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Child having repeated on and off fever, tiredness inspite good sleep, stomach cramps and persistent cough. Viral infection?

My 11 year old daughter developed a fever 7 days ago. Friday through Monday it ran between 102 and 103, but would come down around 100 with tylenol or motrin. She also developed a cough and complained of a headache . Her fever came down during the week, but she has been complaining of stomach cramps and still has the cough. On the following Thursday, her fever is back up around 102. She is a very active girl who dances about 10-15 hours per week. In addition to the above described issues, she has been exhausted despite getting her normal 10 hours a sleep a night. Should I assume it s a virus of some kind and let her ride it out or should I take her to the doctor and have her evaluated?
Asked On : Mon, 23 Apr 2012
Answers:  1 Views:  44
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Pediatrician 's  Response
Hello jolsons
I saw your question just now ( Friday june 29th 9:30 pm Indian time). Though it is late for your child, this being in the public forum, I thought others may find some aspect of the answer appropriate to them.
This child needs evaluation if the fever lasts for more than 24 hours.
Let me explain. The first fever from monday to friday is viral fever which recurred after 72 hours. Still viral fever is a possibility. We call this second peak, but the second peak in viral fever will not last more than 24 hours and in general does not touch 102.
Ibuprofen can cause stomach cramps ( mortin). May be your child needed antacids at that time.
Pain due to ibuprofen is above umblicus and in the middle associated with nausea.
Urinary infection can present with fever and stomach pain.
We have to explain the cough. Cough can occur in viral fever and it takes upto 2 weeks for it to be cleared.
We give antibiotics : if sputum is yellow.
Exhaustion also needs to be explained. Post viral child can be exhausted so also anaemia.
If the child had appeared pale with exhaustion, then medical evaluation is a must
In conclusion, second spike of fever lasting for more than 24 hours needs evaluation.
with regards
Answered: Fri, 29 Jun 2012
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