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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Diarrhea, Vomiting And Fever

my niece is 4 yrs old and has a high grade fever , diarrhea, vomiting and red spots on mouth-- the dr said its form hand foot and mouth but she cant seem to break the high fever with advil and now tylenol ! she hasn t eaten in days --will drink but not much and of coarse not urinating much ! she now has a 105.2 temp and when called in to the dr they weren t to concerned abt the high fever!! Lips are white! how much longer should we wait til we take her in to the ER--
Tue, 3 Oct 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history and understood the concerns.
When a 4 year old patient gets more than 105.2 F temperature, this is an emergency as it can cause febrile convulsion in a child hence take her immediately to the ER and while on way give sold sponging to the whole body, the temperature has to come down at any cost.
Continue Advil as per the dosage schedule.
Needs detailed clinical evaluation, examination and investigation of blood, urine, stool, X-ray of the chest, Ultrasonography and Blood culture and sensitivity that helps later on getting the report which takes a few days.
May need Hospitalization, intravenous fluids, antibiotics, supportive and symptomatic treatment.
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Suggest Treatment For Diarrhea, Vomiting And Fever

Hi. Thanks for your query. Noted the history and understood the concerns. When a 4 year old patient gets more than 105.2 F temperature, this is an emergency as it can cause febrile convulsion in a child hence take her immediately to the ER and while on way give sold sponging to the whole body, the temperature has to come down at any cost. Continue Advil as per the dosage schedule. Needs detailed clinical evaluation, examination and investigation of blood, urine, stool, X-ray of the chest, Ultrasonography and Blood culture and sensitivity that helps later on getting the report which takes a few days. May need Hospitalization, intravenous fluids, antibiotics, supportive and symptomatic treatment.