What should I do if the baby has a stomachache and persistent fever?

Patient's question:

I ate something bad, and a few days ago I had vomiting and diarrhea. Now that it's better, I'm still having persistent fever, either low or high, especially at night. I also have bloating. What should I do?

Doctor's answer:

Analysis of the condition: The baby's fever is a symptom of a cold, caused by the stimulation of the body by viruses, bacteria, and their metabolites, leading to the release of excessive endogenous substances such as prostaglandins. These substances then act on the body's temperature regulation center, causing the symptoms.
Suggestions: Therefore, it is recommended that the child receive the following treatments:
1. Antiviral treatment: Oral administration of traditional Chinese medicines with detoxifying and heat-clearing effects, such as Shuanghuanglian.
2. Antibacterial treatment: Taking penicillin-class or cephalosporin-class antibiotics, but the duration should be more than three days.
3. Symptomatic treatment: For fever (above 38°C), you can use compound preparations containing ibuprofen (such as the one you mentioned, Anruike) or nimesulide to reduce body temperature. However, these drugs have a short half-life and cannot maintain a fever-reducing effect throughout the night. It is recommended that you prepare infant rectal suppositories for fever reduction to be used before bedtime. This can prevent sudden temperature spikes at night that may lead to high fever seizures.

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