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During high temperature sponging and using cold water can help - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2009
Answered : 675 Questions
Doctor :   Hi,
User :   Hello DOctor
User :   HI , Doctor, My son aged 17 months having high fever (vomitted 4 times since yesterday ) and loose motions since evening. gave Maftal-P for fever and Ofloxacin, emeset, along with Oral Solutions as suggested by Paediatrician. To control fever giving cool pack ( cotton cloth dipped in water). but still fever is high . any solution ?
Doctor :   Have you recorded the temperature ?
User :   nope. but by sense I can see it is high..
Doctor :   ok, May i know dosage of the meftal P you are giving ?
User :   gave 4 ml thrice or four times today
Doctor :   i would ask you to stop meftal P and give him SYP IBUGESIC 250 5 ml thrice daily
Doctor :   after food
User :   ok.
Doctor :   he needs extra paracetamol dosage , continue tepid sponging
Doctor :   and the other medications
User :   anything else can we do now ?
Doctor :   give him cold water wipes
User :   is that same as sponging?
Doctor :   its very normal for the children of that age to present with high temperature
Doctor :   yes, same as sponging , use cold water
User :   ok. I 'm thinking if same fever taking him to emergency to hospital for any injection or something to control fever..
Doctor :   its ok, you can wait until the temperature reaches 104 degree f
Doctor :   anything above that may need injection
User :   ok.
Doctor :   and feed the child with soft foods only
User :   giving him only lactogen & ORS liquids.
Doctor :   thats fine
User :   is it normal to have high fever?
User :   as you mentioned?
Doctor :   in infections , yes
User :   ok. got the urine analysis done as urine is yellow
User :   salts are absent
Doctor :   ok,
User :   and lecucocytes 2-3
User :   and other is 5-6
Doctor :   ok,
Doctor :   the report is fine
User :   that is infection only right?
Doctor :   no, the report you mentioned do not say there is urinary tract infection
Doctor :   i suspect infection in his stomach and intestines , as he has the symptoms which give a clue
User :   Motile bacteria is +ve
Doctor :   oh , ok
Doctor :   please complete the report
User :   epithelal cells is 5-6
Doctor :   ok,
User :   that's all
Doctor :   Motile bacteria is +ve is a sign of infection
Doctor :   well the antibiotics he is on will take care of it
User :   stomach or urinary?
Doctor :   both could be a chance here
User :   ofloxacin is the anti iotic
User :   ?
Doctor :   yes, it is
User :   he is passing very less urine
Doctor :   ok, this may be due to water loss in loose stools , hydrate him well , continue the ORS
User :   ok thanks doctor
Doctor :   you are welcome
Doctor :   Thanks for consulting me
Doctor :   Bye for noe
Doctor :   take care
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