Patient's question:
For a while, she has intermittent fever, with a high of 38.5 degrees Celsius. Her tongue has blisters. When she has a fever, she feels unwell and sleeps a lot. When she doesn't have a fever, she is in good spirits and can eat, but her appetite isn't very good. She urinates 2-3 times a day. She has been given intravenous fluids for three days. Her high fever still doesn't go down, and it keeps persisting. How can her fever be lowered, and what is the treatment?Doctor's answer:
Fever above 38.5°C, please immediately have a doctor diagnose whether it is a viral infection or a bacterial infection. For viral infections, use antiviral drugs (e.g., ribavirin). For bacterial infections, use antibiotics (e.g., cephalosporins). Don't rush to reduce the fever. The fever is just a symptom; the key is to identify the root cause. Generally speaking, if the temperature is around 38°C, there is no need to rush to provide cooling treatment. This allows for observation of the fever pattern while not hindering the body's gradual development of disease resistance. If the temperature is above 38.5°C, appropriate cooling treatment can be administered, especially for children with a history of high fever seizures, who should be actively cooled. There are many methods to reduce fever, such as alcohol rubs. If alcohol is not available, you can temporarily use baijiu as a substitute.