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Suggest treatment for fever and sore throat in a child

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Posted on Wed, 17 Sep 2014
Question: hi Dr XXXXXXX Im very worry ,my 6 yr old,he is sick,yesterday we took him to the childrens hospital emergency,he has high fever,his throat is very red,he is feeling a sharp pain in his stomach,and he is coughing but you can not hear any mucus is like a hallow dry cough,he never vomit until this morning,the docttor at the emergency said is just a virus,but im not convinced.what do i do?
doctor
Answered by Dr. Diptanshu Das (20 minutes later)
Brief Answer:
He has a sore throat

Detailed Answer:
Thanks for posting your query at HealthCareMagic. I have gone through the details provided by you. It seems that he has a condition called 'infectious mononucleosis' (glandular fever) which is caused by a virus called Epstein-Barr Virus (EBV). Your doctor has rightly pointed out about it. Infection with the Epstein-Barr virus (EBV) is very common. In the United States, about 50% of all children 5 years of age and nearly 95% of adults have had an EBV infection. Most of these infections cause symptoms similar to those of a cold or other mild viral infections. Symptoms vary, but the most common are extreme fatigue, fever, sore throat, and swollen lymph nodes. Gurgle with lukewarm water and drugs like acetaminophen/paracetamol or nonsteroidal anti-inflammatory can be used to relieve fever and pain. Antibiotics are ineffective as it is a viral condition. As it is not a bacterial condition, bacterial culture of throat swab does not give any growth as mentioned by you. Symptoms may be present for 5-15 days.

The symptoms of infectious mononucleosis also occur in many other viral and bacterial infections. Therefore, infectious mononucleosis is often unrecognized. Usually, a simple blood test known as a heterophil antibody or monospot test is done to confirm the diagnosis. Sometimes early in the infection or in young children, the monospot test is negative, and other specific antibody blood tests are necessary to confirm the diagnosis.

You can rely on your doctor. You would have be be a bit patient as sometimes it takes some time to resolve. I hope that I have been able to relieve your anxiety to some extent. Feel free to communicate back in case of further queries if any.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Diptanshu Das (15 minutes later)
thanks doctor for your answer,but how the pain in his stomach ,it comes and goes,specially when he eats,and that horrible hallow dry cough,its is related to the same viral infection?
doctor
Answered by Dr. Diptanshu Das (34 minutes later)
Brief Answer:
Medicines could cause gastritis

Detailed Answer:
Thanks for asking back.

The medicines he is taking might be irritating his gastric mucosa and causing gastritis. This could be responsible for the abdominal pain. The solution would be to give him medicines in full stomach and giving small meals but at frequent intervals. It is unrelated to the viral infection. But the cough is due to the same viral infection. Steam inhalation would help in liquefying the cough and help the situation.

I hope that with this information you would be able to deal with the situation better. Wishing him a quick recovery.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Diptanshu Das

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Practicing since :2005

Answered : 3859 Questions

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Suggest treatment for fever and sore throat in a child

Brief Answer: He has a sore throat Detailed Answer: Thanks for posting your query at HealthCareMagic. I have gone through the details provided by you. It seems that he has a condition called 'infectious mononucleosis' (glandular fever) which is caused by a virus called Epstein-Barr Virus (EBV). Your doctor has rightly pointed out about it. Infection with the Epstein-Barr virus (EBV) is very common. In the United States, about 50% of all children 5 years of age and nearly 95% of adults have had an EBV infection. Most of these infections cause symptoms similar to those of a cold or other mild viral infections. Symptoms vary, but the most common are extreme fatigue, fever, sore throat, and swollen lymph nodes. Gurgle with lukewarm water and drugs like acetaminophen/paracetamol or nonsteroidal anti-inflammatory can be used to relieve fever and pain. Antibiotics are ineffective as it is a viral condition. As it is not a bacterial condition, bacterial culture of throat swab does not give any growth as mentioned by you. Symptoms may be present for 5-15 days. The symptoms of infectious mononucleosis also occur in many other viral and bacterial infections. Therefore, infectious mononucleosis is often unrecognized. Usually, a simple blood test known as a heterophil antibody or monospot test is done to confirm the diagnosis. Sometimes early in the infection or in young children, the monospot test is negative, and other specific antibody blood tests are necessary to confirm the diagnosis. You can rely on your doctor. You would have be be a bit patient as sometimes it takes some time to resolve. I hope that I have been able to relieve your anxiety to some extent. Feel free to communicate back in case of further queries if any.