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Fever 103.4
My 4.10 year old son suddenly got fever at4pm which increased to 102.4 so i gave calpol 250 at 5 pm . Fever reduced to 99.6 and he went to play . Later at around 8 his fever again started increasing which increased to 102.7 so I called doctor and he asked to give ibugesic plus which he immediately vomited . So doctor asked to give emeset and rantac 5 mL followed by ibugesic plus . His fever rose to 103.4 . We gave him medicine and also kept wet cloth on forehead . Fever is fluctuating still between 101.5 to 102.4 . Sometimes it decreases and again increases ! He has no other symptom but very dull due to fever . What do i do
Answers (7)
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I understand your concern, such high grade fever need immediate treatment.
Do cold sponging, involving whole body. And repeat paracetamol every 8hrly.
Usually viral infection will have high grade fever for initial 2-3 days then it subsides.
If fever recurrs, or persistent.. Need to evaluate.
Next Steps
maintain hydration, monitor intake and output, like his urine output, sweating. sensorium in between fever-free interval.
Health Tips
contact for evaluation
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Please continue Calpol round the clock for 2 days and consider sponging if still fevers don’t fall below 100f. Inspite treatment if he is still dull for more than 3 days he might need further investigations
Next Steps
Try to maintain adequate hydration. Try to control the fever with above advice if not please consult a Pediatrician as high fevers can be dangerous to children
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Hello,
Continue with with CALPOL 250 syrup and cold sponging And if it is not responding to CALPOL then you can give ibugesic syrup. But the interval between the two doses of the medicine should be atleast 6hrs. So it will be better if you try to control the fever with cold sponging as the fever starts increasing.
Next Steps
If it is not responding to oral medicines and cold sponging then it will be better if you consult with the doctor
Health Tips
1)Ensure hydration.
2)Observe red flag signs: rash, breathing difficulty, persistent vomiting, irritability.
3) If the fever lasts beyond 3 days or new symptoms appear, I would advise a clinical review by a pediatrician.
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Hello, I understand your concern
Fever in children, especially in the 3–5 day window of a viral infection, often fluctuates even after giving medicines. It’s good to know that your child is otherwise active and has no other symptoms.
Fever may come and go for 3–5 days during viral infections. Feeling dull during fever is common. Activity usually returns once temperature settles.
Next Steps
You are already giving Calpol (paracetamol) correctly. It can be given every 6 hours if fever is above 100.4°F.
Ibugesic Plus (ibuprofen + paracetamol) is usually given if fever does not respond to paracetamol alone. Since he vomited, you did the right thing by giving Emeset first.
Tepid sponging (wet cloth on forehead, armpits, and groin) during high-grade fever is helpful.
Monitor for warning signs: difficulty breathing, persistent vomiting, seizures, rash, excessive sleepiness, refusal to eat/drink, or if fever continues beyond 3 days.
Ensure the child stays hydrated — give small frequent sips of water, ORS, coconut water, etc.
If fever persists more than 72 hours or child becomes more lethargic, consult your pediatrician for physical examination and further tests if needed (like CBC, urine test, etc.).
Health Tips
Avoid overuse of combination medicines.
Do not wrap the child too much during fever.
Maintain a fever chart to help your doctor assess the pattern.
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Continue sponging with wet cloth on whole body.if fever doesn't settle then book audio or video appointment with me.
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Dr. Devaraja
Pediatrician
11 yrs exp
Coimbatore
CALPOL 250 syrup for next two to three days ,
Next Steps
If, during a fever, he develops additional symptoms such as difficulty breathing, altered consciousness, severe body pain, or a rash, and unusually weak , these could be danger signs and require urgent care
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Dr. Ajith Narayanankutty
Pediatrician
14 yrs exp
Ahmedabad
Hi.
I understand your concern.
Does your child have any other symptoms other than fever??
Need to consult.
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