Patient's question:
CoughHigh fever
Runny nose
Diarrhea
Onset of illness: Coughing started the day before yesterday, worsened yesterday afternoon, began to have high fever yesterday, started running nose and diarrhea today.
Results of detailed examination:
Previous treatment and effectiveness: Yesterday, took two doses of Cefixime granules, twice in a few days, each time 2/5 packets. Also took two doses of Houtong, half a pack each time. Today, also drank some light salt water. Yesterday afternoon, had a slight fever, which increased in the evening, with the highest fever reaching 38.5°C (usually 37-38°C). After taking Houtong, the fever subsided in half an hour, but returned after a few hours. Initially thought it was a cold causing the fever, but then remembered getting the measles vaccine last Friday. Called the health clinic, and they said it wasn’t a vaccine reaction—vaccine reactions usually occur within 24-48 hours. They advised us to drink more water and go to the hospital if it worsens. However, after searching online, I found that many people start coughing and having fever 5-8 days after vaccination.
Hello, what is the reason for this? Should we go to the hospital? Going to the hospital here is very difficult, requiring hours of queuing. Taking the baby to the hospital would be too painful, and doctors usually prefer intravenous drips. Last time, the baby ate too much and vomited at night, so we went to the children’s research hospital. We waited three hours in the emergency room and finally saw a doctor who wanted to give an intravenous drip. I hesitated to give the baby a drip, but the doctor said if we didn’t, the baby might have high fever, nausea, and vomiting. I still insisted on giving medication, and the baby recovered that day without fever, nausea, or vomiting. But this time, it feels much worse. The baby has been feverish, and I’m very worried. I don’t know if it’s fever or a vaccine reaction. Should we go to the hospital? I thought measles fever would last for two or three days before the rash appears, but I’m not sure if the baby has it. Most of the baby’s condition is still okay—they still play and cry a little when uncomfortable. Should I take them to the hospital or buy some medicine at home? Thank you, doctors.
Doctor's answer:
Due to the unpredictable weather with sudden temperature fluctuations, it's easy to catch a fever, and the flu is quite prevalent. Therefore, your child's condition could be bacterial or viral influenza. The vaccine administered last Friday, of course, is absolutely not the cause. You can give your child antibiotics such as Cefixime Granules, which are cooling effervescent tablets, and if the temperature is below 38.5°C, you can also give Nimesulide Granules to reduce fever. This situation is recommended to be treated with traditional Chinese medicine decoctions, as traditional Chinese medicine has significant advantages because it is very effective against both bacteria and viruses (Western medicine is effective for bacterial infections but not very effective for viral infections)!