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Cyclic pattern fever
Hi dr,my kid is of 9 years old,he is having fever and cough since 3-4 days cyclic pattern of fever is seen .... fever is getting reduced in afternoon but its getting high grade at night time also cough is their  i hv given him ibugesic syrup and ambroxol syrup .... Today mid night runny nose is also seen of my child Kindly help thank u ...
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Answers (8)

Physical assessment is mandatory
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This sounds most likely like an acute viral respiratory infection, especially with cough and now runny nose. Fever can fluctuate and become higher at night, so that pattern alone is not concerning.
Next Steps
since the fever has already been present for 3–4 days, I would advise a pediatric examination rather than continuing medicines blindly
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Hello. From the history, fever with cough and now runny nose for 3–4 days is most commonly due to a *viral respiratory infection.* Fever becoming higher at night or coming down in the afternoon does not by itself indicate a specific disease.
Next Steps
However, since the fever is high-grade and has persisted for 3–4 days, I would recommend examining the child once.
Health Tips
Continue adequate fluids and paracetamol. Please seek urgent care if there is fast/difficult breathing, chest indrawing, persistent vomiting, excessive drowsiness.seek urgent care.
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided. Contact me on Practo or WhatsApp chat. Contact number: 97012307 two nine Dr. G. Avinash MBBS, MD (Pediatrics) Fellowship in
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Greetings cyclic fever peaking at night with a cough usually indicates a viral infection. You can continue giving Ibugesic syrup for fever control and comfort as prescribed. Ensure your child drinks plenty of fluids to stay hydrated throughout the illness. Avoid adding more over-the-counter syrups without first consulting a pediatrician
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Physical check and tests are needed as fever is there since 4 days. Please visit a pediatrician for check up and treatment
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Looks like viral fever Continue medicines Wait for 2-3 days.
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Looks like Viral fever Most of the fevers are Viral fever so Viral fevers will be there upto 3 days So continue same medicine
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.