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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medicine For Fever

Hi Doctor, My daughter is 11 yrs old weight 38 kgs. Is having repeated fevers since last eight days, at time during the day she becomes completely normal and in the morning evening her fever touches even 103.7. we got routine urine test - which Is normal. other tests are CBC - normal, Typhi DoT - non reactive, CRP test result - 48. presently giving her Ibugesic and megamentin-375 both twice a day. Pls advice. Br / dev
Wed, 21 May 2014
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General & Family Physician,  's  Response
Hello
Since fever is from last 8 days with evening and morning ( high ) except CRP all tests are normal but at present this is non-specific ( 0.02-8.0 mg/L).
She is taking ibugesic ( antipyretic ) & megamentine ( amoxycilli+ clavulanic acid ) . In spite of this she is still having fever , that is a cause of concern , this type of fever may be due to these possibilities , these includes.
1 Typhoid fever , once again get in blood examination for Widal test as well serology test ( most specific) . Because in early stage of fever usually typhoid don't show any positive result, so 2nd test is necessary.
2 Tuberculosis , as you mentioned that she is having fever early in the morning as well in the evening , this is a typical feature of tuberculosis , so get in blood for C B C , E S R and x ray chest for confirmation.
3 Jaundice may be the another possible cause , so get in blood examination for serum bilirubin as well as S G OT , S G PT for confirmation.
However there are so many causes of fever as malaria ( resistant ) , dengue ( late stage ) , UTI so consult a physician and get his 2nd opinion.
Good luck.
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Suggest Medicine For Fever

Hello Since fever is from last 8 days with evening and morning ( high ) except CRP all tests are normal but at present this is non-specific ( 0.02-8.0 mg/L). She is taking ibugesic ( antipyretic ) & megamentine ( amoxycilli+ clavulanic acid ) . In spite of this she is still having fever , that is a cause of concern , this type of fever may be due to these possibilities , these includes. 1 Typhoid fever , once again get in blood examination for Widal test as well serology test ( most specific) . Because in early stage of fever usually typhoid don t show any positive result, so 2nd test is necessary. 2 Tuberculosis , as you mentioned that she is having fever early in the morning as well in the evening , this is a typical feature of tuberculosis , so get in blood for C B C , E S R and x ray chest for confirmation. 3 Jaundice may be the another possible cause , so get in blood examination for serum bilirubin as well as S G OT , S G PT for confirmation. However there are so many causes of fever as malaria ( resistant ) , dengue ( late stage ) , UTI so consult a physician and get his 2nd opinion. Good luck.