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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child. On And Off Fever With Shivering. On Antibiotic Augmentin And Mefthal. Detected Febrile. Suggest

my baby - 2.2year old is having fever from last Wednesday. At clinic they mentioned it is febroil, we are giving antibiotic agmentin 5ml morning and evening, Mefthol 5ml each 6hrs once but till day fever is not come down, like we feel he is not having fever for almost 24 hrs with medicine but in 5-10 min he will start shivering and immediately temperature raises to 102 deg please suggest what to do.
Fri, 19 Jul 2013
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Pediatrician 's  Response
hi,
thanks for your querry on HCM
fever not responding to antibiotic and antipyretic , that too with shivering, it is always better to exclude malaria and urinary tract infection
you may try paracetamol 15mg/kg body wt every 6 hours along with alkaline citrate 2.5ml diluted in water 2 times daily
you may try chloroquine syrup emperically with the advice of your doctor, but better consult a pediatrician
hope this answers your question
take care
Dr MV Subrahmanyam MD;DCH
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Pediatrician Dr. Y V Siva Sankara Murty's  Response
Hi,

Thanks for writing to health care magic.

A baby having fever for one week should be investigated for the cause of the fever.

Does he have any associated complaints like cough, cold or burning urination or increased frequency of urination etc?

Investigations like CBC, CRP, Peripheral smear for malaria, urine examination may be ordered by your doctor after physical examination.

Continue to ask further queries as required.
Hope this helps.
Take care.
Dr Y V Siva Sankara Murty
M.D.(Pediatrics)
Associate Professor of Pediatrics

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Pediatrician Dr. Imraan Hussain 's  Response
hi

Thanks for your query

i can feel your concerns

you can use paracetamol and ibuprofen for fever alternatively

use these medicines 6 hourly

tapid water sponging also helpful

i advise you to consult your doctor and have a detailed physical examination

it is important to find focus of infection

she may need a few investigations and blood tests

avoid cold and soft drinks

give her plenty of juices and fluids

i advise to complete course of antibiotic

Hope i have ansewered your query
i am available for your help
regards
Dr.imran
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Child. On And Off Fever With Shivering. On Antibiotic Augmentin And Mefthal. Detected Febrile. Suggest

hi, thanks for your querry on HCM fever not responding to antibiotic and antipyretic , that too with shivering, it is always better to exclude malaria and urinary tract infection you may try paracetamol 15mg/kg body wt every 6 hours along with alkaline citrate 2.5ml diluted in water 2 times daily you may try chloroquine syrup emperically with the advice of your doctor, but better consult a pediatrician hope this answers your question take care Dr MV Subrahmanyam MD;DCH