Pediatrician Questions

Daughter is having Fever

Hi my baby is having very high fever and severe cough for past 3 days, And then as per the pediatrician we have given few test like CBC, URINE ROUTINE, DENGUE, MALARIA, CRC test and then on seeing the report doctor says that nothing to worry. And then he started with antibiotics augmentin dds suspension , Lenovil and calpol for 5 days, and still fever was not reduced since 3 days over. And yesterday again I visisted the doctor and they said to give Anti-Flu syrup, if the temperature goes at 103 degree. I am so tensed and worried. My Doubt is we have to give anti-flu only if the temperature is at 103 or we can give now. I am more tensed and worried as she is 3 years old.

Female | 3 years old

1 Answer

First things first. almost all fevers are not harmful. they are certainly a worry for parents but other than perhaps the child being irritable, fussy and poor appetite the fever is an indication of an illness usually an infection. the only fever that is harmful is a fever associated with heat stroke. also, it is the level of fever that may indicate what is causing the fever. it seems that for some reason the body knows to cap the fever up to 104.8 degrees and will fall to a lower level by losing body heat rapidly. a short sponge bath with warm water may help.
for some reason when there is a documented fever of 105.0 and higher you are probably dealing with a treatable illness usually due to a bacterial infection. so with the understanding that prolonged fever is not harmful to the child, it may lead to a more extensive evaluation. obviously, the list of possible causes involves consideration of illness from the most common to perhaps. the most esoteric. it may involve not only blood and urine tests but also x-rays, and multiple disease cultures. As always an initial and extensive history and physical is essential and may help determine the direction of the evaluation as to the cause of the fever. so please remember that the fever itself when in the range of 101 to 102 and even 103 to 104, is not really harmful but may require a thorough investigation. One other point must be made. all these discussions pertain to kids of certain ages. it is needed to be immediately proactive with infants that are newborns and usually up to 2-3 months old that require immediate observation and testing and usually as an inpatient.