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Fever not getting down after giving pcm
Dear Doctor, my son is 9 years old, weight 24 kg, he got fever 102 suddenly today , given paracetamol but fever reduce for 30 min than came back. Please help what should I do.
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Dr Faisal Zoheb
MBBS , MD PAEDIATRICS , PGPN (BOSTON), FELLOWSHIP IN NEONATOLOGY ( Newborn and vaccination specialist )
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Looks like viral fever. Mostly a second dose of paracetamol can help. During first 3-4 days only paracetamol and cold water sponging. Beyond 4th day fever requires investigation. 9 years old child. No need to worry. Increase water and other fluids intake and give soft diet. Gradually fever should come down in case of viral fever. But may require investigation depending on symptoms.
Next Steps
Check with a pediatrician.
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Dr. Bhatt Vivek Prafulchandra
Pediatrician
5 yrs exp
Rajkot
Consult with Pediatrician physically for further evaluation and treatment
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Dr. Jay Gajjar
Pediatrician
6 yrs exp
Surat
Paracetamol helps reduce fever temporarily but does not treat the underlying cause. It is common for fever to rise again once the effect of the medicine wears off.
For a 24 kg child, ensure that the correct dose of paracetamol is being given (15 mg/kg/dose every 4–6 hours as needed, not exceeding the recommended daily dose). Encourage adequate fluids and light meals.
Please monitor for associated symptoms such as cough, cold, sore throat, vomiting, diarrhea, headache, rash, burning during urination, or lethargy, as these may help identify the cause. If the fever persists beyond 48–72 hours, becomes very high, or your child develops breathing difficulty, excessive sleepiness, dehydration, seizures, or appears very unwell, seek medical evaluation promptly.
At present, a single day of fever with temporary response to paracetamol is most commonly due to a viral infection and can be observed closely.
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Dr. Shebin C E
Pediatrician
10 yrs exp
Kanyakumari
Greetings
fever of 102°F in a 9-year-old is often a sign the body is fighting an infection, and it is common for temperatures to fluctuate even after medication. Ensure you have given the correct dose of paracetamol based on his 24 kg weight, as under-dosing is a frequent reason for a fever returning quickly. You should also focus on keeping him comfortable by offering plenty of fluids and dressing him in lightweight clothing. Monitor him closely for "red flag" symptoms such as extreme lethargy, a stiff neck, difficulty breathing, or a persistent rash that doesn't fade under pressure. If the fever lasts more than three days, reaches 104°F, or if you are concerned about his behavior, you must contact a pediatrician immediately for an evaluation
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Dr. Venkatesh Badugu
Pediatrician
9 yrs exp
Hyderabad
After 102 paracetamol won't work
So Use Syrup Meftal-P give 8ml every 6th hourly
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Dr. Harika Prakerla
Pediatrician
6 yrs exp
Guntur
Sometimes paracetmol alone cannot control higher temperatures
Can give syrup meftal-p 7.5ml every 8-12 hrly if temp> 102
Please book a consultation for proper evaluation
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.