What Are High Fever And Cough In An Infant Indicative Of?

Posted on Wed, 29 Aug 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 29 Aug 2018 Answered on

Fri, 8 Apr 2022 Last reviewed on

Question : hi , my daughter is 9.5 month old and having 101 fever since morning. we gave her crocin every 4 hours but fever is not coming down. the bottle of crocin was opened 1 month ago. she also has cough. please advise what to do

Answered by Dr. Dr. Pradeep Kumar Jain (1 hour later)

Brief Answer:
Check the dose, may need to give mefenemic acid

Detailed Answer:

Hi,

Fever with cough in this age is mostly due to some viral infection.
Fever may be very high during initial 2-3 days and the it starts declining. Giving paracetamol(10-15 mg/kg/dose maximum 60 mg/kg/day) 4-6 times a day helps in most of the cases. I would request you to check the dose of paracetamol which you are giving. If fever is persisting even after paracetamol, you may give mefenemic acid(brand name meftal p)after consulting your pediatrician. It is more effective in decreasing temperature and can be given along with paracetamol. The dose is 25 mg/kg/day in three equal divided dosage. It should be given at the same time with paracetamol or one can allow a gap of two hours to see the effect of each medication.

Do tepid sponging(sponging of whole body with lukewarm water) as it is very effective way to control the temperature.
For cough giving cough syrup containing combination of Levosalbutamol a bronchodilator which helps in relieving airway spasm with Ambroxol a sputum thinning agent can be given.
Give plenty of fluids to avoid dehydration and it also helps in decreasing temperature.
Watch for any fast breathing, chest wall retraction or noisy breathing and if you notice any please consult your pediatrician immediately.
I won't get overly worried if all these symptoms are not there.

I hope this helps. Please let me know if you have any more questions.
Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Pradeep Kumar Jain (6 hours later)

her fever is 101 since yesterday and is not coming down even after giving crocin.she isnotdrinking water also.can I give her electral? what to do

Answered by Dr. Dr. Pradeep Kumar Jain (12 hours later)

Brief Answer:
Give paracetamol for fever,observe for symptoms

Detailed Answer:

Hi,

I would suggest you to give paracetamol for fever and observe for any danger signs like poor feeding, breathing difficulty, persistent fever or any abnormal jerky movement.
You can give Electral to avoid dehydration.Reqd the instruction for preparation of solution as improper dilution may cause harm.
If you find any significant problem, please consult your pediatrician.

I shall be glad to help if you need any help.

Wishing for speedy recovery of your child.
Regards

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Above answer was peer-reviewed by : Dr. Yogesh D