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Suggest Treatment For Fever And Throat Infection In A Child
My 5-year-old daughter is suffering from severe fever and throat infection for the past 1 week. The doctor first prescribed Azithral 200 suspension and then Advent Forte syrup. The fever has not subsided and she developed severe cough, which results in vomiting everytime she had food or medicine. Yesterday, the doctor diagnosed it as severe acute tonsillitis and added Zanocin syrup to the regimen. She also started passing greenish, mucus-like consistency stools everytime she urinates. For that, he added Junior Lanzol and Bifilac. Even then, she is having fever, but the intensity has decreased somewhat. The doctor told that only if the throat infection gets cured, the fever will subside completely. I am worried about adding the antibiotics up and up and is it safe to give all those medicines at a time? In addition, she takes Meftal-P suspension for fever also. Please give elaborate answer and advise what is the next step is to be taken? I have seen an indication that zanocin is not safe for use in children in the information leaflet given along with the medicine. She is taking Grilinctus for cough also.
Fri, 23 Feb 2018
Hi...Thank you for consulting in Health Care magic.
Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.
Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.
Meftal-P contains Mefenamic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Meftal-P.
Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do.
YOUR CHILD DOES NOT REQUIRE ANTIBIOTICS.
THE LOOSE STOOLS ALSO ARE DUE TO ANTIBIOTIC ASSOCIATED DIARRHOEA.
Keep her hydrated well.
Regards - Dr. Sumanth
Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.
Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.
Meftal-P contains Mefenamic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Meftal-P.
Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do.
YOUR CHILD DOES NOT REQUIRE ANTIBIOTICS.
THE LOOSE STOOLS ALSO ARE DUE TO ANTIBIOTIC ASSOCIATED DIARRHOEA.
Keep her hydrated well.
Regards - Dr. Sumanth
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