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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes On And Off Fever Symptoms In A Child?

my son is 5 years old and he is suffering from on and off fever since 2 to 3 months .he was having cold and fever and we used antibiotics and it used to come down, but again he used to get fever ,so we got him done a widal test . it was positive. since two days he is on the course for typhoid fever. he used to take diet normally during fever also. may be he had infected with typhoid 2 months back. now will there be any complications and will he become a carrier? please reply me soon. i am very much tensed about that.his WBC COUNT IS 16000 cells/mm3.
Fri, 8 Jul 2016
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Pediatrician, Pulmonology 's  Response
Hi...Thank you for consulting in Health Care magic.

By what you quote it could be recurrent viral illness. I will explain you how a viral illness behaves.

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.

Regards - Dr. Sumanth
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What Causes On And Off Fever Symptoms In A Child?

Hi...Thank you for consulting in Health Care magic. By what you quote it could be recurrent viral illness. I will explain you how a viral illness behaves. 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. Regards - Dr. Sumanth