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Child fever,vomitting - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   My child who is 2.6 years old is down with fever (102-103) since Saturday, with no other symptoms. Our doctor prescribed Meftal P to be given every 6th hour along with Azimax (once a day at night).. Just now after giving her Meftal P, she vomited immediately and I could see some of the syrup in the emesis (vomit)..
My question is, should I give her another dose of Meftal P or any other Paracetamol Syrup?
Doctor :   Hi
Doctor :   Let me read your query
User :   Hello Dr.
User :   Please.. take your time.
Doctor :   Yes she will require another dose of Meftal P
Doctor :   was Azimax also given
User :   No, that was given at around 8:30pm.. hence I guess that has not been part of the vomit.
Doctor :   Ok
Doctor :   But meftal p was vomitted immidietly ?
Doctor :   Is she running temperature even now?
Doctor :   You can also do some Tepid sponging to reduce temperature
User :   However, I must confess that I spoke to one of my friend (a medical store owner) who suggested not to give Meftal P, instead give her 3.5ml of Calpol (Paracetamol).. which I did.. Now should I give her Meftal ...?? (Answers to your queries: Yes meftal was vomitted after approximately 3 to 4 mins... No, she hasn't any temparature now.. had till 9:00 pm before giving Meftal)
Doctor :   See Meftal is nothing but painkiller releives the body pain and paracetomol will reduce Fever
User :   (Did Sponging this evening, because after every 4 hours, she had the temparature, which gave her some relief)
Doctor :   Ok
User :   Oh, but then why did my Doc. prescribe Meftal when she was having 103 yesterday evening.. (we started from Saturday night)
Doctor :   So if she complains pain along with fever thyen Meftal P will help or else Paracetomol will do
User :   Wouldn't paracetamol worked then ?
Doctor :   Yes
Doctor :   But in such high temperature will have severe body pain associated
User :   So, now I've already given her 3.5ml of Paracetamol.. Would this be enough ?
Doctor :   Yes
Doctor :   2.5 ml is sufficient
User :   Okay fine. I was kind of worried, if I had over dosed her :)
User :   Already gave 3.5 ml .. is that okay ?
Doctor :   Thats ok but not more than four doses a day
User :   Okay.. but since Meftal P was advised every 6th hour (if she has temparature, which she had every 4th or 5th hour since yesterday night), the next schedule is around 4:00 am in the morning. If she has temperature, should we give Meftal or Paracetamol ?
Doctor :   Paracetomol will do if only fever is present
Doctor :   Its dose is 2.5 ml Sixth hourly
Doctor :   You can reduce the dose if fever subsides make it thrice a day
User :   Okay.. Just to let you know my daughter is 2.6 years old, 13.5 kigs in weight. So, would 2.5ml suffice ?
User :   ok.. fine.
Doctor :   Yes
Doctor :   Is there anything else i can help you with?
User :   Oh, I was always giving her 5 ml (Calpol 250 mg).. Was I wrong in giving her 5 ml ?
Doctor :   If it s strenght is 250 ml then its fine
User :   Thats all.. Just wanted to make sure that after her vomit, I gave her Paracetamol 3.5 ml.. and if that is okay ?
Doctor :   But calpol is usually more available in 500
User :   Its 250 mg
Doctor :   So be carefull not to overdose her
Doctor :   Paracetomol is very injurious if excedded in dose
User :   Okay, so for now, until 4:00 am (Monday) .. I should not give her any medicine.. right ?
User :   Oh.. and is the injury readily visible .. or it effects the child later ?
Doctor :   If she has no fever you can skip the dose
Doctor :   Its affects later part
User :   ok thanks for that helpful advise.
User :   Oh ok.. I'll be careful not to overdose.
Doctor :   It was my pleasure helping you
Doctor :   wishing her a speedy recovery
Doctor :   'Thanks for consulting me
User :   It was indeed my pleasure (and a great sigh of relief) to have such a "system".. I had already called my doctor several times today and didn't want to bother him at this hour. So this has helped me a lot.
User :   Thank you Dr. Good night !
Doctor :   Gud nt
Doctor :   Bye for now
User :   Bye.
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