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Suggest Treatment For Fever Due To Sore Throat In A Child

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Posted on Mon, 22 Sep 2014
Question: My son is 8 years old and is having acute throat infection and is having high fever which is risen upto 103.5 degree Farenheit. Can I give Meftal to bring down it immediately. Paracetamol is not working. If paracetamol is to be given than what is the ideal dose for a 8 year old kid with a weight 25 kg.
doctor
Answered by Dr. Het Ram Bishnoi (2 hours later)
Brief Answer:
Sore throat & fever

Detailed Answer:
Hello XXXX
Your 8 years son is having fever due to sore throat and he is taking PARACETAMOL ( but not working according to you ) , ascori-D (dextromethorphan+triprolidine+phenylephreine),good for local effect on throat .
The normal dosage( paracetamol) for 8 years ( weight 25 kg ) is 250-500 mg 4-6 hourly ( maximum 4 dosage in 24 hours i.e .10-15 mg / kg body weight ).
Usually there is no side effects , except nausea , rash mild vomiting( short period).
In my opinion continue this drug for another 3-5 days .
Now about MEFTAL tablet ( mefenamic ) .
Yes , you can give.
This also decreases temperature and also relieve pain at acts immediately .
Dose :25 mg /kg body weight daily in divided doses for up to 7 days .
When such patient visit my clinic I also advise my patient levofloxacin 10 mg / kg body weight ,once in a day for 3-5 days .
Hope this will help you.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Het Ram Bishnoi (1 hour later)
I used wet cloth on the forehead to reduce the temperature and gave 7.5ml paracetamol. It came down to 100 for some time about 2 hours but raised again to 102 degree farenheit. His body is fully aching, from head to toe. Also he has developed a little cold.

I will start giving meftal and levofloxacin. Do I continue giving him Ascoril-D or stop it till I am giving levofloxacin. Any other syrup or tablet for cold. The child is very scared as the temperature level is too high.

Please suggest.
doctor
Answered by Dr. Het Ram Bishnoi (45 minutes later)
Brief Answer:
Sore throat & treatment

Detailed Answer:
Hello XXXX
This is the concern of a mother , but need not to worry.
Sponging with wet cloth is very good . Whenever you feel that son is having high temperature ,use paracetamol .
Continue levofloxacin, ascoril-d and meftal for 4-5 days and son will be alright . As such type of symptoms take 4-5 days .
Liquid diet will be most useful . If son feel mild nausea or vomiting , give him ondansetrone 1/2 tablet of 4 mg mouth dissolving whenever require.
Good luck.
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
Dr.
Dr. Het Ram Bishnoi

General & Family Physician

Practicing since :1978

Answered : 6271 Questions

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Suggest Treatment For Fever Due To Sore Throat In A Child

Brief Answer: Sore throat & fever Detailed Answer: Hello XXXX Your 8 years son is having fever due to sore throat and he is taking PARACETAMOL ( but not working according to you ) , ascori-D (dextromethorphan+triprolidine+phenylephreine),good for local effect on throat . The normal dosage( paracetamol) for 8 years ( weight 25 kg ) is 250-500 mg 4-6 hourly ( maximum 4 dosage in 24 hours i.e .10-15 mg / kg body weight ). Usually there is no side effects , except nausea , rash mild vomiting( short period). In my opinion continue this drug for another 3-5 days . Now about MEFTAL tablet ( mefenamic ) . Yes , you can give. This also decreases temperature and also relieve pain at acts immediately . Dose :25 mg /kg body weight daily in divided doses for up to 7 days . When such patient visit my clinic I also advise my patient levofloxacin 10 mg / kg body weight ,once in a day for 3-5 days . Hope this will help you.