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High fever, meftal and crocin alternately, fever persists, shampooed, sleeping without food, urine test negative, augmentin, itching in the anal area, de worming ,zentel - 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 : 2004
Answered : 40 Questions
Doctor :   Hi,
User :   Hi Doctor, this is regarding my 3 years old daughter
User :   she has cold cough for past 1 week to 10 days
User :   suddenly last Friday she had hig fever
User :   her pediatric asked to give meftal and crocin alternately
Doctor :   Ok,
User :   i did that and in 2-3 days she was OK...fever didnt return bac
User :   and though her pediatric prescribed antibiotics also if fever persists but
User :   it was not required
User :   cold cough is still there but better
User :   now yesterday we
User :   gave her a headbath with shampoo because we didnt do that for past so many days because of her cold....and immediately after head wash I dried it up with Hair dryer
User :   she was perfectly fine
Doctor :   Ok
User :   but she was very sleepy and in teh evening around 6pm she slept without easting anything
User :   llunch she had at 2 pm and juice at 5 pm
User :   I just saw she again has 100 fever
User :   gave her crocin again
User :   but does this happen?
User :   is it because of thehead bath she again got fever?
User :   what should be our next step?
Doctor :   How many episodes of fever have you recorded since the head bath ?
User :   one
User :   just now
Doctor :   Ok I would ask you to wait for other 6 hours and watch for fever
User :   or is it because of empty stomach? though she slept without food couple of times earlier also
User :   ok Doc
User :   In case it again comes then this time do we need to give antibiotics?
Doctor :   since you have given her crocin it will take care of the fever triggered by the head bath as a part of heat regulation which occurs after a head bath after a long gap
Doctor :   Yes, you are right
Doctor :   If the fever is seen after 6 hours again giving her antibiotics is a right choice
User :   we gave her head bath caz her hair was smelling and had became sticky with sweat
Doctor :   I agree , giving bath is a must to prevent fungal infections
User :   her pediatric had prescribed augmentin which we didnt give as she was OK in 2-3 days...Can I give teh same?
Doctor :   yes, Augmentin will do
User :   though we just used to wet her hair from the front to keep her head cool but didnt wash it completely for 1 week
User :   ok Doctor
User :   we had sone a urine test also but it was negative
Doctor :   thats fine
User :   do we need a blood test or straight we can start augmentin if fever comes again
Doctor :   I dont see any need for the tests
Doctor :   you can start on the antibiotic
User :   but does this happen that fever relapses in kids like this ?
User :   in 3 days fever goes and again comes back in next 2 days?
Doctor :   yes, its very common
Doctor :   the virulence of the infection waxes and wanes in many of the infections
User :   is antibiotics harmful for kids?
User :   why doctors generally avoid that?
Doctor :   Antibiotics are avoided to prevent resistance which develops in the bacteria if they are frequently used or misused
Doctor :   this leads into frequent infections and failure of the antibiotic which is used frequently
Doctor :   and some do have sideeffects of their own
User :   can u suggest anything agaist antibiotics I mean something like sporlac for kids
User :   which is given to protect good bacteris in stomach after antibiotics are give
Doctor :   I would be fine with augmentin alone
Doctor :   as it does not harm the baby in that way
Doctor :   only mild gastric upset is what expected
User :   ok
User :   one more thing doctor...we feel she has worms also caz she was complaining of itching in her anal area and doesntw ant to eat these days...though I had given her deworming syrup 6 months back can I give her again now?
User :   is it safe?
Doctor :   yes,
User :   which one doc ?
User :   6 months gap is OK?
Doctor :   Its regular course is 6 months ones
Doctor :   I meant the deworming
User :   ok
Doctor :   Is there anything I can help you with ?
User :   what should be teh dosage of syrup?
User :   zentel?
Doctor :   May I know the weight of the kid ?
User :   17 kgs
Doctor :   You can give 200 mg
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