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Suggest Treatment For Fluctuating High And Low Body Temperature
My three and a half year old daughter spiked a fever Monday night of 102.7degrees. Then at 3:30 in the morning, she woke up coughing and has continued to have a cough. Went to doctor s on Tuesday morning, lungs, ears, and throat were clear - doctor said it was a flu-like, cold thing. Tuesday afternoon, she had a fever of 102.3. Wednesday had a fever of 101.5. Thursday no fever, but not quite herself. Friday went to nursery school, seemed to be fine all day, and now at midnight, she woke up crying. We went to her and she was soaking wet, her pj s, pillow, and sheets, all soaked from sweat. Her skin was cold and clammy. I changed clothes, sheets, etc. I decided to sleep with her because I am concerned. As I take her temperature throughout the night, she is about 96 degrees. The low temperature has me concerned. Could this be H1N1 or pneumonia? And at what point do I call an ambulance with such a low temperature?
Tue, 14 Apr 2020
Hi,
As her fever and cough has come down, you need not worry about H1N1 or pneumonia at this point. In cases to be worried, she will develop breathing difficulty / sever lethargy / poor oral intake. It is common for children to have few episodes of crying during recovery from a flu- the commonest explanation for this is eustachian tube dysfunction causing negative ear pressure/serous otitis. This will respond to paracetamol or ibuprofen if severe, along with a nasal decongestant., both three times a day for 2-3 days.
Any severe pain can cause excessive sweating followed by transient hypothermia, as an autonomic feature. So just wipe it off and cover her in blanket- measure temperature after 1 hour- mostly will be normal. You need to take her to doctor only if temperature remains low or she develops the above said warning signs.
Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Muhammed Aslam T. K., Pediatrician
As her fever and cough has come down, you need not worry about H1N1 or pneumonia at this point. In cases to be worried, she will develop breathing difficulty / sever lethargy / poor oral intake. It is common for children to have few episodes of crying during recovery from a flu- the commonest explanation for this is eustachian tube dysfunction causing negative ear pressure/serous otitis. This will respond to paracetamol or ibuprofen if severe, along with a nasal decongestant., both three times a day for 2-3 days.
Any severe pain can cause excessive sweating followed by transient hypothermia, as an autonomic feature. So just wipe it off and cover her in blanket- measure temperature after 1 hour- mostly will be normal. You need to take her to doctor only if temperature remains low or she develops the above said warning signs.
Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Muhammed Aslam T. K., Pediatrician
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