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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for high fever and throat pain

Answered by
Dr. Prasanna Heijebu

General & Family Physician

Practicing since :2010

Answered : 1423 Questions

Posted on Mon, 19 Oct 2015 in Kidney Conditions
Question: My son is 7 year old and he has high fever and throat pain. Urine exam was performed yesterday and today. His yesterday result showd nill proteins n LEU was found negative but today it showed 30mg/dl protein and leu 25 wbc.what is the reason for the problem
Answered by Dr. Prasanna Heijebu 43 minutes later
Brief Answer:
Need to rule out APSGN

Detailed Answer:
Hello, Sir.

I understand your concern.

Going by the lab results, you child possibly seem to have urinary tract infection.

In many cases, this could be a sequel of throat infection.

This could be an Acute Poststreptococcal Glomerulonephritis/APSGN.

For confirmation, I advise you to get STREPTOZYME TEST which measures 5 different streptococcal antibodies and C3 complement levels.

Careful follow-up is needed with regular urine examination and BP monitoring at 0, 3, 6, 9 and 12 months if APSGN is diagnosed.

Currently, Augmentin therapy seems appropriate.

Additional drugs may be needed if APSGN is diagnosed.

Post your further queries if any.
Thank you.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
Follow up: Dr. Prasanna Heijebu 2 hours later
when will the fever get reduced? First dosage of Augmentin Duo has started today . Whether any other drug is required for UTI.The Doctor has prescribed the dosage of 7.5 ml twice a day. His weight is 23 kgs. This is the third day he is having fever. whether the dosage is sufficient.
Answered by Dr. Prasanna Heijebu 22 hours later
Brief Answer:
Your doctor prescribed right dosage of Augmentin Duo

Detailed Answer:
Hello, Madam.

I can understand your concern.

I apologise for the delayed response.

It may take 3-4 days for the fever to resolve.

Your doctor has rightly prescribed the right dosage of Augmentin Duo to your child.The typical dosage is 20-25 mg/kg/day in divided doses.This accounts to 460-575 mg. 5 ml syrup contains 200 mg of amoxicillin. Hence, 7.5 ML contains 300 mg, twice a day accounts for 600 mg which is just above 575 mg actually required.

Post your further queries if any,
Thank you.

Above answer was peer-reviewed by : Dr. Raju A.T

The User accepted the expert's answer

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