Dr. Faisal Abdul Karim Malim
Pediatrics
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 recently recovered from a viral infection this month. It was a seven-day fever. She was at home and was completely fine. She went to school last week; she started complaining about throat pain, and by evening, she started getting a runny nose and mild temperature fluctuations. Is it because of the cold? Or is the previous infection recurring? And from today morning, the temperature ranges from 99.5 to 100.5 Fahrenheit, she is getting it in 8 to 12 hour interval, and she also complains about leg pain.
Kindly help.
Hello,
Welcome toicliniq.com.
I read your query and can understand your concern.
The symptoms experienced by the child are suggestive of a new infection, possibly because of the low immunity due to the previous prolonged infection. Please check the child with a thermometer. If the temperature is 100 Fahrenheit or more, you can give syrup. Crocin DS (Paracetamol):one tablespoon for four to six hours a day. If the temperature is 102 Fahrenheit or more, you can give syrup. Ibugesic (Ibuprofen) Plus (5 ml) for six to eight hours If the temperature stays above 100 Fahrenheit for more than 3 days or if it crosses 103 Fahrenheit, it is advisable to get evaluated physically by a pediatrician, with possible blood investigations based on the physical examination. For colds, please give
1) Syrup: Montair LC Kid (5 ml) twice a day for 10 days.
If there is no improvement, worsening, or breathlessness, please take the child to the nearest hospital.
I hope I have answered your question.
Let me know if I can assist you further.
Patient's Query
Hello doctor,
Her temperature is 100.6 Fahrenheit, so I gave Paracetamol 250 milligrams. After seven to eight hours, her temperature fluctuates and she suddenly sweats, then maintains 100.1 to 100.6 Fahrenheit. Should we give Paracetamol for temperature fluctuations?
Hello,
Welcome back toicliniq.com.
I read your query and can understand your concern.
Please use an armpit thermometer. It is more accurate. Paracetamol is to be used only when there is fever and not otherwise, or for that matter, for any temperature fluctuations.
I hope I have answered your question.
Let me know if I can assist you further.
Patient's Query
Hello doctor,
Again, my kid has had a sore throat, a runny nose, and congestion for the past 1 week. Initially, after starting medication, she said her sore throat disappeared. But today again, she said her throat hurts. Is this a new infection or an existing infection with a sore throat on and off?
Hello,
Welcome back toicliniq.com.
I read your query and can understand your concern.
Considering the duration between the past illness and the present illness, it is less likely to be the same infection again, and it most probably will be some new infection or some allergy. I would suggest giving the child one tablespoon of honey twice a day until required.
I hope I have answered your question.
Let me know if I can assist you further.
Regards.
Patient's Query
Hello doctor,
Yes, doctor, there is a new infection. Will the sore throat be on and off during the infection? One day she says it hurts; the next day it is quite normal, and again she says it hurts. Will a sore throat be present until she recovers from the current infections?
Hello,
Welcome back toicliniq.com.
I read your query and can understand your concern.
A sore throat may or may not be a part of the infection; irrespective, the management for sore throat remains the same. Use honey whenever she complains of pain; if she does not complain of pain, there is no need to do anything.
I hope I have answered your question.
Let me know if I can assist you further.
Regards.
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