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5 year old having fever, headache. X-ray report suggesting adenoid enlargement. Need advice

hello doc, my son is 5 yeas old he is having high fever since yesterday, complaining headahc sice last two months at times, doc had som x rays and said he has some nasal tissue adnoid enlarged that could be the reson , the fever went up to 104 degree , they give him medecine to bri it down to 101 degree, and given antibiotics wht do u suggest coukld be. he is feeling cold also
Asked On : Tue, 2 Oct 2012
Answers:  2 Views:  43
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Pediatrician 's  Response
adenoid enlargement and tonsil enlargement is common in this age group. adenoid enlargement if not treated can lead to middle ear infection by blockin the nasal cavity , so antibiotic administration is important, alon wid that he requires other supportive care - clearing his nasal passage wid salaine nasal drops, stopping his runny nose with citrizine, giving him a warm water sponge bath every 6 hrs once to reduce fever and prevent febrile seizures, maintaining nutrition and hydration, steam inhalation . and if the fever is continuing for more than 5 days he ll require a complete blood test count , a throat swab for culture.
Answered: Thu, 4 Oct 2012
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OBGYN Dr. Asra Ishtiaq Ahmed's  Response
Hello there,

What is more worrying here is the high grade fever as this age group is susceptible to febrile convulsions.
Please ensure that paracetamol is given along with tepid sponging to keep the temperature in the normal range.
Adenoid hypertrophy is common in this age group and this gland continues to grow in size till around 10-12 years of age.
However excessive growth can cause mouth breathing and sleep disturbances. since you have not mentioned anything related to this you need not worry.
So wait for the antibiotics to act and complete the course. In the meantime ensure a good fluid intake for your child and encourage regular sips of water and juice.

Take care.
Answered: Thu, 4 Oct 2012
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