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Hi , My Son Has Been Getting Fever Since Monday

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Posted on Fri, 2 Aug 2019
Question: Hi , My son has been getting fever since monday and has developed severe cough since last 1.5 days with yesterday being quite worse.
Doctor had told us to give meftal every 6 hours and we did so . For the first 2.5 days the fever came only in 9-10 hours but since yesterday evening it came in 5.5 hours despite meftal. So we gave calpol which held the fever for 6 hours. But our son is non stop coughing since yesterday night. Doctor told us to give ascoril yesterday evening and post that the cough has only worsened as he was having a hard time sleeping due to non stop cough. We gave duolin last night and some steam but nothing helped. Now doctor is saying give syrup XXXXXXX and stop ascoril if it makes things worse. We beleive our son has been reacting to ascoril and it only increases the cough as we have seen in the past. We need some help with how to stop cough as it is quite hard on our son and his chest has also started to pain.

He has not passed stool since monday the day he got fever. Doctor says this is viral but do you suspect something else like pneumonia or something. Please advise what can be done to stop non stop coughing

We have few questions to ask

1) Is our son a bit allergic or hyper sensitive to expectorant as we have seen it makes the cough quite worse. This time it has got a little more worse
2) Is duolin a expectorant and will it help as it did not help much last night
3) Can we give steam or will it increase fever.
4) We are giving hot pad on chest i.e. heat pad to help pain but can it increase the fever
5) In chest infection one should keep the body covered and warm , should we do that or will that increase fever.
6) Please help as doctor is suggesting XXXXXXX syrup which is a suppresant , will it help or make things worse like ascoril did as we want some releif from cough.
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Follow up: Dr. Diptanshu Das (0 minute later)
Hi , My son has been getting fever since monday and has developed severe cough since last 1.5 days with yesterday being quite worse.
Doctor had told us to give meftal every 6 hours and we did so . For the first 2.5 days the fever came only in 9-10 hours but since yesterday evening it came in 5.5 hours despite meftal. So we gave calpol which held the fever for 6 hours. But our son is non stop coughing since yesterday night. Doctor told us to give ascoril yesterday evening and post that the cough has only worsened as he was having a hard time sleeping due to non stop cough. We gave duolin last night and some steam but nothing helped. Now doctor is saying give syrup XXXXXXX and stop ascoril if it makes things worse. We beleive our son has been reacting to ascoril and it only increases the cough as we have seen in the past. We need some help with how to stop cough as it is quite hard on our son and his chest has also started to pain.

He has not passed stool since monday the day he got fever. Doctor says this is viral but do you suspect something else like pneumonia or something. Please advise what can be done to stop non stop coughing

We have few questions to ask

1) Is our son a bit allergic or hyper sensitive to expectorant as we have seen it makes the cough quite worse. This time it has got a little more worse
2) Is duolin a expectorant and will it help as it did not help much last night
3) Can we give steam or will it increase fever.
4) We are giving hot pad on chest i.e. heat pad to help pain but can it increase the fever
5) In chest infection one should keep the body covered and warm , should we do that or will that increase fever.
6) Please help as doctor is suggesting XXXXXXX syrup which is a suppresant , will it help or make things worse like ascoril did as we want some releif from cough.
doctor
Answered by Dr. Diptanshu Das (1 hour later)
Brief Answer:
Viral infection, associated with an allergic component.

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone carefully through the details and understand your concern. Most often such symptoms are due to viral infections and antibiotics are ineffective in such cases. Irrespective of treatment it usually spontaneously resolves in 5-7 days. Some children are more prone to catching cold and recurrent episodes are seen. Often such viral infections manifest with fever. If your child is otherwise active and playful, I would not be concerned. If not, it would be a good idea to visit a doctor and to get the child evaluated.

You need to give steam inhalation to your child. It helps in reducing the congestion. Just sit with your child on your lap and place the source of steam before you. The water vapor will be in the air and automatically the child will breathe it in. Water vapor will reach deep inside and would help in diluting the cough and thus would provide relief. Use Nasoclear Saline Nasal Drops in case of nose block. Give Duolin only if there is noisy breathing or respiratory distress.

