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What Causes Fluctuating Fever In Child?

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Posted on Thu, 4 Dec 2014
Twitter Thu, 4 Dec 2014 Answered on
Twitter Mon, 29 Dec 2014 Last reviewed on
Question : My niece is suffering from fever last 3 days. She is 2 yrs old. I have given her two medicine
1. Combination of amoxycyline and clavulanic acid syrup
2. Mefenamic acid suspension.
When i give her mefenamic acid suspension. Her body temprature gets lower down and she becomes normal. But after 5-6 hours, her body temperature increase again from 100 to 103 F. After every 5-6 hours, She needs to take the mefenamic acid suspension to lower the down the temprature. Today is the 3rd day of fever.
Doctor, Do i need to change the change the medicine or continue with the same for next few days ??? One more thing doctor She suffer from fever for 3-4 days in every month from last 6 month. I am unable to understand the reason why she suffers from fever for 3-4 days every month. Some people says it can be due to changes in weather or throat infection. Doctor Please provide the best treatment
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Answered by Dr. Diptanshu Das (-4 hours later)
Brief Answer:
Treatment is on right lines

Detailed Answer:
Thanks for asking on healthcaremagic. I have gone through the details provided. Your niece is likely to be suffering from a viral infection which often occurs due to weather changes and may also be related to throat infections. Some children have a propensity to suffer from such infections but generally it comes down with increase in age. If the frequency is greater than 5-7 times a year, you need to talk to your doctor about the requirement of tonsillectomy.

Amoxycillin-clavulinic acid is an antibiotic but antibiotics are not required in case of such infections since viral infections do not respond to antibiotics and take 5-7 days to resolve. But since you have begun it, please complete the course. In the meantime, it may recurring every 5-6 hours and just give her mefenenamic acid suspension which is the best option to reduce fever. If the fever does not get relieved in 7 days, you need to take her to a doctor and get her evaluated to rule out typhoid. You may also give the child some antiallergic like Relent syrup (cetirizine+ambroxol) for a few days which will help in controlling the allergic component of such infections. You are otherwise managing her fine and no other improvisation is required.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3879 Questions

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What Causes Fluctuating Fever In Child?

Brief Answer: Treatment is on right lines Detailed Answer: Thanks for asking on healthcaremagic. I have gone through the details provided. Your niece is likely to be suffering from a viral infection which often occurs due to weather changes and may also be related to throat infections. Some children have a propensity to suffer from such infections but generally it comes down with increase in age. If the frequency is greater than 5-7 times a year, you need to talk to your doctor about the requirement of tonsillectomy. Amoxycillin-clavulinic acid is an antibiotic but antibiotics are not required in case of such infections since viral infections do not respond to antibiotics and take 5-7 days to resolve. But since you have begun it, please complete the course. In the meantime, it may recurring every 5-6 hours and just give her mefenenamic acid suspension which is the best option to reduce fever. If the fever does not get relieved in 7 days, you need to take her to a doctor and get her evaluated to rule out typhoid. You may also give the child some antiallergic like Relent syrup (cetirizine+ambroxol) for a few days which will help in controlling the allergic component of such infections. You are otherwise managing her fine and no other improvisation is required.