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Fever and Vomiting
My son is 13 years old. He has fever and vomiting. I gave dolo 250 10ml dose. Need suggestion on vomiting medicine and dose.
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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The correct Paracetamol (Dolo) dose in children is 10–15 mg/kg/dose every 6–8 hours (maximum 60 mg/kg/day).
👉 At 13 years, average weight is ~40–45 kg → dose ~500–650 mg per dose.
Giving 2500 mg at once is 4–5 times the safe dose, which can be toxic to the liver.
Action:
No more paracetamol should be given until reviewed by a doctor.
Monitor for nausea, vomiting, abdominal pain, yellow eyes (signs of liver injury).
If overdose suspected, go to nearest emergency / pediatrician immediately for evaluation.
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💊 For Vomiting
Safest commonly used medicine:
Ondansetron (Emset / Ondem) 4 mg orally disintegrating tablet — to be kept under the tongue, once if vomiting continues. Can be repeated after 8–12 hours if required.
Syrup form also available: Ondansetron syrup 2 mg/5 ml, dose = 0.15 mg/kg/dose. For a 40 kg child → ~6 mg → ~15 ml syrup.
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🩺 Supportive Care
Encourage small sips of ORS / clear fluids to prevent dehydration.
Light diet only (khichdi, curd rice, soup) — avoid chips, fried, spicy food.
Tepid sponging for fever if high.
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🚨 When to See a Doctor Urgently
Persistent vomiting, not able to keep fluids down.
Drowsiness, confusion, yellow eyes, abdominal pain (possible paracetamol toxicity).
Fever not controlled, seizure, or breathing difficulty.
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✅ Summary for parent:
The Dolo dose given was much higher than safe for a 13-year-old. Do not give more paracetamol now and get your child checked by a pediatrician urgently to rule out overdose. For vomiting, Ondansetron 4 mg (ODT or syrup) can be given once, along with plenty of fluids and light food.
Next Steps
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Wrong dose as your son is 13.
500 is dose six hrly.
Emset4 MD to put under toung it dissolve with saliva slowly once for vomit till required.
Light diet no chips kurkurey.
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Need few more details
Kindly connect
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You can give onden 4 mg dispersible tablet placed over the tongue to relieve vomiting.Ideally fever with vomiting should be seen by a physician in your area to determine the exact cause.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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if you would like to know more details about this problem, you can reach me for a free detailed consultation on WhatsApp at nine one one nine two five five six nine nine
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Give pcm 250 mg two times in a day
Domperidome tab whenever vomit is there
Next Steps
if no relief is there...you can do a widal test for typhoid
Health Tips
give warm water to child ...no outside food ..
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Is there any sign of lethargy or agitation? Does the skin over the fingers feel shrunken? Consult for better understanding and detailed treatment.
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You can consult me directly on Practo, or reach out via WhatsApp:
Eight Seven Six Two Seven Four Nine Nine Seven Four
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Early consultation helps avoid complications — feel free to connect.
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I will be happy to help you out.
Kindly tell me the frequency of vomiting..
Weight of your child
How much is the fever?
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Hello You can consult me here on Practo or personal.
Need to know more about symptoms and other parameter.
Thank you
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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