If your child has fever with temperature more than 100°F, you need to give paracetamol to it bring down. Also use tepid sponging. If paracetamol is not effective in bringing down the temperature, you need to use Meftal-P (mefenamic acid) which is more effective. The minimum gap between two doses of paracetamol is 4-6 hours. The doses of Crocin and Meftal P are independent of each other. Minimum gap between doses of Meftal P is 6-8 hours.

Now coming specifically to your questions:
1) Ascoril makes cough productive. Since the cough tends to come out more easily, the coughing seems to aggravate. That is how an expectorant works. I do not think that indicates allergy or hypersensitivity to the expectorant. Please give it some time.
2) Duolin is a bronchodilator and not an expectorant. It only helps if there is wheezing
3) Feel free to give steam. It will not increase the fever.
4) It will not increase the fever but I do not think it would help.
5) During fever keep the body exposed and not covered. It will help the heat escape.
6) I would prefer to avoid XXXXXXX syrup. It acts in the reverse direction and the action is not physiological.

Please be patient. It may take a few days for the recovery to occur. It should spontaneously resolve in 5-7 days.

Hopefully that would help. Feel free to write back in case of further queries.

Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Diptanshu Das (0 minute later)
Brief Answer:
Viral infection, associated with an allergic component.

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone carefully through the details and understand your concern. Most often such symptoms are due to viral infections and antibiotics are ineffective in such cases. Irrespective of treatment it usually spontaneously resolves in 5-7 days. Some children are more prone to catching cold and recurrent episodes are seen. Often such viral infections manifest with fever. If your child is otherwise active and playful, I would not be concerned. If not, it would be a good idea to visit a doctor and to get the child evaluated.

You need to give steam inhalation to your child. It helps in reducing the congestion. Just sit with your child on your lap and place the source of steam before you. The water vapor will be in the air and automatically the child will breathe it in. Water vapor will reach deep inside and would help in diluting the cough and thus would provide relief. Use Nasoclear Saline Nasal Drops in case of nose block. Give Duolin only if there is noisy breathing or respiratory distress.

If your child has fever with temperature more than 100°F, you need to give paracetamol to it bring down. Also use tepid sponging. If paracetamol is not effective in bringing down the temperature, you need to use Meftal-P (mefenamic acid) which is more effective. The minimum gap between two doses of paracetamol is 4-6 hours. The doses of Crocin and Meftal P are independent of each other. Minimum gap between doses of Meftal P is 6-8 hours.

Now coming specifically to your questions:
1) Ascoril makes cough productive. Since the cough tends to come out more easily, the coughing seems to aggravate. That is how an expectorant works. I do not think that indicates allergy or hypersensitivity to the expectorant. Please give it some time.
2) Duolin is a bronchodilator and not an expectorant. It only helps if there is wheezing
3) Feel free to give steam. It will not increase the fever.
4) It will not increase the fever but I do not think it would help.
5) During fever keep the body exposed and not covered. It will help the heat escape.
6) I would prefer to avoid XXXXXXX syrup. It acts in the reverse direction and the action is not physiological.

Please be patient. It may take a few days for the recovery to occur. It should spontaneously resolve in 5-7 days.

Hopefully that would help. Feel free to write back in case of further queries.

Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Diptanshu Das (1 hour later)
Hi thanks for the reply . We had started XXXXXXX and it has helped in cough . Our doctor suggested we stop Ascoril if we think it increases cough and suggested we start XXXXXXX as that would help in non stop coughing. XXXXXXX has helped a bit is there any harm in continuing XXXXXXX as we have stopped Ascoril . We have only given one dose of XXXXXXX for now. Coming to steam is it ok if we run shower in bathroom and give . How many times should we give steam .

