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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High Fever In A Child

my daughter, 15 months old (9.1 kg), is suffering from high temp. fever ranging from 102 deg F to 106 deg F since last 5 days. Her doctor prescribed Syp. Meftal-P & Syp. Maxtra-P each 5 ml/3 times a day. After 3 days with these two medicines, fever exists same. Usually, the fever comes 7 hours after medicine. Now, yesterday, I went to another child specialist and as per him, its typhoid. This doc suggested for some blood & urine tests and along with that also prescribed Syp. Ziprax-100 (3 ml, twice a day for 10 days), Ibugesic Plus (4.5ml, 4 times a day, SOS/fever). When they tried to take blood sample from by baby in the lab, they failed as my daughter is very naughty and also crying too much. what so ever, after this crying/trying event, doc also suggested to try with Ziprax-100 as per prescription and revisit to doc after 3 days. So far, the Ziprax-100 is given to my baby 3 times i.e. yesterday at 11am, 10pm and today 10am. Please note that my baby had a fever around 100 deg F at 8pm (yesterday) and 7am (today). After medicine (Ibugesic Plus) the goes down. But, now (@11:30am) my baby is feeling very uncomfortable & crying suddenly. What to do ? Please suggest ...... (Should the blod test need to be done immediately ?)
Wed, 27 May 2015
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Pediatrician,  's  Response
Hi
Welcome to the HCM

Its very important to confirm typhoid with blood test such as Widal and blood culture and sensitivity. Widal test comes usually positive after 5-7 days of fever. Once confirmed, typhoid fever requires prompt treatment with antibiotics. If diagnosed in its early stages, the condition is likely to be mild and can usually be treated at home with a 7 to 14-day course of antibiotic tablets.

If fever doesn't respond to the given drugs in 2-3 days, you may start azithromycin along with Ziprax with your pediatrician.

More serious cases of typhoid fever usually require admission to hospital so antibiotic injections can be given.

With prompt antibiotic treatment, she will start to feel better within a few days.

For further questions, do contact us.
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Suggest Treatment For High Fever In A Child

Hi Welcome to the HCM Its very important to confirm typhoid with blood test such as Widal and blood culture and sensitivity. Widal test comes usually positive after 5-7 days of fever. Once confirmed, typhoid fever requires prompt treatment with antibiotics. If diagnosed in its early stages, the condition is likely to be mild and can usually be treated at home with a 7 to 14-day course of antibiotic tablets. If fever doesn t respond to the given drugs in 2-3 days, you may start azithromycin along with Ziprax with your pediatrician. More serious cases of typhoid fever usually require admission to hospital so antibiotic injections can be given. With prompt antibiotic treatment, she will start to feel better within a few days. For further questions, do contact us.