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Suggest Treatment For Fever, Body Pain And Headache

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Posted on Thu, 27 Aug 2015
Question: My kid is 4 year 9 months old and she has fever from last night and it is in 101 to 103 degrees F.. She is active but she says she got body ache and head ache. I am giving her ibuprofen for ages 2 to 11 7.5 ML. The temperature came down to around 100.7 once I gave her the medicine. I gave her at 10:50 AM in the morning, how often should I give her - every 6 hours?

doctor
Answered by Dr. Pradeep Kumar Jain (36 minutes later)
Brief Answer:
Better if you give paracetamol

Detailed Answer:
Hello

Thanks for the query

Fever should be managed initially with paracetamol as it is the safest antipyretic with minimal side effects.
Fever with headache and body ache can be due to various causes.Ibuprofen causes platelet dysfunction.Any condition causing fever with low platelet will be further aggravated by ibuprofen.Sp better it should be avoided.The dose of ibuprofen is 10 mg/kg/dose.Most of the syrup contains 100 mg/5 ml.The average weight of a 4 year 9 month old child is about 16-18 kg.So for this age a dose of 7.5-8ml will be sufficient.You can reapwat the medication every 8 hourly.
In fever (irrespective of the cause of fever) it is always better to treat with paracetamol.
The dose of paracetamol is 10-15 mg/kg/dose.Most of the syrup contains 125 or 250 mg/5 ml.So 5 ml dose of paracetamol with a strength of 250 mg/5 ml will be sufficient.You can repeat the dose every 6-8 hourly.
Tepid water sponging is a very good home remedy to bring down the temperature.

Please consult your physician to find out the cause of fever so that it can be managed properly.

I hope this helps.
If you have any more query I shall be glad to answer.
Wishing for your child's speedy recovery.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Pradeep Kumar Jain (47 minutes later)
We are in the United states so not sure if I can find paracetamol here. I think we have crocin which is paracetamol and it is 120 /5mg - so it would be 10 ml. Will do that. Is there anything to worry ?
doctor
Answered by Dr. Pradeep Kumar Jain (11 minutes later)
Brief Answer:
Paracetamol/acetaminophen is the generic name

Detailed Answer:
Thanks for writing back

Crocin is the brand name and it contains same paracetamol/acetaminophen.
10 ml of Crocin containing 120mg/5 ml will be sufficient.
Most of the time fever is the only initial symptom some viral infection.
Cough,cold,loose stool or other symptoms of infection may come up in next 2-3 days.
Sometimes urinary tract infection can presents with high grade fever.
I would like to know if there are other symptoms like burning micturition,cough,cold,abdominal pain or loose stool to localise the infection.
If there are no such symptoms observe the child.Also monitor the temperature pattern.In most of the viral fever,temperature starts declining after 3-4 days.
If the temperature remains high after 3-4 days or there is appearance of any new symptom please get her evaluated by a physician.

Please let me know if you have any more doubts.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Pradeep Kumar Jain (37 minutes later)
She traveled to US from XXXXXXX on Sunday and she got the fever from her mom on Tuesday evening. My wife had fever for a day Monday & Tuesday and she is fine now. They both traveled together.

She don't have any symptoms listed by you. She is active but tired.

Thank you.

doctor
Answered by Dr. Pradeep Kumar Jain (5 minutes later)
Brief Answer:
Monitor the pattern of temperature

Detailed Answer:
After going through the details it appears that it is some viral infection.I hope the fever should subside within 3-4 days.
I would suggest you to monitor the temperature and observe her general condition.
Please let me know if you have further doubts.If not I request you to close the discussion and rate it.
Wishing your child's speedy recovery.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Pradeep Kumar Jain (17 hours later)
Her fever is dropped to 99.5 now and we did visit a doctor yesterday and no medicine from doc as he asked to continue the same.
doctor
Answered by Dr. Pradeep Kumar Jain (22 minutes later)
Brief Answer:
Declining trend of temperature goes in favor of viral infection

Detailed Answer:
Thanks for writing back

Most common cause of fever in this age is some viral infection.In viral infection fever shows a declining trend after 24-72 hours.
I won't get worried as she is active and fever is declining.
Monitor the temperature and give her paracetamol/acetaminophen if temperature is more than 100 F.
Wishing your baby's speedy recovery.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Pradeep Kumar Jain (10 hours later)
She was all good during the day, now she has a temperature of 100.3 not sure why it is back...

doctor
Answered by Dr. Pradeep Kumar Jain (1 hour later)
Brief Answer:
It may take 4-5 days for complete recovery

Detailed Answer:
I won't get worried as the frequency and spikes of rise in temperature is showing declining trend.
Most likely it is some viral infection and it may take 4-5 days for complete recovery.
Monitor temperature if there is increase in frequency of severity she may need to be investigated.
Give paracetamol/acetaminophen as advice.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Pradeep Kumar Jain (1 hour later)
Sure will continue the same. She was sweating after a while we gave her the medicine. And temperature came down.

What diet you recommend ? She is not eating rice. I made her orange juice and gave her some XXXXXXX She ate half a slice of bread and jam.

We gave her coconut water in the morning as well.
doctor
Answered by Dr. Pradeep Kumar Jain (2 hours later)
Brief Answer:
Give light easily digestible food

Detailed Answer:
Decrease in appetite is very common during febrile illness.Give food item whatever she demands with plenty of fluids.Avoid giving junk foods,carbonated drink.
You can give fruit juice,fruit with milk.
I won't get overly worried as her appetite will improve once she recovers from the illness.

Wishing your baby's speedy recovery.
Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Pradeep Kumar Jain

Pediatrician, Cardiology

Practicing since :2006

Answered : 2074 Questions

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Suggest Treatment For Fever, Body Pain And Headache

Brief Answer: Better if you give paracetamol Detailed Answer: Hello Thanks for the query Fever should be managed initially with paracetamol as it is the safest antipyretic with minimal side effects. Fever with headache and body ache can be due to various causes.Ibuprofen causes platelet dysfunction.Any condition causing fever with low platelet will be further aggravated by ibuprofen.Sp better it should be avoided.The dose of ibuprofen is 10 mg/kg/dose.Most of the syrup contains 100 mg/5 ml.The average weight of a 4 year 9 month old child is about 16-18 kg.So for this age a dose of 7.5-8ml will be sufficient.You can reapwat the medication every 8 hourly. In fever (irrespective of the cause of fever) it is always better to treat with paracetamol. The dose of paracetamol is 10-15 mg/kg/dose.Most of the syrup contains 125 or 250 mg/5 ml.So 5 ml dose of paracetamol with a strength of 250 mg/5 ml will be sufficient.You can repeat the dose every 6-8 hourly. Tepid water sponging is a very good home remedy to bring down the temperature. Please consult your physician to find out the cause of fever so that it can be managed properly. I hope this helps. If you have any more query I shall be glad to answer. Wishing for your child's speedy recovery. Regards