Also wanted to check as it’s monsoon and heavy rains does the moist air cause cough. Is it better to keep windows closed or open. Does ac help or fan helps in cough just asking because what will help for cough as yesterday was quite tough for us and our kid due to coughing throughout evening and night time

Can we give orsl or will the orange flavour etc increase the cough as people say vitamin c etc are not good for cough And Increases

Also for Ascoril if it increases cough what’s the use especially when it’s non stop so please let us know the same
XXXXXXX is also an anti allergy if I am not wrong could that have helped with cough as it’s not non stop for now but before was quite non stop sometime back.

We are giving water and some stool has come sometime back but not completely any food suggestion that will help in better stool and is good for coughing and is nutritious like glucose etc or tea or any other form of liquids juices dry fruits
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Follow up: Dr. Diptanshu Das (0 minute later)
Hi thanks for the reply . We had started XXXXXXX and it has helped in cough . Our doctor suggested we stop Ascoril if we think it increases cough and suggested we start XXXXXXX as that would help in non stop coughing. XXXXXXX has helped a bit is there any harm in continuing XXXXXXX as we have stopped Ascoril . We have only given one dose of XXXXXXX for now. Coming to steam is it ok if we run shower in bathroom and give . How many times should we give steam .

Also wanted to check as it’s monsoon and heavy rains does the moist air cause cough. Is it better to keep windows closed or open. Does ac help or fan helps in cough just asking because what will help for cough as yesterday was quite tough for us and our kid due to coughing throughout evening and night time

Can we give orsl or will the orange flavour etc increase the cough as people say vitamin c etc are not good for cough And Increases

Also for Ascoril if it increases cough what’s the use especially when it’s non stop so please let us know the same
XXXXXXX is also an anti allergy if I am not wrong could that have helped with cough as it’s not non stop for now but before was quite non stop sometime back.

We are giving water and some stool has come sometime back but not completely any food suggestion that will help in better stool and is good for coughing and is nutritious like glucose etc or tea or any other form of liquids juices dry fruits
doctor
Answered by Dr. Diptanshu Das (18 hours later)
Brief Answer:
Shower steam will do

Detailed Answer:
Thanks for writing back. Sorry for the inadvertent delay in responding. Ascoril and steam inhalation act in the same direction and XXXXXXX in the revers. Antiallergics however are helpful. Choose what suits you best and it is not a big deal. You can give steam 3-4 times a day. Shower steam is ok. Moist air does not cause cough and cold, temperature fluctuation does. Does not matter if you keep open or closed. Stool consistency is unrelated. Ensure good fluid intake.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Diptanshu Das (0 minute later)
Brief Answer:
Shower steam will do

Detailed Answer:
Thanks for writing back. Sorry for the inadvertent delay in responding. Ascoril and steam inhalation act in the same direction and XXXXXXX in the revers. Antiallergics however are helpful. Choose what suits you best and it is not a big deal. You can give steam 3-4 times a day. Shower steam is ok. Moist air does not cause cough and cold, temperature fluctuation does. Does not matter if you keep open or closed. Stool consistency is unrelated. Ensure good fluid intake.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Diptanshu Das (2 hours later)
Hi doctor this time the fever looks different as for the first time the fever has gone into 5 th day and the momentum. Is wierd. Typically a fever would keep increasing or come in short hours and then would peak out but this time it is slightly different . There have been days when fever dint come for 12 hours and yesterday evening and today it
Has come in 5-6 hours . Please help us understand is this something else and not viral . Also this time around meftal has been on the works typically it's not meftal but other medicines . Do you think viral lasts 5-6 days and is wierd with momentum . Also now the doctor has suggested to give levolin, what does levolin does is it a expectorant or a suppressant. We have seen fever interval reduces in night and comes faster compared to day time fevers does this indicate anything to be worked on or wait for another day or two. We are giving XXXXXXX and steam hope it does not work in reverse do let us know if one needs to be stopped if it’s working other way round and is stopping in between
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Follow up: Dr. Diptanshu Das (0 minute later)
Hi doctor this time the fever looks different as for the first time the fever has gone into 5 th day and the momentum. Is wierd. Typically a fever would keep increasing or come in short hours and then would peak out but this time it is slightly different . There have been days when fever dint come for 12 hours and yesterday evening and today it
Has come in 5-6 hours . Please help us understand is this something else and not viral . Also this time around meftal has been on the works typically it's not meftal but other medicines . Do you think viral lasts 5-6 days and is wierd with momentum . Also now the doctor has suggested to give levolin, what does levolin does is it a expectorant or a suppressant. We have seen fever interval reduces in night and comes faster compared to day time fevers does this indicate anything to be worked on or wait for another day or two. We are giving XXXXXXX and steam hope it does not work in reverse do let us know if one needs to be stopped if it’s working other way round and is stopping in between
doctor
Answered by Dr. Diptanshu Das (7 hours later)
Brief Answer:
Possibly viral

