Conversation: The conversation between human and AI assistant.
[|Human|] hi my 4-yr old boy has fever, cough; blood tests show infection (esr 18); PD prescribed azithral, crocin ds, atarax fever cycles which were 6-7 hr yesterday are now 3hrs. as fever was up at 103 F the PD recommended meftal p, which brought it down. its again up (3hrs later at 100.2 F). have given meftal again. should i go back to crocin ds since the temps are lower now
[|AI|]  Hello, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Metal contains Metonymic acid which is an NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Hope I have answered your query. Let me know if I can assist you further.