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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fever And Vomiting For A Child. Had Loose Motion After Giving Amoxycilin And Paracetamol. Continue The Medicine?

hi doctor,my 2year2monts toddler son has fever and vomiting ,my doctor prescribed amoxycilin 125mg tablet 3 times a day along with paracetamol .As we continued to give him medicines he started loose motions and looks very tired ,is this a aggrivated codition,how to control his loose motions while cotinuing medicines.Thanks in advance.
Fri, 22 Jun 2012
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Pediatrician 's  Response
Hello,
Always consider the symptom like fever and loose motion as the response to external factors. In this way you can appreciate your child’s illness better.
As far as your childs condition, I think we stop antibiotic for a day for the following reasons.

Fever the single most important thing is the response to paracetamol. After giving paracetamol the child temperature should come down ( it does not matter if it shoots up again), and the child’s activity should go up. If these two events happen then it is most probably a routine fever.
When to give antibiotics?
Anti biotics are given for bacterial infections
The following ten are the commonest problems which need antibiotics
1.     Eye: lid boils
2.     Ear pus
3.     Neck glands which are painful
4.     Tonsillitis
5.     Cold: running nose for atleast 10 days, with nasal tip excoriations
6.     Skin boils
7.     Evidence of pneumonia ( this only a doctor or trained nurse can confirm )
8.     Evidence of urinary tract infection in the lab test
9.     Blood in the stool
10.     Joint swelling : arthritis: requires admission.
If doctor has prescribed antibiotic, we should respect it. If the child has loose motions and none of the above conditions are obviously visible, then there is no harm in stopping amoxicillin 125 mg tablets.( the problem must have occurred mild to the doctor,hence the minimum effective dosage has been prescribed. If fever goes up and activity comes down and the child respiration appears fast you can always take the child to doctor.
with regards
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Fever And Vomiting For A Child. Had Loose Motion After Giving Amoxycilin And Paracetamol. Continue The Medicine?

Hello, Always consider the symptom like fever and loose motion as the response to external factors. In this way you can appreciate your child’s illness better. As far as your childs condition, I think we stop antibiotic for a day for the following reasons. Fever the single most important thing is the response to paracetamol. After giving paracetamol the child temperature should come down ( it does not matter if it shoots up again), and the child’s activity should go up. If these two events happen then it is most probably a routine fever. When to give antibiotics? Anti biotics are given for bacterial infections The following ten are the commonest problems which need antibiotics 1. Eye: lid boils 2. Ear pus 3. Neck glands which are painful 4. Tonsillitis 5. Cold: running nose for atleast 10 days, with nasal tip excoriations 6. Skin boils 7. Evidence of pneumonia ( this only a doctor or trained nurse can confirm ) 8. Evidence of urinary tract infection in the lab test 9. Blood in the stool 10. Joint swelling : arthritis: requires admission. If doctor has prescribed antibiotic, we should respect it. If the child has loose motions and none of the above conditions are obviously visible, then there is no harm in stopping amoxicillin 125 mg tablets.( the problem must have occurred mild to the doctor,hence the minimum effective dosage has been prescribed. If fever goes up and activity comes down and the child respiration appears fast you can always take the child to doctor. with regards