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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Gets Intermittent Fever, Throat Pain. Advised Fimoxyl, Penicillin For A Long Term.History Of Tonsillectomy. Suggestion?

Hi, my son is 11 years old, suffering from fever on and off with throat pain, his tonsillectomy has been done before 5 years, when he was 9.From that time he is taking penicillin v[250mg] twice daily orally, according to his Dr. s advice.now he is suffering fever and throat pain again with aso titre-more than 200iu/ml,crp-47.0mg/L,ESR-42mm, without any joint pain and his ecocardiography report is normal.now he has been suggested cap Fimoxyl[500mg] for 7 days and than again penicillin v twice daily orally up to the age of 20. pl tell me what should i do?
Sat, 24 Aug 2013
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Pediatrician,  's  Response
Hi i am Dr. kadhir ,

Thank you for your consultation in healthcare magic.

First thing i want to say is there is no role for continuous penicillin treatment for a child with no evidence of rheumatic heart disease or for a child with recurrent strep throat or for post tonsillectomy. It is a blunder, if your doctor has done this in the absence of rheumatic heart disease.

Next the treatment for sterp throat is treating the episode with antibiotics as 7 to 10 days course. Recurrent sterp throat is only when it occurs 6 to 7 times per year .

strict oral hygiene, hand hygiene and managing stress is the key in prevention of sterp throat. I don't think your child has recurrent sterp throat so treat this episode and follow the preventive measures . prophylactic drugs for long time is not advised if he has no rheumatic heart disease.
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Child Gets Intermittent Fever, Throat Pain. Advised Fimoxyl, Penicillin For A Long Term.History Of Tonsillectomy. Suggestion?

Hi i am Dr. kadhir , Thank you for your consultation in healthcare magic. First thing i want to say is there is no role for continuous penicillin treatment for a child with no evidence of rheumatic heart disease or for a child with recurrent strep throat or for post tonsillectomy. It is a blunder, if your doctor has done this in the absence of rheumatic heart disease. Next the treatment for sterp throat is treating the episode with antibiotics as 7 to 10 days course. Recurrent sterp throat is only when it occurs 6 to 7 times per year . strict oral hygiene, hand hygiene and managing stress is the key in prevention of sterp throat. I don t think your child has recurrent sterp throat so treat this episode and follow the preventive measures . prophylactic drugs for long time is not advised if he has no rheumatic heart disease.