High Fever in Children If your child has low grade fever and is active and comfortable, do not worry. What should you do when your child has fever? Monitor and ensure adequate food and fluid intake Watch for urination (at least once in 6 hours) Monitor his oxygen saturation When to consult a Pediatrician? Fever in a baby below Child is uncomfortable / irritable Fever without any other symptom Decreased oral intake Decreased urination High grade fever beyond 101 degree Fever persisting beyond 3 days Fever not responding to oral anti – pyretics Any rash with fever Respiratory symptoms like cold and cough with fever Oxygen saturation below 94% In case the baby is less than 3 months of age do consult your pediatrician at the earliest Issued in the interest of our childrens best health Gurugram Pediatric Clinic
The common signs and symptoms of dengue fever include:
Symptoms can start anywhere from 4 days to 2 weeks after the infected mosquito bites the patient, and can last for 2 to 7 days. In most of the cases, symptoms are mild, like fever, but in few cases they could worsen. The Red flag or danger signs for Dengue fever are: Bleeding – from gums / nostril Pin point rashes Gastrointestinal symptoms like nausea, vomiting, or severe abdominal pain Respiratory problems like difficulty breathing. Lethargy Poor oral intake In severe cases, there could be a rapid drop in blood pressure ing to shock and hypotension. The red flag signs have to be carefully watched for, as they are life-threatening symptoms and need immediate medical care.
a child has become infected with dengue fever, can he/ she still get the infection again?
If a child has suffered from dengue fever, he / she becomes immune to that particular type of the virus, but can still be infected by any of the other three types of virus strains.
As there is no specific treatment for dengue fever as it is a viral illness, management is largely symptomatic and supportive. Children should be advised to take lots of fluids like milk, buttermilk, lassi, coconut water, soups, dals and fruits. This helps in mitigating dehydration, associated headache and helps to maintain the viscosity of blood. As parents, please ensure that your child takes adequate rest and sleep. Symptomatic treatment involves the use of paracetamol for fever, headache and leg cramps. Antiemetics and antacids could be used for vomiting and epigastric pain. Pain relievers with aspirin or ibuprofen should be avoided, as they can make bleeding more likely. In severe cases, hospitalization for intravenous (IV) fluids and electrolytes (salts) are required to replace those due to diarrhoea or vomiting.
As of today, there is no vaccine to prevent dengue fever. The best protection is to prevent bites from infected mosquitoes. Few tips are: To use screens on doors and windows, and promptly repair broken or damaged screens. One should keep all unscreened doors and windows closed.