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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Has Vomiting, High Fever, Leg Pain, Abdominal Pain. Motrin Ineffective. What Could It Be?

My almost three (in November) daughter has had high fevers 102-104 for 3 days now with vomiting and leg pains. My two boys started with this last week and Dr. said it was viral. Lasted in them for 2 days then back to school. So when this started with my daughter I figured she caught it too and it was viral, wait it out. However she is having symptoms that the boys didn t have. She vomited all day yesterday- unable to keep anything down even the motrin. Had to buy suppositories. Today, still high fevers (103) but her leg pain has become severe and now complaining of abdominal pain . She has been crying all day and the motrin isn t helping the pain. Took her to Dr. today and they said is viral. She has been in severe pain ever since. What could it be? What should I do?
Thu, 25 Oct 2012
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OBGYN,  's  Response
Hello there,

High grade ever running or 3 days in succession requires a careful search of the focus of infection. In a girl child with such high spiking fever, always rule out a urinary tract infection as it can present with vomiting episodes. Malaria and typhoid are other possibilities.

Thinking only on lines of viral infection can delay the diagnosis. Get her complete blood count along with urine test.

Bring down the fever with syrup paracetamol to be given 6th hourly in the right dose and also tepid sponging if fever does not subside. Children of this age are susceptible to febrile convulsions and thats why fever should always be taken care.

Wishing your child a speedy recovery.

Take care.
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Child Has Vomiting, High Fever, Leg Pain, Abdominal Pain. Motrin Ineffective. What Could It Be?

Hello there, High grade ever running or 3 days in succession requires a careful search of the focus of infection. In a girl child with such high spiking fever, always rule out a urinary tract infection as it can present with vomiting episodes. Malaria and typhoid are other possibilities. Thinking only on lines of viral infection can delay the diagnosis. Get her complete blood count along with urine test. Bring down the fever with syrup paracetamol to be given 6th hourly in the right dose and also tepid sponging if fever does not subside. Children of this age are susceptible to febrile convulsions and thats why fever should always be taken care. Wishing your child a speedy recovery. Take care.