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What causes cough, fasciculation, nasal congestion and fever?

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Posted on Wed, 25 Nov 2015
Question: My 3 year old has had a fever ranging from 99-105 since Monday. She is also coughing, has muscle twitches throughout the night, and has nasal congestion. Doctor said its not a virus. She seems to be getting worse. I've given her Motrin and Tylenol which has not stopped the fever. Also gave cool baths and compress to reduce her temperature. Not sure what else to do.
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Answered by Dr. Pradeep Kumar (29 minutes later)
Brief Answer:
It may be bacterial infection

Detailed Answer:
Hello

Thanks for the query

I can understand your concern.
The most common cause of cough cold with fever in this age is some viral infection.
As the fever is of high grade and not responding to medication bacterial infection must be ruled out.
I suggest you to give her tylenol at interval of 4 hours.If fever is not responding you can give mefenemic acid.
Also adding decongestant with antiallergic would help.I would like to give some bronchodilator like salbutamol to provide relief to the spasm of airways.
I suggest you to consult a pediatrician for clinical evaluation to rule out any involvement of lower respiratory tract and to assess the need of antibiotic if any.

I hope this helps.
Please let me know if you have any more query.
Wishing for your child's speedy recovery.
Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. Pradeep Kumar (56 minutes later)
Thank you... Made appt to see her pediatrician today
doctor
Answered by Dr. Pradeep Kumar (4 minutes later)
Brief Answer:
Happy to help

Detailed Answer:
It's my pleasure that you found my suggestion helpful.
I shall be glad to help you out in case you have any more doubt.

Thanks and regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Pradeep Kumar

Pediatrician, Cardiology

Practicing since :2006

Answered : 2003 Questions

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What causes cough, fasciculation, nasal congestion and fever?

Brief Answer: It may be bacterial infection Detailed Answer: Hello Thanks for the query I can understand your concern. The most common cause of cough cold with fever in this age is some viral infection. As the fever is of high grade and not responding to medication bacterial infection must be ruled out. I suggest you to give her tylenol at interval of 4 hours.If fever is not responding you can give mefenemic acid. Also adding decongestant with antiallergic would help.I would like to give some bronchodilator like salbutamol to provide relief to the spasm of airways. I suggest you to consult a pediatrician for clinical evaluation to rule out any involvement of lower respiratory tract and to assess the need of antibiotic if any. I hope this helps. Please let me know if you have any more query. Wishing for your child's speedy recovery. Regards