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Medication for continuous fever, treated for UTI and typhoid - 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 : 2567 Questions
Doctor :   Hi
Doctor :   I am Dr. here
User :   hello
User :   My son ( age 15 ) had fever about 2 months back on 2/3/2010. Paracetemol was given and the doctor advised blood & urine test
User :   urine & blood report came on 10/3/2010 . Urine report : Pus cells were 4-6.
Doctor :   Ok
User :   Treated for urinary infection. ( antibiotic- Zufi 200mg )
Doctor :   Ok
User :   Fever continued. antibiotic continued. The doctor advised urine routine and culture test.
Doctor :   Ok
User :   Report came on 31/3/2010 Urine report : Urine culture no growth Pus cells 1-2
Doctor :   Ok
User :   Fever continued. As the boy had school examination, only paracetemol was given .
Doctor :   4-6 pus cells also does not suggest any infection as such
User :   After school examination, paracetemol was stopped and temperature was noted . Fever was there. Doctor advised for Blood culture, TCDC,Widal, LFT, Urine routine, U/ Scanning of abdomen and pelvis.
Doctor :   Ok
User :   Report came on 13/4/2010
Doctor :   Any findings?
User :   Urine report : Pus cells 1-2
User :   U/S report : Liver, gall bladder, pancreas, spleen, kidneys, prostrate â?¦.normal No sonographic abnormality
Doctor :   Fine
User :   Blood test : Liver functionality test : normal Blood culture â?¦no growth
Doctor :   Ok
User :   Antibiotic for Typhoid ( Cifron 500 mg ) with paracetemol was started on 13/4/2010
Doctor :   ok
User :   Up to 19/4/2010 and paracetemol was stopped and temperature was noted. It was going up to 99.8 during noon
User :   Antibiotic was continued up to 29/4/2010 and doctor advised to take blood test and urine test
User :   Urine report : Pus cells 1-2
Doctor :   Ok
User :   Doctor has told typhoid has gone but asked to continue antibiotic for another 3 days and keep a note on temperature.
Doctor :   Right
User :   But yesterday , on 2/5/ 2010, the temperature was normal in morning and started rising and s gone up to 100.2 in the evening and come down.
Doctor :   Ok
User :   If typhoid has gone , why the temperature is not coming down to normal ?
Doctor :   Does he have any other symptoms like stomach pain, headache, vomiting?
User :   no
Doctor :   Ok
User :   yesterdy he vomited
User :   at 10 night
Doctor :   ok
User :   He is taking antibiotic from 13/4/2010 . Still how many days he has to take antibiotic?
User :   he vomited only once yesterdy
Doctor :   You should go as per your doctor's prescription
Doctor :   Now what I suggest is to repeat the Widal again
User :   u say still typhoid is there?
Doctor :   previously also he had 1:80 dilution
Doctor :   which later increased to 160
User :   yes
Doctor :   now again he has it in 80 dilution
User :   can typhoid go for such a long time?
Doctor :   1:80 is inconclusive
Doctor :   Yes typhoid is known for such long durations
User :   cy vomiting?
Doctor :   Now your son should be treated with another course of different antibiotic
User :   y ?
Doctor :   vomiting, does happen due to gastritis
Doctor :   due to antibiotic usage
Doctor :   that shall subside
User :   cifron 500 is not good ?
Doctor :   he shall need good antigastric medications for that
Doctor :   ask your doctor for that
User :   cifron 500 is not good ?
Doctor :   cifran 500 has been completed
Doctor :   for more than 15 days now
User :   yah...
Doctor :   so another antibiotic shall be necessary
User :   can u suggest? same i will discuss with my doc?
Doctor :   Do talk about Cefixime with your doctor
Doctor :   that is a potent antibiotic against typhoid
User :   ok
User :   what about diet ?
Doctor :   and paracetamol
Doctor :   you should use
Doctor :   No dietary restrictions
Doctor :   should take hygienic food
User :   temp is not going above 100 now
Doctor :   no outside foods especially chats, juice centers and icecreams
User :   paracetemol necessary?
Doctor :   Are you checking temperature from mouth?
User :   doc told to observe without paracetemol
User :   yes..hourly once
Doctor :   Ok
Doctor :   anything above 99 should be given paracetamol
User :   it is startng frm 99.2 going up to 99.9 or 100 then comes back
Doctor :   then he should be givne
User :   mild paracetemol?
