Hello and welcome to HCM,
Your daughter is suffering from a couple of problems- fever, stomach ache, loss of appetite,
fatigue, itching at the back (?anal region) and rash.
Itching around the anal region especially at night , and
constipation can be due to pin
worm infection.
A rash is caused by a viral infection. Associated fever, fatigue further indicates a viral infection.
If pin worm infection is confirmed, zentel can be given single dose and repeat it after 3 weeks.
However, you need to visit your
pediatrician for the confirmation of the infection,
stool test (if the child passes stools, collect the stools), and to look for any other focus of infection.
Thanks and take care
Dr Shailja P Wahal