection
Doctor :   it could either be viral/bacterial
Doctor :   continue the antibiotics in the given dose
User :   ok
Doctor :   also the suppositories at high fever
User :   ok
Doctor :   tepid sponging - dip the cloth pad in room temp water and dab his forehead and body
Doctor :   keep the child hydrated with plenty of fluids.
Doctor :   get a chest x ray done
User :   is it normal that we have been giving the zinnat antibiotocs for he last two days but we are not seeing any change?t
Doctor :   if fver and cough persist
Doctor :   yes, it will take some time
Doctor :   he has to complete the dose
Doctor :   take care of his fever
User :   ok
Doctor :   hope i answered all questions
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