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Can Mefanorm Be Given For Fever In A Child?

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Posted on Tue, 10 Jan 2017
Question: Hi. My daughter is 6 years old n 26kgs. Her fever is not coming down with paracetamol or sinarest plus. What dosage of mefanorm should i give.
doctor
Answered by Dr. Sumanth Amperayani (15 minutes later)
Brief Answer:
Please do not use mefanorm - it might cause gastritis

Detailed Answer:
Hi.....I understand your concern.

Please do not use Mefanorm. It might cause gastritis. It is an NSAID drug. Fever will not harm the kid, but if NSAIDs are used on top of fever, they might cause gastritis.

Usually in this season viral fever is very common.

I will explain you how a viral illness behaves so that you will be more comfortable.

Fever of few days without any localizing signs could as well a viral illness.

Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day.

If the kid is active and playing around when there is no fever, it is probably viral illness.

Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.

Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.

Mefanorm contains Mefenamic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Mefanorm.

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumanth Amperayani (3 hours later)
Thank u Doctor. Actually my daughter is having this problem since 2 years now. She was perfectly fine before that but since she started going to school she started loosing weight. Became very thin. Had a lot of acidity. I have to give her food every 3 hrs n usually rice n no fried stuff. Else she develops reflux n vomits n no antacid works only ondem. Then she catches fever n cold. Every morning when she wakes up she sneezes n has lot of cold.. everyday. When she gets nervous also she has reflux n cries n vomits n then gets fever. Have shown to doctors n they have asked to give lanzol which i m not giving. Plz help if u have seen such cases she is only 6 n no fat in her body. She is very active child n a happy child.
doctor
Answered by Dr. Sumanth Amperayani (4 hours later)
Brief Answer:
I need more information - please get back with answers to my questions

Detailed Answer:
Hi...I understand your concern.

I need more information. Please get back to me with answers to my questions.

Questions:
1. How many days per month does she cough or feel breathless or have sneezing and cold?
2. How many nights per month does her sleep get disturbed due to above symptoms?
3. Does she feel breathless when she runs around or plays with other kids?
4. Are the symptoms when there are seasonal changes?
5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?
6. Is the cough always associated with fever?
7. What is her exact date of birth?
8. While sleeping does she arch her neck back and sleep?
9. While eating does she have lot of belching?
10. Does she snore at night - if so is it occasional or regular?
11. Does she have mouth breathing?

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumanth Amperayani (33 hours later)
1. she sneezes with phlegm every single day when she wakesup everyday of the month which subsides once she eats.usually she catched cold very easily.she has continuous cold 4 to 5 days every month
2. she sleeps thru the night.never gets breathless or has breathing problem
3. no she is a very active kid n plays for long duration. then she gets tired. if she laughs a lot or plays a lot she starts coughing especially if she is empty stomach. she cant eat oily food empty stomach.
4.yes with every season change she got the flu n gets fever. she is very lazy with potty n then say stomach ache n does potty.
5. my husbands father n my father r both asthamatic even though we both r not. my husband has bloating n acidity n he had the same symptoms as my daughter continuous cold. but he is better now with exercise and bee propolis.
6.yes usually when she catches cold she eventually gets fever n it gets to 103 range. it stays for 3 to 5 days like viral fever n ends. I never gave her anitbiotics. she never has any infection.
7. she was born on 7th feb 2011
8. not noticed yet she sleeps in all positions. not sure about the neck arch.
9. her stomach always feels bloated n tight. she burps when he her stomach gets empty or when she eats on an empty stomach. I feed her every 3 hrs. she has very high metabolism.
10.she snores occasionally.
11. she has mouth breathing

as a mother my hunch says she has acute reflux of some brain problem as only ondem works once she has vomiting n diarrhoea. she never gets stomach infection as she never eats outside food. not sure of asthama yet. tried getting her blood work done once but she got very nervous and started crying badly n started vomiting n diarrhoea n then fever, only ondem helped. so she either has cold n fever or vomit n fever. n she falls sick queit often.please let me know if u have seen anything like this. My name is Sukirti n u can reach me at 0000. I really hope u can help.

Thanks.
doctor
Answered by Dr. Sumanth Amperayani (1 hour later)
Brief Answer:
She has upper airway resistance syndrome and gastroesophageal reflux

Detailed Answer:
Hi....I understand your concern. Thank-you for the information.

By what you say I feel that your daughter has got two issues.

1. Upper airway resistance syndrome
2. Gastroesophageal reflux

Both are amenable to treatment.

1. For upper airway resistance syndrome I suggest you use intranasal steroid spray...there will be a marked improvement. I suggest you use Monteleukast too orally.

2. Acid reflux - Your kid will need -

1. Antireflux therapy - Proton pump inhibitors + antiemetics
2. Always make the kid lie down in a propped up position - as in the care seat. The kid should not be sleeping completely flatly.
3. Avoid heavy feeding and feeding more times and in small aliquots.

Regards - Dr. Sumanth

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

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Can Mefanorm Be Given For Fever In A Child?

Brief Answer: Please do not use mefanorm - it might cause gastritis Detailed Answer: Hi.....I understand your concern. Please do not use Mefanorm. It might cause gastritis. It is an NSAID drug. Fever will not harm the kid, but if NSAIDs are used on top of fever, they might cause gastritis. Usually in this season viral fever is very common. I will explain you how a viral illness behaves so that you will be more comfortable. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Mefanorm contains Mefenamic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Mefanorm. Regards - Dr. Sumanth