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Dr. Andrew Rynne

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Child With Fever And Vomiting. Given Crocin. Could Not Help. Can I Give Azithral?

Hi, I am satya.. My son age is 1.3 yrs with 10 kg weight .. Last 1 day he is having fever and also vomiting .. We have given crocin suspension 6ml and it reduces fever. But after couple of hours fever is coming and also he is vomiting .. Can you please suggest if we can give Azithral 200, 3ml now ? I suspect he may have a throat infection.
Tue, 16 Apr 2013
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Pediatrician, Surgery 's  Response
Hello
Thank you for placing your query on Health Care Magic
I understand your concern. But I strongly recommend that you consult a pediatrician before giving any self medication. Most viral infections don't require an antibiotic. And most illnesses in children are viral. So indications for starting an antibiotic are limited. If your child also has cough with yellowish expectoration, then it might be an indication for antibiotics. The dose too should be confirmed by a doctor who has seen the child. If vomiting is a predominant symptom, then he might be suffering from gastroenteritis, rather than sore throat. He may require drugs for vomiting along with crocin.
Hope that helped.
God bless you
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Pediatrician Dr. Synthyia Bhagat's  Response
Hi
Thanks for your query.
your child is having acute gastritis with fever which is mostly viral in nature and settles in few days.
Give paracetamol every 6 hourly till fever is above 100F.
If vomiting persist antiemetic like domperidone needs to be given in prescribed dosage.
Take care of hydration ,give plenty of fluids.
Regarding antibiotic,you should not start it of your own.It is not required unless there is bacterial infection.
Get your child examined by pediatrician for proper evaluation and management.

Wishing your child good health.
God bless,,
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Pediatrician Dr. Himanshi Kashyap's  Response
Hi,
Mostly your child must be down with a viral infection so antibiotics might not help.If you are suspecting throat infection then you should get him examined by his doctor because self medicating such a small child could be a little dangerous.
For Vomiting you could give him an antiemetic and continue Crocin whenever he gets fever.Keep him well hydrated with liquids and give him light diet.

Bye
Take Care
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General & Family Physician Dr. Achuo Ascensius's  Response
Hello,
welcome to health care magic and
thanks for the question.

The active ingredient in crocin is paracetamol or acetaminophen. Paracetamol is helpful in the symptomatic relieve of fever and pain but does not treat the underlying cause.

Causes of fever varies and include mot commonly infections like bacterial ( throat, ear, gut etc), viral and parasitic ( malaria).
Throat infections could be caused by both bacteria and viruses with bacteria causing a more elevated temperature. Azithral is an antibiotic and will be effective in treating bacterial throat infections.
If you are sure he has a throat infection you could give the azithral and continue the crocin 3 to 4 time daily (maximum per day 60mg/kg of body weight) and if by the third day there is no improvement, you should consider visiting a doctor.
Hope this helps
Dr Achuo
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Child With Fever And Vomiting. Given Crocin. Could Not Help. Can I Give Azithral?

Hello Thank you for placing your query on Health Care Magic I understand your concern. But I strongly recommend that you consult a pediatrician before giving any self medication. Most viral infections don t require an antibiotic. And most illnesses in children are viral. So indications for starting an antibiotic are limited. If your child also has cough with yellowish expectoration, then it might be an indication for antibiotics. The dose too should be confirmed by a doctor who has seen the child. If vomiting is a predominant symptom, then he might be suffering from gastroenteritis, rather than sore throat. He may require drugs for vomiting along with crocin. Hope that helped. God bless you