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Suggest Treatment For Running Nose, Severe Cough And Fever

Posted on Tue, 25 Aug 2015

Question: Dear Doctor, My Kid is 2.5 Yrs old just started going to playschool, He had running nose & severe cough from 27th July, subsequent to that he started having fever from 29th evening, He was taken to hospital and they admitted him since the fever was 102F and started meditations, The next day after the blood tests we came to know that the ESR is 77 which is quite high for a small kid, Now after taking mediciness for 5 days his ESR is 75, Fever subsided but still its coming once in a day and maximum 99F. Will it this long for the same to get subsided and since he is in the hospital i dont have any of his reports and medicine details, please advice

Answered by Dr. Sumanth Amperayani (12 minutes later)

Brief Answer:
Looks like viral illness - don't worry about ESR it can be high in illness

Detailed Answer:
Hi...Thank you for consulting in Health Care magic.

By what you quote it looks like a viral illness.

ESR can be high in any illness and fever. Do not worry about it. The aim of the treatment is not to lower the ESR or make it normal. It can take weeks to become normal.

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 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.

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).,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (11 minutes later)

Dear Doctor ,

Thanks for the detailed reply, will forward you the deatails of medicines and test report by today EOD or latest tomorrow morning

Regards
XXXX

Answered by Dr. Sumanth Amperayani (2 minutes later)

Brief Answer:
Awaiting your reports please

Detailed Answer:
Hi... i am awaiting reports uploaded form your side please.

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