How to treat pneumonia in a 2 years 11 months old child?
Patient: Hi,My daughter (2 yrs 11 months) was suffering from pneumonia, was hospitalized for 6 days and was discharged 2 weeks back.However she started getting mild fever (99-100) since yesterday and we gave her crocin syrup. Today we took her to our pediatric and the doctor said it does not seem to be some stomach infection and suggested 5ml Vizylac and 5 ml zifi 100 twice a day and to use crocin or meftal-p only as SOS.It is night now and she is running fever again (100.5). i have given her Crocin Syrup (5ML) but the fever is only down by 0.5 degrees in the last 60 minutes. Should i give her some more crocin? Doctor: Hi...Thank you for consulting in Health Care magic. I don't think this is related to her pneumonia 2 weeks back. Fever of 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 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about 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.Meftal-P contains Mefenamic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Meftal-P. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,