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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes recurring high fever?

My daughter is suffering from fever since 25th June. She is 6 years old and 20 kg in weight. I am Pharmacy post graduate and initially I start administering Paracetamol + Ibuprofen suspension along with Cefixim tab [100mg] Fever was continuing throught day and night and every 4 hrs I am administered Para + Ibu. suspension. Since there was no improvement I have taken her to my family pediatrician [M.D-Pediatrics-with 30 years of service] He diagnosed it to be the viral fever and changed the antibiotics to ROXITHROMICIN [100 mg-morning 1 and night 1 tab] + Paracetamol tab. -375 mg once 6 hourly. But fever keep coming [with rare cough,complain of headache -no vomiting/diarrhea/rashes/running nose] and every 6 hourly I was administering Para. tab. Even after 3 days [Fever started on 25th; continued till 29th] once again we consulted the same paediatrician and he said to continue for 2 more days. Today[30-6-2011] early morning fever came[100 F] on 2.15 am we administered paracetamol 375 mg and after 10 hours of gap again fever came on 12.15pm [99.8 F] again we administered one more dose of paracetamol. Till now fever didn t turn up [Apart from paracetamol we also administering ROXITHROMICIN [100 mg-morning 1 and night 1 tab] my daughter is active except during fever time and she took bit less food than her regular amount. Is it is viral fever? What should I do? Pls. through some light Sincerely Dr. N.Anbalagan M. Pharm., Ph.D
Thu, 31 Aug 2017
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  Anonymous's Response
's  Response
Hi
See if the child is well in interfebrile period, if so most likely it is viral fever.
Then you will need to give symptomatic treatment in form of paracetamol, and tepid sponging with tap water.
Tepid sponging: sponge whole body including tummy and back with tap water.
Sponging just before giving paracetamol helps in keeping temperature down for a longer duration.
keep him well hydrated. Give him warm liquid to drink.
viral fever takes approximately one week to go
If fever last for more than a week you need to get him investigated based on his examination.
Best wishes
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