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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Recurring Fever In Children Suggest?

My almost 4yr old son has had a fever on and off for a few days now. It went as high as 102.5 upon underarm temp yesterday. He has been quieter today. It goes away with fever meds. But comes back within a few hours. He says he feels fine otherwise. Kinda laid around watching cartoons and tv today. Should I be concerned enough to call my pediatrician over the weekend?
posted on Wed, 20 Aug 2014
Twitter Wed, 3 Sep 2014 Answered on
Twitter Wed, 3 Sep 2014 Last reviewed on
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Pediatrician, Pulmonology ,  's  Response
HI...you have given me all th einformatoin I would have otherwise asked my patient...you have given me an important information by telling that he is well when there is no fever. This seems to be 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 every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.
Regards - Dr. Sumanth
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What Could Recurring Fever In Children Suggest?

HI...you have given me all th einformatoin I would have otherwise asked my patient...you have given me an important information by telling that he is well when there is no fever. This seems to be 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 every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - Dr. Sumanth