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Child has fever, tests normal, has cough and vomiting. What to do?

My child is 4.6 years . He has fever for 7 days now . I got him tested for dengue , malaria , typhoid and platelet count All are ok . This is viral time in India New Delhi. My concern is that this tune fever has taken 7 days already . He has cough also and while coughing he sometimes vomits and complains if stomach ache . My doctor has given him Cyclospam for stomach ache . The fever sometimes touches 103 and since morning today is below 100 But he is taking meftal syrup after 6 hrs . What to do ? Please guide should we wait some more time for this to subside . Does viral takes soo long
Asked On : Fri, 12 Oct 2012
Answers:  3 Views:  50
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Pediatrician 's  Response
good evening , by the symptoms u suggested and most of the lab reports are within normal range , i feel this is fever of unknown origin or a prolonged viral fever. but still some tests have to be done and few tests have to be repeated - tests to be done are urine routine, blood for culture and senitivity and a chest x ray , dengue IgG and IgM.. tests which have to repeated are the plate let count , and WIDAL. since ur previous reports dosent include urine examination, i strongly recommend for one. till then maintain his hydration , his nutrition, and keep giving him warm water sponge baths to reduce fever and prevent febrile seizures. review with ur doctor and get his blood pressure checked. will review with ur reports.
Answered: Fri, 12 Oct 2012
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Pediatrician, Cardiology Dr. Pradeep Kumar's  Response
Although test for dengue, malaria and typhoid are negative even then you can't rule out the possibility of dengue particularly in this season and if you are from Delhi. So better be on safe side and give only paracetamol(6 hrly) for fever. Also do tepid sponging to bring down the temperature. Give him some antacid also and maintain hydration of the baby.
During first few days tests for dengue and typhoid may be negative. Fever for such duration is not common in viral infection but there is always some variation.
So again consult your physician for proper evaluation for the cause of fever if it persists.
With regards
Answered: Fri, 12 Oct 2012
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General & Family Physician Dr. A K M Wasim Rahman's  Response
You just can perform a repeat test of Malaria and Dengue because intially they may be overlooked, if result is negetive again then just wait for another 3 to 4 days, surely it will be subsided if not then take a second opinion by some paediatrician as well as medicine doctor.
Best of luck.
Answered: Fri, 12 Oct 2012
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