Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
200 Doctors are Online

Child with recurring high fever, no pain or infection. Done blood work, urinalysis. What is the cause?

My three year old keeps getting high fevers that last for a few days. They will go up to 105.3 and I can get them down but then right back up. I have had three diffrent doctors tell me three diffrent things. There are no other symptoms of infection , no pain, and no indication of illness . They have done blood work, urinalysis , and checked for all the common things. She has done this since she was an infant .
Asked On : Tue, 22 May 2012
Answers:  1 Views:  131
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Pediatrician 's  Response
Hello christine.williams29,
I saw your question posted on may 22 only now ( July 1). Though, clearly late, the answer may be useful to few in public fourm.
Fever above 104 is high grade. This will be frightening to parent and pediatricians alike.
If after giving paracetamol two things should happen. The child's activity should go up. Temperature should come down for few hours. Even if it rises again,doesn't matter. Then this is an illness which will get resolved on its own ( viral fevers ) or with drugs.
Second step is to decide whether the child may require antibiotics.
Antibiotics are given for bacterial infections. ( Strictly speaking it includes the anti viral and anti fungal drugs we have and rarely used in otherwise healthy children)
What are the evidence of bacteria?
1. Skin : boils, cut wounds with pus
2. Jointis: Arthritis: pain ful joints , not able to move
3. Eye: lids swollen with pus (stye)
4. Nose: 10 days leaking nose or nasal tip redness
5. Mouth: Tooth cavities infected, gums swollen and painful and our tonsillits
6. Neck: Big glands which are painful, just below the jaw bone, below the ear , back and sides of the neck
7. Chest: evidence of pneumonia . Very fast breathing ( as if the child had participated in a running race). This can be seen by parents, but can be confirmed only persons with training. Sputum brought out by cough is yellow in colour
8. Urine painful so urine microscopic examination performed by a competent person shows pus cells or urine coulture is positive for bacteria with a colony count of 100,000
9. Blood in the stools.
10. Blood test positive for infections: eg. Typhoid.
If there are no additional symptoms, we can wait. We need to do periodic growth assesment.
Your child weight, height, head circumference, chest circumference, mid arm circumference should be appropriate for the age.
If a person has loans, he cannot save. Similarly if a child has disease, it will not grow. Conversely if the growth of the child is normal then all is well.
There are what is known as collagen vascular disorders
they present as recurrent episodes of fever.
Blood ESR will tell whether they may be present or not.
Here in India Tuberculosis tests will be done
with best wishes
Answered: Sun, 1 Jul 2012
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor