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Suggest Treatment For Fever In A Child

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Posted on Fri, 24 Jun 2016
Question: Hi Sir,
I am XXXX XXXXXXX my daughter was 19months old and weight 12kgs.
yesterday baby was suffered from fever (101.5c) and doctor given medicines ZIFI-50 AND COMBIFLAMME.
yesterday night dose completed.
Today morning body temperature slightly raised and combiflamme suspension given to the child, after the dose child body became very cold. why this was happened ? please reply

combiflamme dose was 5ml thrice daily.
doctor
Answered by Dr. Diptanshu Das (1 hour later)
Brief Answer:
Peripheral vascular collapse is the cause.

Detailed Answer:
Thanks for asking on HealthcareMagic.

Most often fevers in children is due to viral infection. Antibiotics like Zifi 200 (Cefixime) do not help in viral infections but if you have started it, please complete the course. Rather than giving thrice a day, I would insist you to give combiflam or paracetamol only when required (temperature more than 100°F), in order to bring down the temperature. Also give tepid sponging. Such fevers may cause the peripheral blood vessels of the skin to collapse, thus limiting the heat exchange, making the extremities feel cold and clammy.

I would insist you to get her blood counts checked in order to rule out any fulminant infection.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Diptanshu Das (6 hours later)
What is peripheral vascular collapse , is it serious condition.

Actually day before yesterday my child had small injured at soft palate area in the mouth with toys.

One more thing can I use cefpodoxime proxetill antibiotic instead of cefixime. In combination with combiflamm oral suspension.

Baby weight was 12kg and 19months old.

Please reply me
doctor
Answered by Dr. Diptanshu Das (3 hours later)
Brief Answer:
If the child is active and playful (when she does not have fever) its fine.

Detailed Answer:
Thanks for writing back. If the child is active and playful you need not worry and it is not something to worry about. But if the child gets lethargic and ill looking, you would need to visit a doctor and get her tested.

If you have started the antibiotic, stick to whatever you have given. If you have not started it, first get the blood tested and give antibiotics only if the WBC count is raised.

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. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3875 Questions

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Suggest Treatment For Fever In A Child

Brief Answer: Peripheral vascular collapse is the cause. Detailed Answer: Thanks for asking on HealthcareMagic. Most often fevers in children is due to viral infection. Antibiotics like Zifi 200 (Cefixime) do not help in viral infections but if you have started it, please complete the course. Rather than giving thrice a day, I would insist you to give combiflam or paracetamol only when required (temperature more than 100°F), in order to bring down the temperature. Also give tepid sponging. Such fevers may cause the peripheral blood vessels of the skin to collapse, thus limiting the heat exchange, making the extremities feel cold and clammy. I would insist you to get her blood counts checked in order to rule out any fulminant infection. Regards