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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fever And Vomiting

I took my 3 yr old to doctor today as she had a fever of 103, vomited a couple times and is congested. Doctor prescribed Amoxyclav and said to watch her as it could turn to pneumonia. Fever is still at 103 and she is having trouble breathing, but appears it is due to congestion. at what point do we go to ER?
posted on Thu, 13 Mar 2014
Twitter Fri, 24 Apr 2015 Answered on
Twitter Mon, 27 Apr 2015 Last reviewed on
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Infectious Diseases Specialist,  's  Response
Thanks for posting you query to health care magic.
it is high grade fever you need take care of it .
first you should bring it to down by doing cold sponging of body with tap water (dont use ice or icy water) and give Syrup Paracetamol 150 mg .
simultaneously baby should be investigated for :
1. Blood culture and sensitivity to microbiology lab it will suggest bacterial cause of infection and sensitive antibiotic to treat it as you are taking antibiotic empirically.
2. Total and differential blood count.
take care of baby to not aspire vomitus inside lung to prevent pneumonia .
Give Domperidon paediatric syrup two times a day to relieve vomiting .
if complaint increases or not releived by above measure contact immediately to health care centre.
Continue with Amoxy -clave till you get culture and sensitivity report .
review me after investigation report .
Hope you would be satisfied with my answer . Feel free to communicate if any query .
regards,
Dr.Manish Purohit
Infectious disease specialist
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Suggest Treatment For Fever And Vomiting

Thanks for posting you query to health care magic. it is high grade fever you need take care of it . first you should bring it to down by doing cold sponging of body with tap water (dont use ice or icy water) and give Syrup Paracetamol 150 mg . simultaneously baby should be investigated for : 1. Blood culture and sensitivity to microbiology lab it will suggest bacterial cause of infection and sensitive antibiotic to treat it as you are taking antibiotic empirically. 2. Total and differential blood count. take care of baby to not aspire vomitus inside lung to prevent pneumonia . Give Domperidon paediatric syrup two times a day to relieve vomiting . if complaint increases or not releived by above measure contact immediately to health care centre. Continue with Amoxy -clave till you get culture and sensitivity report . review me after investigation report . Hope you would be satisfied with my answer . Feel free to communicate if any query . regards, Dr.Manish Purohit Infectious disease specialist