Detailed Answer:
Viral fevers can continue for 7 days or more. Do not worry about the frequency or interval. Nothing concerning if the child is active while afebrile. Levolin is similar to Asthalin and is a bronchodilator, needs to be given only if there is respiratory distress or wheezing. Give XXXXXXX for the time being and discontinue if when he is moderately stable.

Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Diptanshu Das (0 minute later)
Brief Answer:
Possibly viral

Detailed Answer:
Viral fevers can continue for 7 days or more. Do not worry about the frequency or interval. Nothing concerning if the child is active while afebrile. Levolin is similar to Asthalin and is a bronchodilator, needs to be given only if there is respiratory distress or wheezing. Give XXXXXXX for the time being and discontinue if when he is moderately stable.

Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Diptanshu Das (5 hours later)
Hi our doctor has started Mox clav anti biotic and duolin nebuliser.

Post Duolin the coughing increased a lot , does it also work as a expectorant

and is mox clav anti biotic for fever or for chest infection.

Right now the medicines are Meftal , XXXXXXX , Levolin , Mox Clav and Duolin.

Cough is there and has not come down while for fever its quite strange it comes in 10-12 hours in day time and by evening and night comes 5-6 hours despite meftal.

Please do let us know what is to be done as this is the first time the fever has stayed for 5 days and despite meftal isnt breaking as it should. Before , meftal used to really help with fever and fever used to go in 2-3-4 days but this time its quite wierd.

Also the momentum of fever is weird and is not indicating where it is going. Every day when it does not come for 10-11 hours we feel its good but then by evening it comes in 5-6 hours.

i feel because we dont give XXXXXXX or levolin in morning and give only after 11-12 pm , post that fever starts to come in 2-3 hours could this be a right assumption and also in the evening since we give XXXXXXX levolin close to dinner time the fever comes by 10-11 PM. i know this is sounding a bit wierd but the difference in fever i can only attribute to this thing that we are doing different.

please do let us know is mox clav for fever or bacterial infections and can XXXXXXX levolin be the reason for fever at short intervals. Also duolin dose now resulted in heavy coughing since last one hour it wasnt that bad before should that be continued is it a expectorant or something else that is causing coughing and not helping.

We are surprised that XXXXXXX levolin and Duolin are supposed to control the cough but atleast immediately post the dosage it does not show any benefit for same . Is there a point continuing the same medicines.



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Follow up: Dr. Diptanshu Das (0 minute later)
Hi our doctor has started Mox clav anti biotic and duolin nebuliser.

Post Duolin the coughing increased a lot , does it also work as a expectorant

and is mox clav anti biotic for fever or for chest infection.

Right now the medicines are Meftal , XXXXXXX , Levolin , Mox Clav and Duolin.

Cough is there and has not come down while for fever its quite strange it comes in 10-12 hours in day time and by evening and night comes 5-6 hours despite meftal.

Please do let us know what is to be done as this is the first time the fever has stayed for 5 days and despite meftal isnt breaking as it should. Before , meftal used to really help with fever and fever used to go in 2-3-4 days but this time its quite wierd.

