Patient's question:
35 Already had a high fever yesterday afternoon. At 7 PM, the temperature was 39.5 (oral measurement). First used physical cooling methods. By 9 PM, around 2 AM, took a dose of Advil. This morning, the temperature was 37.5, but in the afternoon, it dropped back to 39.5, and the throat has already...Doctor's answer:
Tonsils, many high fevers are caused by this factor (I've had this experience before; fever, cold, catching a cold, or catching a stomach bug can all lead to tonsillitis). The child is only 7 years old, a bit young, so let's get an IV drip. It's fine if it's anti-inflammatory. Generally, recovery can be achieved within 2-3 days. Penicillin should be avoided if possible. First, skin testing for children can be quite painful. Second, after receiving penicillin, the child's resistance will be reduced for 2 years, and if they catch a cold or fever again, they will need to take penicillin again to control it. I hope this helps you:1. Ensure good air circulation in the home: If you have air conditioning, keep the room temperature between 25-27°C. You can place the child in the air-conditioned room or use a fan to circulate the air, allowing their body temperature to rise gradually. This will also make the child feel more comfortable. However, if their limbs are cold and they are shivering violently, you need to provide warmth, so cover them with a blanket.
2. Remove excess clothing: If the child's limbs and hands are warm and they are sweating all over, you need to help dissipate heat by wearing fewer clothes.
3. Wipe the body with lukewarm water (37°C): Remove the child's clothes and use a lukewarm towel to gently rub their entire body. This can help expand the blood vessels on their skin and release body heat. Additionally, as the water vapor evaporates from the surface of the body, it will absorb heat.
4. Use an ice pillow: This helps dissipate heat, but it is not recommended for very young children because they may not be able to move their bodies quickly, which can lead to localized coldness or hypothermia. Using fever patches is also an option. The gel in fever patches absorbs heat as the moisture evaporates, without causing excessive dissolution.
5. Drink plenty of water: This helps reduce swelling and prevents dehydration. Water helps regulate body temperature, allowing it to rise and help the body recover from dehydration.
6. Use fever-reducing medication: When the child's core temperature (rectal or ear temperature) is below 38.5°C, you can moderately use fever-reducing liquid or suppositories. For high fever, it's best to see a doctor. However, if it's not convenient, you can first reduce the fever at home. Generally, if the temperature is below 38°C, there's no need to reduce it.
Methods for reducing fever:
1. Taking fever-reducing medication is the most common method. Generally, Cengong Zaixin is sufficient. For more severe fever, you can use medications like Phenytoin, but they should not be used frequently. Children should not take aspirin.
2. Using "fever-reducing suppositories".
3. Physical cooling, which is usually only used for emergency fever reduction. Use a damp towel (or alcohol pads, use with caution) to wipe the child's forehead, neck, and chest.