What Causes Fever With Painful Throat?

Posted on Fri, 24 Oct 2014

Question: My 4.5 years old daughter has fever from yesterday. She frequently passing urine that too for every 5 to 10 mins. She saying her throat is paining while drinking milk.

Answered by Dr. Deepak Kishore Kaltari (46 minutes later)

Brief Answer:
likely to be Pharyngitis

Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day

Dear Ms XXXXXXX

Thanks for writing to me.

Fever with difficulty in swallowing, possibility of Pharyngitis needs to be ruled out.
I would suggest the following

1. Warm saline gargling : To glass of lukewarm water add 2 spoons of salt. Make baby gargle the throat with it thrice a day

2. To a spoon of honey add 2 drops of fresh lemon juice. Make baby sip it thrice a day

3. Antipyretic : Syrup Paracetamol 15mg per kg per dose 4 times a day

4. Urine routine and microscopic examination to rule out urinary tract infection especially in view of Fever and increased frequency of urination

5. Decoction : 1 cup of milk + 2 spoon sugar + 1 / 2 spoon turmeric + 20 Tulsi leaves. Bring to boil. Filter it and feed baby warm ththrice a day
This will reduce her throat pain

6. Syrup Ambrodil plus 2.5 ml thrice a day: This will decongest her throat

I would not recommend antibiotics at present. Do get back to me with urine report.

Wishing her speedy recovery

Take care Madam

Regards
Deepak

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (2 days later)

Hello doctor,

she has no throat pain now. but fever is on and off. she says that she has stomach pain sometimes. I have given urine culture test and took ultrascan for abdomen.

Urine report will be given only tomorrow she lab has reported that it has to be in ananlysis for 48 hours. Here I have attached the scan report.

Please check and advise.
regards
XXXXXX

Answered by Dr. Deepak Kishore Kaltari (2 hours later)

Brief Answer:
It is cystitis

Detailed Answer:
Dear XXXXXXX

The ultrasound report suggest possibility of lower urinary tract infection (cystitis ). AS there is persisting fever which is likely to be due to urinary tract infection, I would suggest to empirically start him on antibiotics. Syrup Taxim O 5 mg /kg per dose twice a day will be helpful.

Do get back to me with urine routine and culture report.
Nothing to worry,he will be okay

With warm regards
Deepak

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (6 minutes later)

Thank you very much doctor for you kindly advise. will get back to you with the report.

Answered by Dr. Deepak Kishore Kaltari (10 hours later)

Brief Answer:
Take care

Detailed Answer:
Dear XXXXXXX

Take care

Wishing you and your family a very happy and healthy life.

Regards
Deepak

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (8 hours later)

Hello Doctor,

I have uploaded the lab report. Pls check and advise. Thank you.

Answered by Dr. Deepak Kishore Kaltari (1 hour later)

Brief Answer:
It is due to urinary tract infection

Detailed Answer:
Dear XXXXXXX

Routine microscopy shows pus and red blood cells which confirms the symptoms are due to Urinary tract infection. The urine culture has not revealed any growth of specific bacteria.

So I would suggest you the following

1. Continue Taxim O syrup as advised previously
5 mg per kg per dose twice a day for 7 days
2. Ensure good intake of water : Follow rule of 1.
I cup of water 1 hour before 3 very meals and 1 cup of water 1 hour after every meal . It will ensure sufficient intake of water . Keep following it to ensure good water intake and also will not affect nutrition of baby

3. Hot Seitz bath : To a tub of lukewarm water add 2 spoons of antiseptic solution. Make baby sit in it for 15 minutes. Give bath to baby later on .
This will ensure the external genital are clean and prevent ascending urinary infection. Do it for 3 to 4 days

Do keep me updated about progress.

Best regards
Deepak

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (2 hours later)

Thank you for the advise. I have few queries.
1. How the liver swelling and spleen swelling will come normal.
2. Why this urine tract infection occurs, what could be reason for it.
3. How to avoid the above in future.

Thank you
regards
XXXXXX

Answered by Dr. Deepak Kishore Kaltari (59 minutes later)

Brief Answer:
Liver and spleen are normal

Detailed Answer:
Hi
Dear XXXXXXX

There is nothing to be worried about liver and spleen. Size. This is normal for child of age less than 5 years old. So be assured and don't be worried.
Urinary tract infection is occasionally seen in girl babies. It is due to short length of urethra. As it is first episode and with normal Ultrasound of kidney and ureter there is nothing to be worried about.

I would suggest the following for preventing

1. Ensure good intake of water . It is very helpful

Do keep in touch

Take care
Regards
Deepak

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar