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Fever, Loss Of Appetite, Thirsty And Extremely Tired, No Pain, No Sore Throat
Many seven year old is running fever . (101.4) He has been running fever off and on for two days now. His other symptoms include, loss of appetite , thirsty and extremely tired. He does not usually volunteer to go to bed but has taken a nap two days in a row! He has also gone to bed early! He cries that he is so tired. He has no pain any where, no sore throat, no ear pain.
Tue, 5 Nov 2013
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1. Most fever encountered in general practice are viral, self limiting and require only symptomatic treatment, but before labelling fever as viral, one must look for [as a compulsory routine] pallor, jaundice, neck stiffness, Abdomen for liver and spleen and auscultate the chest. [although sore throat, ear pain is excluded].
2. is there any running epidemic [malaria, influenza, viral hepatitis or typhoid in the locality], check with the cause or with suitable laboratory investigations].
3. Your General Physician/ Pediatrician will try to find out the cause of the fever by evaluating the associated symptoms.
PS
i. simple viral fever do not require antibiotics.
ii. if fever does not reduce within 3-4 days of empirical treatment, investigate in details [ Hb%, WBC, ESR, Peripheral smear, Urine -routine and culture, Widal test] or consult a Physician.
iii. till further guided, do the following
. bed rest with blanket, semi solid or liquid diet, avoid exposure to wind, avoid bath- only sponging, avoid cold drinks, cold water
. take soft food- soft rice with milk, plain daal, boiled vegetables, take plenty of water and fluids every 2-3 hours [take plain water, lime water, coconut water or electral water]
. give bread butter, toast jam, fruits like [apple, banana, pear, water melon], you may also take dry fruits and biscuits.
iv. loss of appetite and tiredness are associated symptoms of fever [unless sue to some secondary cause]
1. Most fever encountered in general practice are viral, self limiting and require only symptomatic treatment, but before labelling fever as viral, one must look for [as a compulsory routine] pallor, jaundice, neck stiffness, Abdomen for liver and spleen and auscultate the chest. [although sore throat, ear pain is excluded].
2. is there any running epidemic [malaria, influenza, viral hepatitis or typhoid in the locality], check with the cause or with suitable laboratory investigations].
3. Your General Physician/ Pediatrician will try to find out the cause of the fever by evaluating the associated symptoms.
PS
i. simple viral fever do not require antibiotics.
ii. if fever does not reduce within 3-4 days of empirical treatment, investigate in details [ Hb%, WBC, ESR, Peripheral smear, Urine -routine and culture, Widal test] or consult a Physician.
iii. till further guided, do the following
. bed rest with blanket, semi solid or liquid diet, avoid exposure to wind, avoid bath- only sponging, avoid cold drinks, cold water
. take soft food- soft rice with milk, plain daal, boiled vegetables, take plenty of water and fluids every 2-3 hours [take plain water, lime water, coconut water or electral water]
. give bread butter, toast jam, fruits like [apple, banana, pear, water melon], you may also take dry fruits and biscuits.
iv. loss of appetite and tiredness are associated symptoms of fever [unless sue to some secondary cause]
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