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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child With High Fever. On Antibiotics. Have Weakness. What To Do?

Mygrand child 1yr old is having fever is104 f last 3days.Dr prescribed meftal 6 hrly and some antibiotics .fever reduces for 3/4 hrs after med again come up to rapt104.4. the same today the4th day.baby is taking less fluids only now orally. No other symptoms except weakness during fever and some crying and obstinacy.Wat to do?
Mon, 22 Apr 2013
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Pediatrician 's  Response
Hi,

Thank you for your query.

High grade fever for 3 days not responding to an antibiotic needs to be investigated. I suggest that you discuss with the doctor and get the following investigations done:
1. Haemogram
2. Malarial parasite
3. C Reactive Protein
4. Urine routine
5. Blood culture would have been better but since an antibiotic is continuing it will not give a correct result.
Following investigations the management will be reviewed.

I hope I have answered your query to your satisfaction.

Wishing your grandchild an early recovery.

Regards,

Rajiv K Khandelwal
http://goo.gl/SuCjl
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Pediatrician Dr. E Venkata Ramana's  Response
Hi,

Thank you for your query on Healthcare Magic.

I advise you to give meftal if there is high grade fever like more than 102 degree F.

Below that temperature simple paracetamol syrup is enough in prescribed dosage.

If there is high grade fever, you can do tepid sponging with lukewarm water after giving an antipyretic.

The weakness is due to high fever and may be due to decreased hydration status as he is taking less orally.

Try to maintain his hydration by giving sips of oral rehydration fluids like Pedialyte.

Consult your Pediatrician again for re evaluation and for investigations if required.

Hope I have answered your query.

Regards.
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Child With High Fever. On Antibiotics. Have Weakness. What To Do?

Hi, Thank you for your query. High grade fever for 3 days not responding to an antibiotic needs to be investigated. I suggest that you discuss with the doctor and get the following investigations done: 1. Haemogram 2. Malarial parasite 3. C Reactive Protein 4. Urine routine 5. Blood culture would have been better but since an antibiotic is continuing it will not give a correct result. Following investigations the management will be reviewed. I hope I have answered your query to your satisfaction. Wishing your grandchild an early recovery. Regards, Rajiv K Khandelwal http://goo.gl/SuCjl