Also the momentum of fever is weird and is not indicating where it is going. Every day when it does not come for 10-11 hours we feel its good but then by evening it comes in 5-6 hours.

i feel because we dont give XXXXXXX or levolin in morning and give only after 11-12 pm , post that fever starts to come in 2-3 hours could this be a right assumption and also in the evening since we give XXXXXXX levolin close to dinner time the fever comes by 10-11 PM. i know this is sounding a bit wierd but the difference in fever i can only attribute to this thing that we are doing different.

please do let us know is mox clav for fever or bacterial infections and can XXXXXXX levolin be the reason for fever at short intervals. Also duolin dose now resulted in heavy coughing since last one hour it wasnt that bad before should that be continued is it a expectorant or something else that is causing coughing and not helping.

We are surprised that XXXXXXX levolin and Duolin are supposed to control the cough but atleast immediately post the dosage it does not show any benefit for same . Is there a point continuing the same medicines.



doctor
Answered by Dr. Diptanshu Das (12 hours later)
Brief Answer:
You need to be patient. Management is supportive.

Detailed Answer:
I doubt whether moxclav was needed but since it has been started, please complete the course. As mentioned, antibiotics acts on bacteria and not on viruses and they are not likely to be effective if the infection is viral. The source of infection (both the cough, chest infection and fever) can be identified with a blood count and CRP (blood tests). If there is respiratory distress and wheezing, give Duolin or Levolin, not otherwise. They are bronchodilators and neither expectorants nor supposed to control cough. XXXXXXX or any of the medicines is not a cause for the fever. I would insist you to skip XXXXXXX and to continue simply with steam inhalation. Give Meftal when needed.

You would need to be patient.

Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Diptanshu Das (0 minute later)
Brief Answer:
You need to be patient. Management is supportive.

Detailed Answer:
I doubt whether moxclav was needed but since it has been started, please complete the course. As mentioned, antibiotics acts on bacteria and not on viruses and they are not likely to be effective if the infection is viral. The source of infection (both the cough, chest infection and fever) can be identified with a blood count and CRP (blood tests). If there is respiratory distress and wheezing, give Duolin or Levolin, not otherwise. They are bronchodilators and neither expectorants nor supposed to control cough. XXXXXXX or any of the medicines is not a cause for the fever. I would insist you to skip XXXXXXX and to continue simply with steam inhalation. Give Meftal when needed.

You would need to be patient.

Regards
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. Kampana
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Answered by
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Dr. Diptanshu Das

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Practicing since :2005

Answered : 3875 Questions

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Hi , My Son Has Been Getting Fever Since Monday

Hi , My son has been getting fever since monday and has developed severe cough since last 1.5 days with yesterday being quite worse. Doctor had told us to give meftal every 6 hours and we did so . For the first 2.5 days the fever came only in 9-10 hours but since yesterday evening it came in 5.5 hours despite meftal. So we gave calpol which held the fever for 6 hours. But our son is non stop coughing since yesterday night. Doctor told us to give ascoril yesterday evening and post that the cough has only worsened as he was having a hard time sleeping due to non stop cough. We gave duolin last night and some steam but nothing helped. Now doctor is saying give syrup XXXXXXX and stop ascoril if it makes things worse. We beleive our son has been reacting to ascoril and it only increases the cough as we have seen in the past. We need some help with how to stop cough as it is quite hard on our son and his chest has also started to pain. He has not passed stool since monday the day he got fever. Doctor says this is viral but do you suspect something else like pneumonia or something. Please advise what can be done to stop non stop coughing We have few questions to ask 1) Is our son a bit allergic or hyper sensitive to expectorant as we have seen it makes the cough quite worse. This time it has got a little more worse 2) Is duolin a expectorant and will it help as it did not help much last night 3) Can we give steam or will it increase fever. 4) We are giving hot pad on chest i.e. heat pad to help pain but can it increase the fever 5) In chest infection one should keep the body covered and warm , should we do that or will that increase fever. 6) Please help as doctor is suggesting XXXXXXX syrup which is a suppresant , will it help or make things worse like ascoril did as we want some releif from cough.