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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Frequent Fever And Vomiting In A Child?

my 23 month old daughter gets sick about once a week, vomiting and high fever. We take her to the doctor, they check ears, flu, strep and even pnemonia, always negative. The say must be a virus. Usually goes away in about a day, but then happens again the very next week. She is not in daycare. She stays home with father and 4 year old sister. Why might she be gettin sick so often? Do I need to take her to the doctor every time?
Tue, 26 Dec 2017
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Pediatrician, Pulmonology ,  's  Response
Hi...by what you say I feel that your son is having recurrent viral illness.

I will explain you how a viral illness behaves so that you can be more confident.

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.

Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.

KIDS GOING TO CRECH ARE MORE PRONE TO THIS SORT OF RECURRENT VIRAL ILLNESS.

Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 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.
For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days.
For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion.

Regards - Dr. Sumanth

Regards - Dr. Sumanth
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What Causes Frequent Fever And Vomiting In A Child?

Hi...by what you say I feel that your son is having recurrent viral illness. I will explain you how a viral illness behaves so that you can be more confident. 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. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. KIDS GOING TO CRECH ARE MORE PRONE TO THIS SORT OF RECURRENT VIRAL ILLNESS. Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 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. For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion. Regards - Dr. Sumanth Regards - Dr. Sumanth