Dr. Nidhin Mohan
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
My daughter is 5 years 9 months old. She had a heavy cold and cough last week due to which she got a temperature of 99.8. So I gave her Calpol 250 next day morning similar range so I again continued the medicine and visited the doctor. He said continue fever doses irrespective of whether there is or not for three days post which the same day and next day she had no fever but again suddenly she got 99.5 and till night it went to 102.8 and did not reduce at all till we visited the doctor next day. He asked us to take blood urine reports are prescribed antibiotic Augmentin and continued to Calpol and SOS Meftal syrup as he sighted bacterial infection. Now she is taking antibiotic four doses plus Paracetomol but fever keeps coming back. So, by yesterday night gave her Meftal post which her fever came down. Should I continue Meftal syrup irrespective of fever level along with Calpol and antibiotic as to control the fever levels? I am worried why the fever keeps coming back the same level even though now four doses of antibiotic are completed.
Hi,
Welcome to icliniq.com.
The symptoms seem secondary to upper respiratory tract infection. Fever sometimes takes time to settle and may take up to a week. If cough and fever continue beyond 10 days then get a chest X-ray done to rule out pneumonia.
Meftal (Mefenamic acid) needs to be given only if fever is not controlled with Paracetamol. If there is no fever or mild fever no need to give Meftal. I would suggest waiting for one day and then getting a chest X-ray done.
Patient's Query
Hello doctor,
I have done a chest X-ray which is normal. It is not pneumonia and respiratory tract infection according to the doctor.
Hi,
Welcome back to icliniq.com.
If chest X-ray is normal, then it is just normal upper respiratory tract infection. It is not a serious problem and should settle down in two more days with antibiotics.
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Internal Medicine
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