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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Small Child, Fever, Vomiting, Foul Smelling Urine. Taken Tylenol. Cause Of Worry?

My 2 year old woke up from her nap yesterday running a fever of 101.9. After giving her Tylenol & keeping a cool rag on get forehead it continued to climb, stopping at 102.1. She started vomiting shortly after. She s managed to keep pedialite down through the night & her fever was down to 99.5. This morning I changed her diaper & her urine smelt foul. Her fever is also back up to 100 2. Is this reason to be concerned? Thanks in advance!
Wed, 2 Jan 2013
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Pediatrician 's  Response
Hi,

Thank you for your query.

If the urine had not been foul smelling earlier and has started smelling foul lately then it needs to be examined routinely. If pus cells are increased then a culture is warranted. A urine infection can give rise to fever and foul smell.

I hope I have answered your query to your satisfaction.

Wishing your daughter an early recovery.

Regards,

RKK
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Pediatrician, Neonatology Dr. Uma Rajah Ananth's  Response
Hi,
yes you have to test her urine for urinary infection.
Fever and vomiting in a girl child are highly suggestive of urinary infection.
Also give her some more fluids as concentrated urine will also smell.
Take care
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Pediatrician Dr. E Venkata Ramana's  Response
Hi
The cause of fever in your child may be urinary tract infection as the urine is foul smelling. Give plenty of oral fluids and continue tylenol for fever in prescribed dosage and some basic investigations required like Complete blood picture, complete urine examination and urine for culture and sensitivity so consult your Pediatrician for examination and ivestigation and antibiotic treatment if needed.
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Pediatrician Dr. Synthyia Bhagat's  Response
Hello.
i appreciate your concern..since your daughter is having fever and foul smelling urine,so it can be urine infection,you need to get her urine examined.in the meantime maintain good hydration,give her plenty of fluids.
take care .god bless
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Small Child, Fever, Vomiting, Foul Smelling Urine. Taken Tylenol. Cause Of Worry?

Hi, Thank you for your query. If the urine had not been foul smelling earlier and has started smelling foul lately then it needs to be examined routinely. If pus cells are increased then a culture is warranted. A urine infection can give rise to fever and foul smell. I hope I have answered your query to your satisfaction. Wishing your daughter an early recovery. Regards, RKK