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Suggest Treatment For Persistent Fever And Cold In A Child
Question: Kid 1.5 yrs had a feverish seizure 4 days back and was hospitalized.
Was discharged 2 days later.1 day post discharge getting fever every 3-4 hours despite giving meftal.
Doctor prescribed Ibugesic and Clamp Forte. Also has severe chest congestion.
She is getting cold and fever very frequently and has been taking Relent and Ascoril almost every day.
Was discharged 2 days later.1 day post discharge getting fever every 3-4 hours despite giving meftal.
Doctor prescribed Ibugesic and Clamp Forte. Also has severe chest congestion.
She is getting cold and fever very frequently and has been taking Relent and Ascoril almost every day.
Brief Answer:
Viral illness with simple febrile seizures - don't worry
Detailed Answer:
Hi.....what yourkud had was simple febrile seizures along with viral illness. I will explain about both so that you will feel relieved.
Coming first to seizures with fever - It is common for some kids to have this during very high temperature. 4% of normal kids in general population can have this type of seizures form 6 months to 6 years of life.
For just one episode there is no need to do an EEG or any other brain scan. The EEG will obviously be abnormal if performed within one week of any seizure. This doesn't mean that the kid will require anti epileptic drugs.
All the treatment that is required is using of Clobazam for the first 2 days of any fever. This is a prescription drug and you need to consult your pediatrician for this. I am telling to use Clobazam only for the first 2 days because the probability of the kid getting seizures is most in the first 48 hours of fever.
Coming to viral illness - 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 and it doesn't require antibiotics (LIKE CLAMP FORTE) at all.
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.
Meftal-P contains Mefenamic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Meftal-P.
PLEASE STOP MEFTAL. FEVER WILL SETTLE IN A COUPLE OF DAYS. IF THE KID IS ACTIVE ON BETWEEN 2 FEVER EPISODES - YOU NEED NOT WORRY.
Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
Dr. Sumanth MBBS., DCH., DNB (Paed).,
Viral illness with simple febrile seizures - don't worry
Detailed Answer:
Hi.....what yourkud had was simple febrile seizures along with viral illness. I will explain about both so that you will feel relieved.
Coming first to seizures with fever - It is common for some kids to have this during very high temperature. 4% of normal kids in general population can have this type of seizures form 6 months to 6 years of life.
For just one episode there is no need to do an EEG or any other brain scan. The EEG will obviously be abnormal if performed within one week of any seizure. This doesn't mean that the kid will require anti epileptic drugs.
All the treatment that is required is using of Clobazam for the first 2 days of any fever. This is a prescription drug and you need to consult your pediatrician for this. I am telling to use Clobazam only for the first 2 days because the probability of the kid getting seizures is most in the first 48 hours of fever.
Coming to viral illness - 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 and it doesn't require antibiotics (LIKE CLAMP FORTE) at all.
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.
Meftal-P contains Mefenamic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Meftal-P.
PLEASE STOP MEFTAL. FEVER WILL SETTLE IN A COUPLE OF DAYS. IF THE KID IS ACTIVE ON BETWEEN 2 FEVER EPISODES - YOU NEED NOT WORRY.
Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
Dr. Sumanth MBBS., DCH., DNB (Paed).,
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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