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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Has Difficulty In Sleeping Due To Fever, Taking Ibuprofen, Gets Twitches On Falling Asleep. Emergency?

Hi, I have a 17 month old boy. This evening at 9 pm he spiked a fever of 102.7. I gave ibuprofen and the fever got down to 100.7 within 15-20 minutes. He ate milk and went to sleep at 10 pm. He woke up at 1 am and wouldn t go back to sleep. At around 2.20 he again had 102.7 fever. I gave paracetamol , the fever went to 103.8 and then went very slowly to 102.2. It s now 5 am and child is trying to go to sleep but when he seems to fall asleep he twitches and wakes up again. He did not cry, he is rather playful when awake, no sings of pain. Shall I call an ambulance or wait until morning and see how he is? Thank you for your quick answer, I am scared he might have something urgent.
posted on Sat, 27 Oct 2012
Twitter Sun, 28 Oct 2012 Answered on
Twitter Mon, 29 Oct 2012 Last reviewed on
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  User's Response
Hi and thanks for the query.
It might just be a simple flu, but you need to be concerned about the fever as children of this age are prone for febrile seizures.
I suggest you take him to the hospital as soon as possible to find the cause of the fever and get specific treatment. Meanwhile please keep the fever down with paracetamol appropriate dose every four hours and brufen only every 6 hours at the most. If the fever doesnt come down inspite of this, you need to do sponging with tepid water. Give lots of fluids to compensate for fluid loss during high fever.
Hope your child gets well soon. Take care.
Bye
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Child Has Difficulty In Sleeping Due To Fever, Taking Ibuprofen, Gets Twitches On Falling Asleep. Emergency?

Hi and thanks for the query. It might just be a simple flu, but you need to be concerned about the fever as children of this age are prone for febrile seizures. I suggest you take him to the hospital as soon as possible to find the cause of the fever and get specific treatment. Meanwhile please keep the fever down with paracetamol appropriate dose every four hours and brufen only every 6 hours at the most. If the fever doesnt come down inspite of this, you need to do sponging with tepid water. Give lots of fluids to compensate for fluid loss during high fever. Hope your child gets well soon. Take care. Bye