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Problems about fever since 5 days with tingling sensation in the roof of the mouth - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   my daughter has the flu (high fever, stomach cramps, congestion). She's complaining now that the roof of her mouth is ticklish or tingly. What could it be from?
Doctor :   Hi
Doctor :   May I know her age?
User :   6 years old
Doctor :   Does she complain of discomfort when she swallows food or gulps water?
User :   No. She had a fever of 101 - 103+ for 3 days and then 99 - 102 for the past 2 days. She vomitted on the second night a few times until her stomach was empty. Since then it's she's had cramps and a lot of gas. She is congested and her nose has been draining. She went to doctor yesterday and they said it viral and we just needed to wait it out. She's never had a fever for more than 2 days. Tonight she has a new complaint - the roof of her mouth is ticklish.
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   She could be having an upper respiratory tract infection - probably the throat and the nasopharynx is getting involved in the infection.
Doctor :   Alternatively the irritations could have been
Doctor :   It is hard to predict the nature of infection though with just 2 days of fever
Doctor :   however a high grade fever with temperature well over 100 can be or more likely can be a bacterial one too.
Doctor :   Hence watch out for the symptoms
User :   Her fever has been for 5 days, not 2. I meant that she's never had a fever for more than 2 days before until now. Your sentence above is incomplete. "Alternatively the irritations could have been..." What could it have been?
Doctor :   I am sorry, Irritation could be secondary to vomiting too.
Doctor :   Since fever is seen for more than 5 days, with active symptoms and high grade fever,
Doctor :   I think she may need to be put on antibiotics
Doctor :   Hence my suggestion to you are
Doctor :   1. Watch her diet - do not give her any thing which is cold and refrigerated, avoid spicy food.
Doctor :   2. Continue with fever control medication as suggested by your doctor
Doctor :   3. You can use mouth gargles with saline solution(if she can perform the gargling)
User :   What is the issue with cold and refrigerated food? She's been wanting bland food - like tofu.
Doctor :   4. Supplement her diet with extra fruits and vegetables
Doctor :   Cold and refrigerated foods can add to the throat congestion which can aggravate her symptoms.
Doctor :   Hence its better to avoid them
Doctor :   It also includes cold and refrigerated water and liquid diet such as fruit juices
User :   Would ice chips be an irritant also? She likes having them and they've been helping with the fever - we think.
Doctor :   5. Report back to your doctor who can prescribe the antibiotics( if he agrees with me).
Doctor :   Yes, ice chips can also increase the throat congestion.
Doctor :   You can use cold tipid sponging(external application) however it is not favorable to consume them until she improves.
Doctor :   Have you followed what I have suggested?
User :   Yes, thank you.
Doctor :   Do you have any other query?
User :   So you think because of the 5 days of fever, she could have a secondary infection?
Doctor :   Yes, there are possibilities of secondary infection.
User :   Ok, thank you.
Doctor :   A physical examination can confirm this.
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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