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Fever, given tylenol, 5 years - 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,
My daughter is running a fever of 103.00. She threw up twice last night and is complaining for sore legs. We have all been sick for weeks and my wife has a stomach virus now. I gave her tylenol a few hours ago and it knocked down the temp, now its back. Should we visit urgent care or is this something that will run its course. She says she feels ok, but isnt eating allot but is drinking occasionally. She has had the fever about 8 hours.
Doctor :   Hi
User :   Hi Doctor
User :   She is 5 years old
Doctor :   May i know the dosage of tylenol you gave her ?
User :   sure 1 TSP
User :   per the bottle
Doctor :   the syp composition please? i ,mean how many mg /ml of the syrup
User :   one sec let me check
User :   5ml
Doctor :   ok,
Doctor :   How many hours has it been after giving the syrup ?
User :   I gave her the syrup 4 hour ago, and it seems to have worn off
User :   her fever before was 102.8
Doctor :   ok, you can repeat the syrup again ( 5ml )
User :   or 39.0000 degree Celsius
User :   should I use Ibuprofen?
Doctor :   the action of tylenol lasts not more than 4 to 6 hours
User :   and should we take her to the doctor or just use the syrup
User :   for now
Doctor :   no pct ( tylenol )alone will do
Doctor :   better go for a 4 hour dose
User :   every 4 hours?
Doctor :   yes, but not more than 5doses per day
User :   ok. When and if would it be appropriate to bring her to the doctors
Doctor :   you can give her about 1.5gms of pct( tylenol ) over 24 hours
Doctor :   even after giving 4th hourly dose the fever do not touch the baseline temperature, she may have to be put on antibiotic , it is then you have to visit your doctor
User :   ok so I understand if we give her 4 or so doses and the fever is not nearing regular then bring her to the doctors
User :   is this correct?
Doctor :   yes,
User :   One other question at what temperature would constiture a visit, 103 is fine it seems if it climbs higher would that expect a trip
Doctor :   childrens in general present with high temperature when compared to adults d7e to low body surface area
Doctor :   due*
User :   oh ok
User :   great thank you for your help
User :   Thank You doctor
Doctor :   any thing till 104. is ok
User :   ok great
Doctor :   you are welcme
Doctor :   thanks for c0nsulting me , kindly provide your feedback
Doctor :   Bye for now
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