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Child. Recurring fever and ear infection. On amoxicillin and ibuprofen. Advice - Online Doctor Chats

Date : 11-Jun-2013
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:hello doctor
Doctor:Good afternoon
User:good afternoon
Doctor:I am Drxxxxxxx
User:Hello Dr
Doctor:How can I help you today?
User:I am travelling with my family to the US
User:my son has been having high fever since 3 days.
User:From Thursday onwards
User:I am currently in the US and met a physician in the day time today in the US
User:He was diagnosed with mild ear infection
User:and prescribed Amoxicillin oral dose once every 12 hours
User:They also prescribed 2 medications for fever
User:1) IBUPROFEN based ( recommended every 6 hours)
User:or 1) Acetaminophen based.
User:doctor advised to use either of the two
User:we were using Ibuprofen..
User:but fever seems to recur each time.
User:we are not able to wait for another 6 hours
User:within 4 hours fever shoots up to 102.5
User:i wanted to understand whether to continue with the doses or switch over to the other one
Doctor:How old is your son?
User:2 years 8 months
User:weight : 13+ kgs
Doctor:Actually Ibuprofen based is advised for pain and Acetaminophen mostly takes care of the fever
User:ok we now gave him P-250 which I believe is the latter
Doctor:If he has pain in ear then go ahead with Ibuprofen, if fever is the problem he is having then switch to acetaminophen
Doctor:Is the fever getting controlled with it?
User:he never complained of pain.
User:the doctor diagnosed some infection
Doctor:Ok....I get the whole scenario..
Doctor:The antibiotics are taking care of the infection.
User:we had given IBuprofen dose at 7PM US time
Doctor:We need to take care of the fever until infection is under control.
User:and by 11:30 fever XXXXXXX to 103.1
User:11:30PM I mean
Doctor:Yes, I would advise that give him acetaminophen
User:the anti-biotic dose was given 9 hours back
Doctor:four times a day
User:and it was the first dose
User:he has had only 1 dose
User:of anti-biotic
User:doctor advised to give once in 12 hours
Doctor:Yes, antibiotics work fast...thus his infection is getting under control
Doctor:Continue the antibiotics
User:but fever is not subsiding
Doctor:When did you give acetaminophen last?
User:since morning we gave 2 doses of Ibuprofen
User:just 10 minutes we gave P-250(Acetaminiohen )
Doctor:I think 3:17 am there
User:It is 00:17 hours in Pacific time
User:we have both P-250 and Meftal as well
User:which one should be preferred? should work in a few minutes
User:Is meftal also acetaminophen based?
User:typically how many days fever lasts?
Doctor:No, Meftal seems to be another medicine
Doctor:Usually it lasts 2-3 days.
User:today is the third day
Doctor:Also try sponging with wet cloth.
Doctor:Don't wrap him in warm clothes.
User:ok we are doing the sponging
Doctor:I meant 2-3 days after starting of antibiotics.
User:we were worried because today morning fever shot up to 105. that is when we had rushed to physician
User:here in the US
Doctor:Give P-250 every 4-6 hours until fever is under control.
Doctor:How did you measure the fever?
User:should we wait for fever to rise
User:or give it every 4 hours
User:arm-pit measure and added 1degree to the measure.
Doctor:Give every 4 hours initially.
Doctor:and when the fever is under control then you may space it out.
Doctor:Give antibiotics some time to work.
User:fever is still 103.3
Doctor:It is the best thing to control infection.
User:10 minutes after giving of P-250
Doctor:If you feel that fever is getting controlled with antibiotics and P-250, then you may visit doctor in the morning.
Doctor:If it is not getting controlled then visit the doctor.
User:ok you mean *not* getting controlled
User:ok fine
Doctor:Sorry for the mistake.
User:no problem
Doctor:Usually doctors in US like to give 2-3 days time from start of antibiotics.
User:the next anti-biotic dose is due in next 1.5 hour
User:we gave that just over 10 hours back
User:also he is not eating much
Doctor:My suggestion is that you don't panick
Doctor:Try to control the fever with acetaminophen.
Doctor:Yes, give him nutritious diet.
Doctor:If fever seems to be very high then visit the physician earlier.
User:ok doctor
Doctor:Can I help you with anything else?
User:thanks for your assistance
User:have a nice day
User:no other questions
Doctor:Hope I could help.
User:yes thanks. we feel better especially in a foreign land.
Doctor:Please log-in again if you have any more queries
User:thank you
User:ok thanks
Doctor:I can understand.
User:thanks I will end the chat session then
Doctor:Thankyou for asking the query
Doctor:Wish your son a quick recovery.
User:thanks bye
Doctor:Bye for now.
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