3-year-old with fever, vomiting, and mild stomach pain, improving but still concerned - #12960
My 3-year-old nephew had a fever starting last night around 101.6°F. We gave paracetamol at 1:20 am, and the fever came down after about an hour. He vomited twice and had some mild stomach pain. He’s now eating a banana and carrot and drank a glass of ORS. His energy seems back, he’s playing a little and alert. He doesn’t have any rash, breathing issues, or persistent vomiting. Temperature went up again to about 101°F after 6 hours, so we gave paracetamol again. So first fever at around 12 am than 6:12 and again at around 12 pm and each time we gave paracetamol and it went away quickly, So please help guys what we can do His mother currently has adenovirus (she’s a BMT patient on +88 day), so we’re worried it could be the same infection. We’re also concerned about dengue, since his father had it a week ago, but the child seems okay now.
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Doctors’ responses
Hello dear See as per clinical history it seems viral infection However chances of dengue are still there .As the fever is continuously rising and falling down,i think it will take 5 days I suggest you to please carry out current medication 6 hourly ( half teaspoon) after meals - paracetamol on fever only Give good balanced diet Avoid cold water consumption In addition Get following tests done and share result with pediatrician in case of no improvement CBC Widal Regards
Hello,
Right now, this sounds like a mild viral illness, probably not serious. Keep giving paracetamol every 6–8 hours if fever >100.4°F (38°C). Keep offering fluids (ORS, water, coconut water, soups). Continue light, bland foods like bananas, carrots, rice, etc.
🛑keep monitoring closely
Since you’re in a context with known adenovirus and dengue exposure, if symptoms persist or worsen, consult a pediatrician for: Dengue NS1 antigen test (early dengue detection) CBC (check for platelet count, signs of infection) Adenovirus PCR or antigen test
🛑🛑Red flags:
Fever lasts more than 3 days Vomiting returns or becomes persistent Diarrhea develops, especially if it’s bloody
Signs of dengue: High fever not controlled by meds Rash Bleeding gums/nose, easy bruising Severe abdominal pain Lethargy, drowsiness, irritability
Signs of adenovirus complications: Eye redness or discharge Breathing difficulty High or prolonged fever
I hope this helps Feel free to talk Thank you
Hello dear It seems viral infection… nothing to worry… just keep eye on fever and give paracetamol sos only when fever comes ( above 101 ) only … do sponging … For vomit give - ondansetron oral solution two times a day For better sleep - give montac lc solution once at night .
Get well soon Thank you
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