Patient's question:
The child has a high fever at night, around 38.5°C, good appetite, poor sleep, diarrhea, and vomiting milk due to catching a cold. The high fever started on the evening of January 14th, and on the 15th, it was still not improving and the child was still vomiting milk.Previous treatment and effectiveness: The child has been taking fever-reducing medication, Nimesulide...
Doctor's answer:
If it is caused by viruses, bacteria, and their metabolites leading to an enhanced release of endogenous substances such as prostaglandins, which affect the body's temperature regulation center and lower the set point of temperature regulation. The normal armpit temperature of a healthy person is 36-37 degrees Celsius. Children, being in a developmental stage, have decomposition metabolism, so their body temperature is higher than that of adults.When a child has a fever, in addition to antiviral and antibacterial medications, it is necessary to control the temperature. Theoretically, it is recommended to use medication only when the child's temperature drops below 38.3 degrees Celsius, but in clinical practice, medication is usually given once the temperature exceeds 38 degrees Celsius. Over-the-counter combination formulations containing ibuprofen or nimesulide can be used for fever reduction, and pediatric fever-reducing suppositories should be kept on hand for rectal use before bedtime to prevent high fever seizures caused by a drop in temperature during the night. Ribavirin and other antibiotics, as well as antipyretic, analgesic, and anti-inflammatory drugs like penicillins, cephalosporins, ibuprofen, and paracetamol, may be used in combination based on symptoms.
For patients with excessive histamine excretion, H1 receptor blockers such as diphenhydramine may also be needed. Pseudoephedrine can also alleviate nasal congestion symptoms. The above suggestions are for the issue of "My baby has a fever and is vomiting and having diarrhea." It is hoped that this will be helpful to you. Wishing you good health!