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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever With Small Red Dots On Tongue?

Hi, my 4 year old son has been complaining of having a sore neck and leg muscles for the last few days. He has also mentioned having a headache and has been a very pale colour too. He seems lively enough and remains active but today he has small blisters on the end of his tongue along with small red dots along the surface of it mostly at the sides. He had a temperature yesterday which seems to have subsided now but any opinions / treatment suggestions you could offer would be greatly appreciated? Thanks!
Thu, 9 Jul 2015
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Pediatrician, Pulmonology ,  's  Response
Hi...By what you quote this looks like viral illness. At he same time - spots on tongue too can occur in viral illness due to stress or due to viral illness itself. if the kid is active nothing to worry about it.

Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.

Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.

Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
Dr. Sumanth MBBS., DCH., DNB (Paed).,
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What Causes Fever With Small Red Dots On Tongue?

Hi...By what you quote this looks like viral illness. At he same time - spots on tongue too can occur in viral illness due to stress or due to viral illness itself. if the kid is active nothing to worry about it. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn t require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Dr. Sumanth MBBS., DCH., DNB (Paed).,