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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurring High Fever In A Child?

Hi doctor my 3.5 yrs daughter has complaint of striking high fever since she is born ..she gets fever around 102 degrees or more thrice in a month..doctor always gives antibiotics and ibugesic pls and mefkind p .from which she gets free from fever within four days.but again after 10 to 15 days she is feverish with cough and cold.please help as fever is affecting her health and studies too.
Wed, 22 Oct 2014
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Pediatrician, Pulmonology 's  Response
Hi...by what you quote I feel that your kid is landing up in recurrent viral illness. I would like to know more about her growth and development and if she had any major hospitalizations or serious bacterial infections till now. If these are not there, you need not worry and it could be a viral illness. At this juncture, I would breif you on what a viral illness is and I suggest you stop using Mefkind P. Its is more harmful than useful.
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 every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.
Mefkind-P contains Mefenamic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Mefkind-P.
I have published a letter in a renowned Pediatric medical journal and I am herewith providing you a link to go through it.

medind.nic.in/ibv/t10/i5/ibvt10i5p453.pdf

Regards - Dr. Sumanth
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What Causes Recurring High Fever In A Child?

Hi...by what you quote I feel that your kid is landing up in recurrent viral illness. I would like to know more about her growth and development and if she had any major hospitalizations or serious bacterial infections till now. If these are not there, you need not worry and it could be a viral illness. At this juncture, I would breif you on what a viral illness is and I suggest you stop using Mefkind P. Its is more harmful than useful. 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 every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Mefkind-P contains Mefenamic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Mefkind-P. I have published a letter in a renowned Pediatric medical journal and I am herewith providing you a link to go through it. medind.nic.in/ibv/t10/i5/ibvt10i5p453.pdf Regards - Dr. Sumanth