Patient's question:
4-year-old girl, the night before yesterday she was coughing when she fell asleep at around 1:00 AM, quite severely, feeling like there was phlegm she couldn't cough up, even to the point of dry heaving. In the morning, her voice was a bit hoarse, and she would cough in fits, also feeling like there was phlegm she couldn't cough up. Yesterday, the doctor prescribed a prescription medication—a powdered form, with an Amoxicillin powder in a small yellow bag packaging, for children. I can't remember the English name, it's quite long. Today afternoon, she had a fever of 39.2°C, took fever-reducing medication once, and also used fever-reducing gel, then her fever subsided. Now she feels very hot but has cold limbs, with a temperature of 38°C. I would like to consult a doctor—what medication should she use? Thank you?Doctor's answer:
A four-year-old child has a cough with phlegm, nausea, and a hoarse voice when waking up. The doctor prescribed Amoxicillin, an anti-inflammatory medication, for the child. Today, the child has a temperature of 39.2 degrees Celsius. After taking fever-reducing medication, the fever subsided, but now the child feels hot but has cold limbs, with a temperature of 38 degrees Celsius. This indicates that the temperature is still rising, peripheral blood vessels are constricted, and circulation to the limbs is poor, causing the hands and feet to feel cold again. The child has a respiratory infection and should continue taking Amoxicillin for anti-inflammation, along with herbal medications such as Pudilan Anti-inflammatory Oral Liquid and Feilike Hejia to clear the lungs. If the temperature rises above 38.5 degrees Celsius, fever-reducing medication should be taken, and the child should drink plenty of water, eat vegetables, and maintain regular bowel movements. Close observation is necessary. If there is no improvement, it is recommended to visit the hospital for blood tests, including a complete blood count and Mycoplasma antibody tests, to identify the pathogen. Percussion of the lungs should be performed, and a chest X-ray may be taken if necessary. Based on the results, the medication should be adjusted accordingly.