Dr. Prathap
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 son is 3 months old. Three days ago, he had a fever with cold and cough. Due to the cough, he had severe vomiting. On the next day, we consulted his doctor, who prescribed Emeset, Crocin, Meftal spas, Ascoril D, Ecobion, and ORS. The same night he had a fever again. He felt better yesterday, but again at night, his temperature was quite high.
Hello,
Welcome to icliniq.com. Given his age, fever with cough and cold is probably a viral fever. Although the treatment you are undertaking is thorough, it needs a few changes for a better relief. Please answer the following questions, so that I can tell you more about the necessary treatments:Have you undergone any lab tests? Is there any cold with nasal stiffness? Is the vomiting persistent and for how many times per day?Is he accepting feeds normally? Is he drowsy? Is there any diarrhea? Kindly get back to me with all the answers as soon as possible.
Patient's Query
Thank you doctor,
We did not get any lab tests done yet. Nasal congestion is present. He vomited only twice, whenever he had a cough. It was full of phlegm. He is taking the feed, but less than normal. He sometimes avoids it completely. He does feel drowsy but does not have diarrhea.
Hello,
Welcome back to icliniq.com. In infants, these symptoms usually resolve within a week. If fever is persistent even after a week, if he does not accept feeds or if he is always drowsy, you will need to get him hospitalized. As it is not the case with your son, you can get him treated at home. I suggest the following changes to his medication: Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent.You can use Ascoril D (combination of Dextromethorphan, Phenylephrine, Triprolidine). Change to P-125 (Paracetamol) syrup at a dose of 15 mg/kg four times a day, which will decrease his fever. Use Hynasal saline spray (Sodium chloride), every fourth-hourly for nasal stuffiness. For cold, use Maxtra drops (combination of Chlorpheniramine maleate and Phenylephrine) 1 ml to 1.5 ml thrice a day. Emeset (Ondansetron) can be used as and when needed.
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Internal Medicine
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