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What Do Fever And Stomachache Indicate While On Paracip, Ofloxacin And Nitazoxanide?

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Posted on Mon, 6 Nov 2017
Question: My kids is 3 year old and suffering from fever with stomach pain for last 3 days , we have consultded the doctor on 10.10.17 and given medicine paracip 250 mg 5 ml 4 times, oflaxacin& nitazaxonide 5 ml 3 times..mefkind p 2.5 ml 4 times..delpocalm 2.5 ml 4 times..Even after intake of these medicines fever goes down but slowly increases after 5 to 7 hrs.His food and milk intake has fallen.doc has performed ultrasound for stomach painwith all clear result.Blood test is also clear.fever is upto 3 degree Celsius
doctor
Answered by Dr. Pradeep Kumar Jain (52 minutes later)
Brief Answer:
Continue the medicine and observe for next 24 hours

Detailed Answer:
Hi
Thanks for asking on this platform

I have gone through the query and do understand your concern.
Fever with pain abdomen in this age can be due to infection(viral or bacterial).
For the initial 3 days fever can be of high degree and then it starts decreasing.
Paracip contains paracetamol(mainly for fever) and mefkind p contains mefenemic acid(both for fever and pain abdomen). For better control of temperature there should be a gap of at least 2 hours between mefenemic acid and paracetamol.
Pain abdomen can be due to spasm of intestine or gastritis. Mefenemic acid and delpocalm help on decreasing the spasm if any. I would like to add lansoprazole an acid reducing agent like Junior lanzol(15 mg). The dose for this age is 1/2 tablet once a day in empty stomach.
Continue antibiotic ofloxacin combination to cover intestinal infection.
Monitor the temperature by making a chart to see the pattern of fever.
If fever pattern remains same even after 24 hours, maximum 48 hours or condition deteriorates further please consult your pediatrician. I would like to get a blood test like complete blood count and CRP done to see the severity of infection if fever remains of high degree even after 48 hours.

I hope this helps.
Please let me know if you have any more questions.
Wishing for your child's good health.
Regards

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Pradeep Kumar Jain (2 hours later)
Hi, I have provided some attachments. Please review them.
doctor
Answered by Dr. Pradeep Kumar Jain (2 hours later)
Brief Answer:
I would like to get a dengue serology done

Detailed Answer:
Thanks for follow up

I have seen the reports. The reports are within normal limit.
In view of season of dengue infection with high grade fever and pain abdomen I would like to get serology for dengue done.
The total leukocyte count(4600) is towards lower range with normal platelet count. Platelet may remain normal during initial few days.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Pradeep Kumar Jain

Pediatrician, Cardiology

Practicing since :2006

Answered : 2069 Questions

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What Do Fever And Stomachache Indicate While On Paracip, Ofloxacin And Nitazoxanide?

Brief Answer: Continue the medicine and observe for next 24 hours Detailed Answer: Hi Thanks for asking on this platform I have gone through the query and do understand your concern. Fever with pain abdomen in this age can be due to infection(viral or bacterial). For the initial 3 days fever can be of high degree and then it starts decreasing. Paracip contains paracetamol(mainly for fever) and mefkind p contains mefenemic acid(both for fever and pain abdomen). For better control of temperature there should be a gap of at least 2 hours between mefenemic acid and paracetamol. Pain abdomen can be due to spasm of intestine or gastritis. Mefenemic acid and delpocalm help on decreasing the spasm if any. I would like to add lansoprazole an acid reducing agent like Junior lanzol(15 mg). The dose for this age is 1/2 tablet once a day in empty stomach. Continue antibiotic ofloxacin combination to cover intestinal infection. Monitor the temperature by making a chart to see the pattern of fever. If fever pattern remains same even after 24 hours, maximum 48 hours or condition deteriorates further please consult your pediatrician. I would like to get a blood test like complete blood count and CRP done to see the severity of infection if fever remains of high degree even after 48 hours. I hope this helps. Please let me know if you have any more questions. Wishing for your child's good health. Regards