Doctor :   99 and below is fine
User :   like wikoryl?
Doctor :   Normal paracetamol dosage you should give him
User :   ok..
Doctor :   crocin 500 mg is good enough
Doctor :   should not be more than 4 times per day
User :   if paracetemol is not givn as suggested by my doc what happens?
User :   with paracetemol we cannt observe temp
Doctor :   Ok
Doctor :   what has your doctor suggested as?
User :   no paracetemol..observe temp
Doctor :   Ok
User :   is it ok?
Doctor :   till what range should you avoid it?
Doctor :   as per his advice
User :   100.5
User :   but it is going only up to 100.1
Doctor :   I dont see any reason behind it
Doctor :   If he is still having fever
User :   if paracetemol is givn temp comes down
Doctor :   then there is something which has to be treated
User :   we cant observe the pattern
Doctor :   that itself is an indication
Doctor :   And one more thing which I have observed in my practice is
Doctor :   that fluid defeciency also causes such high temperaturs
Doctor :   especially during hot climates
Doctor :   so you should replenish him
User :   he takes plenty of barley water
User :   tender coconut
Doctor :   with good amount of fluids
User :   etc
Doctor :   also electral
Doctor :   is required
User :   yes
Doctor :   to replenish the minerals as well
Doctor :   let him take electral water
User :   yes...
Doctor :   instead of normal water
Doctor :   for 3 days
User :   he takes enerzol daily 5 times
Doctor :   Ok
User :   barley water 6 times
Doctor :   fine
Doctor :   then
User :   tender cocnut 5/ dy
Doctor :   dehydration is not a problem
User :   yes
User :   he will be ok in how many days doc? we are worried
Doctor :   I understand your concern
Doctor :   You should ask your doctor
Doctor :   regarding another course of antibiotic
User :   yes
Doctor :   and with that he shall be ok within 3-4 days
User :   ok..
Doctor :   but the course shall be completed fully
User :   ok..
Doctor :   for 15 days(as per your doctor's suggestion)
User :   ok
User :   Cefixime
Doctor :   Right
User :   500 mg?
Doctor :   Talk to your doctor about it
User :   is it better thn cifran 500?
Doctor :   He shall help you with the dosage, frequency and duration of its intake
Doctor :   It is a stronger antibiotic
User : side effect ?
Doctor :   There are side effects with all medications
Doctor :   but nothing much to worry about it
User :   ok
Doctor :   It is a pretty safe antibiotic
User :   ok
Doctor :   unless one is allergic to it
User :   but it is typhoid ? confirmrd?
Doctor :   If things dont go fine
Doctor :   then you should also consider hospital admission
Doctor :   for antibiotic injections
User :   but the fever is typhoid ? confirmrd?
Doctor :   which are more effective anyday
Doctor :   Fever of such durations
Doctor :   could be typhoid, Malaria
Doctor :   Have you got the Malaria test done?
User :   but blood test indicates typhoid?
User :   he doesnt get shivering
User :   temp is also mild
Doctor :   As I said you 1:80 dilution is inconclusive
Doctor :   it is in the borderline range
User :   maleria ?
User :   r u there?
Doctor :   Yes
Doctor :   I am here
User :   maleria symptoms are not there
User :   shivering etc
Doctor :   Ok
User :   only mild temp
Doctor :   but relapsing fever itself is a symptom
Doctor :   so that should be thought of
User :   is it?
User :   again blood test will indiacte?
Doctor :   May I know what are the malaria symptoms you are aware of?
User :   shivering? high fever
User :   that much i know
Doctor :   Ok
Doctor :   That is right
Doctor :   also it shall be in cycles
Doctor :   like every 2 days, 3 days like that
User :   he gets daily 98.7 to 99.9
Doctor :   Ok
User :   between 10 to 7
Doctor :   But a test is necessary for reassurance
User :   ok
Doctor :   it is a simple blood test
User :   ok
User :   any other suggessn sir?
Doctor :   Just think of the other condition
Doctor :   and talk to your doctor
Doctor :   about our discussion
User :   his college starts next week
User :   ok
Doctor :   Ok, but dont strain him
User :   u r frm which place?
Doctor :   if his health is bad
User :   im frm
Doctor :   I am from
User :   where?
Doctor :   We are based in
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