What causes vomiting with fever and chesty coughing?
Patient: My 9 yr old son came home from school saying that he had vomited twice and school nurse took his temp and it was normal so she told him to go back to class. He was tired so he went to take and nap, and now that he is up his temp is 103.5. Should I take him to er or just monitor his fever. He is also coughing, and it sounds very chesty cough. I did give him a tylenol to help with the fever. Doctor: Hello,Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between two fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably a viral illness, and it doesn't require antibiotics at all. Once the viral fever comes, it will there for 4-7 days. So do not worry about the duration if the kid is active.Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. This type of congested cough is very common in kids, and you can give syrup promethazine for it, 5 ml thrice a day for three days.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sumanth Amperayani