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Child with high fever, fatigue, tepid sponging - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Hello
Doctor :   Hello
User :   My Nephew who is 6 years old
User :   has come to visit me in Hyderabad from Kolkata
Doctor :   ok
User :   he came in late last week
User :   but from Monday evening he has high fever
User :   tonight his fever has touched 103
User :   we consulted a local paediatrician here
Doctor :   ok
User :   she said this could be Viral Fever + Stomach Infection
User :   so he has started taking medicines from yestrday
User :   but no signs of improvement as of yet
User :   my nephew is generally very weak
User :   he weighs just 19kgs
Doctor :   any infection, viral or bacterial, will first deteriorate, and increase in symptoms
User :   and often has stomach problems even back in Kolkata
Doctor :   even if treatment is started, for the medicines to show their effect, it will take at least 3 days
Doctor :   since its just over one day, of treatment, there is no need to be alarmed about
Doctor :   may i know what exact symptoms does he have other than fever
Doctor :   Are u there ?
User :   urination is less compared to the level of fluid intake, no symtoms of bowel for the last 2 days....
User :   the doctor says there is a bloating in the stomach
Doctor :   any cough, breathing difficulty ?
User :   none
Doctor :   ok
Doctor :   there is no need to worry
Doctor :   at this time, is he having any diarrhea ?
Doctor :   or abdominal pain ?
User :   no pain as such...but inclination towards having food.... he does'nt feel like eating anything
Doctor :   thats ok,
Doctor :   that is coz, he has fatigue due to the infection
Doctor :   give him anything he wants to eat and adequate amounts of soups, and solution of ELECTRAL
User :   do u think its a stomach infection?
Doctor :   all the symptoms will subside in another 48 hours
Doctor :   yes, bloating , anorexia, etc are signs of viral gastroenteritis
User :   we are concerned due to the rising temperature...
Doctor :   that is not to worry
User :   wat should be his diet?
Doctor :   fever upto 103 F is good, and is indicator of the body acting to cure the infection
Doctor :   so give him crocin syrup, every 4-6 hrs and cold sponges
Doctor :   you need to relax, and just give time to heal
Doctor :   no need to rush up things,
Doctor :   he will be fine soon
Doctor :   Diet - soups, bread , toast, jam, etc
Doctor :   milk and fruits will also help
User :   he has been prescribed with the following medicines: meftal-T suspension, mpnocef-o,neutroline-b
Doctor :   you can continue the same
Doctor :   this is a combination of fever reducer, antibiotic and a nutritional supplement
User :   which one of the same is for reducing high fever?
Doctor :   continue the same
Doctor :   meftal T
User :   sorry its actually meftal P
Doctor :   Yes, that is fine
Doctor :   p - stands for paracetamol
Doctor :   T sometimes - is used instead (temp reducer)
User :   Ok
User :   so , if the temperature rises during the night should i give him another dose of meftal P?
Doctor :   yes
Doctor :   totally upto 6 doses of paracetamol can be given safely
User :   in a day?
Doctor :   or, just give him whole body cold sponges
Doctor :   yes, 6 doses in 24 hrs
User :   i gave him once today moring
Doctor :   u mean cold sponges >?
User :   yes
Doctor :   this is given not once a day or twice a day , i mean cold sponges
Doctor :   as long as he has a high temp, the cold sponges should continue
Doctor :   give him a bath., in normal water, so that his body temp reduces
User :   ok
Doctor :   I hope u have understood my advice
User :   what exactly is a cold sponge can u please elaborate....i thinkam a lil confused
Doctor :   let me give u a link or a video, to see how cold sponging is given
User :   ok
Doctor :   the site has all the details about cold sponges and also a video describing it
User :   ok thank you
Doctor :   You are most welcome
User :   bye
Doctor :   take care and have a good night
Doctor :   bye for now
User :   good night
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