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What Causes Severe Fever And Flu Like Symptoms Along With Sore Throat?
Question: 8y/o male c/o significate fever, flu like symptoms times two weeks ago, fever gone in three days time, runny nose discharge green in color , gave amoxicillin times five days 250mg 1 q6 hours discharge now clear, developed croupy sounding cough ,lungs sound clear all fields sat. Rate 97-98% no temp. Gave neb. Tx. Three times daily times four days tapering off. Harsh sounding cough went away by wed. 12/10/14. Friday 12/12/14 child c/o sore throat, no temp. Lungs clear, Sat. 12/13/14 , croupy sounding cough , Sun. 12/14/14, during play practice at church could barely speak, throat with pinpoint red dots back of tongue, throat. No other complaints. Only child, homeschooled, no complaints of the other seven kids at church having any kind of illness. Ears look clear no redness, no swollen nodes, history of tonsillectomy three years ago, also history of mononucleouses at age three. Membranes pink moist, good skin turgor, good appetite, playing and general appearance healthy. Child is five foot one and a quarter in., weight eight-three pounds. I have a cool mist humidifier by bedside. Gave him 325mg Tylenol he is resting quietly no distress .
What can or should I do now? Should I take him in for strep. Test ?
What can or should I do now? Should I take him in for strep. Test ?
Brief Answer:
Go for swab test
Detailed Answer:
Hi
Welcome to Healthcare magic
Greetings of the day
Dear Ms
Going by description of red dots it appears to be follicular Pharyngitis. As there is no fever there is no cause for concern. A would suggest you to get a swab test for streptococcal and other atypical infection.
In the meantime I would suggest you the following
1. Warm saline gargling: To a glass of lukewarm water add 2 spoons of common table salt. Make child gargle the throat with it thrice a day.
Being warm and antiseptic it will relieve the throat congestion
2. Normal Saline Nebulization: Plain normal saline Nebulization is equally effective
3. Cough suppressant syrup : If there is no sputum (nonproductive cough ), antitussive will provide much needed relief
4. Make child sip spoon of honey with 2 drops of lemon juice added thrice a day.
Do get back to me if you need any further assistance, will be glad to assist you.
Take care
Best regards
Dr Deepak Kaltari
Consultant Pediatric Surgeon
Go for swab test
Detailed Answer:
Hi
Welcome to Healthcare magic
Greetings of the day
Dear Ms
Going by description of red dots it appears to be follicular Pharyngitis. As there is no fever there is no cause for concern. A would suggest you to get a swab test for streptococcal and other atypical infection.
In the meantime I would suggest you the following
1. Warm saline gargling: To a glass of lukewarm water add 2 spoons of common table salt. Make child gargle the throat with it thrice a day.
Being warm and antiseptic it will relieve the throat congestion
2. Normal Saline Nebulization: Plain normal saline Nebulization is equally effective
3. Cough suppressant syrup : If there is no sputum (nonproductive cough ), antitussive will provide much needed relief
4. Make child sip spoon of honey with 2 drops of lemon juice added thrice a day.
Do get back to me if you need any further assistance, will be glad to assist you.
Take care
Best regards
Dr Deepak Kaltari
Consultant Pediatric Surgeon
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. Bhagyalaxmi Nalaparaju
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