Doctor insights on:
Is Fever The Biggest Concern For Childhood Issues
Depends on age: Any fever in an infant under 2 months is cause for concern. It is difficult to distinguish serious illness such as bacteria in the blood (bacteremia) or meningitis from non-serious illnesses such as viral infections in children in this age. Thus any child under 2 months with fever needs to be evaluated in an office or even an er setting with blood, urine, and spinal fluid testing. ...Read more
36wks pregnant and have been in contact with a child now diagnosed with Scarlett fever. Should I be concerned about baby? Do I need to co tact GP?
Child has been coughing the last few days but just woke up tonight at 2am with a fever (101.3) and a headache. Infection? Should the hdache concern me
Possibly her sinuses: Together with upper respiratory infection. Sinus congestion/infection would be the cause for the cough and for the headache. If she is otherwise fine, try a fever reducer/pain-killer for now, and get her to see her doctor next morning, if no improvement, please go to ER/urgent care, wish you both wellness ...Read more
How high would a child's heartrate go when they have a fever of concern if their sleeping baseline is about 100bpm? (4yo cellulitis, bactrim (sulfamethoxazole and trimethoprim) begun am)
Rule of 10's: I generally expect a kid's heart rate to increase 10 beats per minute for every degree of fever above baseline. Activity will add more. Breathing rate follows a rule of 5's, increasing 5 breaths per minute for each degree. Both parameters mark the increase of fuel needed to sustain the work of healing, the fuel being oxygen & the heart pushing it around where its needed. ...Read more
Child has 6 or 7 small bruises on legs and cold hands and feet. Should I be concerned about anemia? He is otherwise fine (no fever, no nosebleeds, etc).
It happens: If you have a verified case, you were likely contageous before diagnosis so the kids have been exposed. Depending on the situation your doc may consider Tamiflu or other med for you or to prevent the kids from having a bad case, but that decision must be made locally. Let the rest of the family know so they can help and protect themselves as needed. ...Read more
My child almost 5 has up n down high temperature 2days flu like symptoms and swful headache no rash shud I b concerned?
Yes-see doctor!: A variety of illnesses can cause this -- please have him seen today! Causes range from mild to severe so he needs immediate evaluation. If it's bacterial, he may need antibiotics; if it's influenza, he may need anti-influenza medicine. If it's a common virus, the doctor can tell you what to do for symptomatic relief. ...Read more
My child had bad stomach flu and her glucose blood level was 135. Can being sick make it high? Is. 135 a concern after not eating and throwing up?
Normal body response: When you are sick, your body secretes certain hormones in response to the stress on the body, including steroids. This will cause a rise in the blood glucose, even if the child hasn't been eating. It is totally normal and expected. She is not diabetic and nothing to worry about. ...Read more
Since childhood I am highly likely to get fever when there's no oil in my hair. I make sure that there is oil always. Is this a medical problem?
Strange: Cannot imagine that these two factors are really related. Doubt that this is a medical issue. ...Read more
I have a lump under my right arm pit, and it has been there from childhood. Today after stretching my harm it started to hurt and now I have fever.
How much does the average mom have to worry about childhood cancer? It seems like it's everywhere. Every headache, fever, pain. How to tell what's normal and what's not?
Very low risk: Annually in the us, there are 13, 400 cases of new pediatric cancers. From data from 2004, there are 14.8 cancers per 100, 000 children. The 5-year survival rates for all childhood cancers combined increased from 58.1 percent in 1975–77 to 79.6 percent in 1996–2004. There is a much higher risk of your child getting injured in an accident. ...Read more
Have atrial fibrillation as a result of childhood rheumatic fever. It is affecting a heart valve. Will the valve need to be replaced?
I have a solid lump in gland under my right ear, been there since childhood. Is this normal? No pain/fever but I'm often run down & eczema in that area
Normal? Probably not: Are headaches normal? Well no, but it can be a common complaint. So, are solid lumps under the ear normal? Probably not, although there may be a reasonable explanation. Since you have had this since childhood, most likely this is not dangerous; however, since you are uncertain as to what this is, it deserves an answer. To determine the answer, you truthfully need to specifically ask your doctor. ...Read more
From my childhood I used to have periodic tonsillitis now it happens less last I had sore throat was 1and half year ago, Could I have rheumatic fever.
No data to assess: People typically have more throat infections in early childhood than they do later. You ask about a specific complication of untreated strep disease, but have offered no reason why we would ever consider the diagnosis. You need to start over and offer why you are thinking of it, because what you have stated so far has no relevance to the diagnosis. ...Read more
I had CMV infection during childhood. Igt swollen glands nd fever 3 to 4 times. Now I have antibody to cmv. Will I get the infection again?
Does early morning sneezing, running nose and itchy eyes with season change is sign of hay fever? I'm having this problem since childhood.
Air born allergy: The label "hay fever" has been applied by some to any air born allergy or specifically to the irritants that are in the air when harvest time brings the cutting of hay. Either way, seasonal changes bring new things into the air. Most who are sensitive will also be allergic to the dust mites that permeate your pillow & mattress. Combine the two & you can have morning issues. ...Read more
History of lung congestion and phlem from childhood. If I drink smthing cold I'm likely to get sore throat, cough, fever. How to improve lung resistance?
Lung Resistance: Best bet will be to have lung function test (PFT), to be evaluated by lung doctor (pulmonologist). It will identify if you have any problem. Regarding frequent congestion and phlegm, you may have chronic sinus problem. You may need antibiotic course. One stop shop at pulmonologist should be helpful. Hope this helps. Let me know. Thanks. ...Read more
Increase metabolism: Fever is a created by the increase in metabolism used to fight infection. The increase drives up the heart rate (more blood carrying immune factors &white cells around), increases respiratory rate (adding more oxygen to the effort). Germs whether virus or bacteria don't generally reproduce as fast when the body gets hot. This response probably developed over time as those capable of fever did better. ...Read more
Call doc now: A 25 day old with a rectal temperature of greater than 100.4 should be evaluated within the next few hours. Call your doc or go to the hospital. Babies are exposed to various germs at delivery that can hide initially and resurface later to cause blood poisoning. For temps lower, recheck every 2 hours and call in anyway. ...Read more
Look at baby first..: I recommend parents "look at the child, not just the thermometer". Regardless of temp, if you are concerned call your doctor. If your baby is less than 3 months old and the temp is 100.4 rectal or greater call your doctor. Children with fevers that don't respond to fever medications, last 3-5 days, or have associated symptoms (such as sleepiness, fussiness, poor intake, rash) should also bee seen. ...Read more
100.4 R: Most will consider the core temperature (rectal) the most accurate reflection of real body temperature. At 100.4 r, it has moved outside the accepted range for normal. ...Read more
Fever: Fever is a generally beneficial response to infection and helps to fight the infection. The only reasons to reduce fever are that the individual is patently uncomfortable with the fever, or that their heart or lungs cannot tolerate it, or that the fever has reached heights in a child which place them at risk of seizures (>105). You can use tepid washcloth baths, low dose pediatric tylenol, (acetaminophen) etc. ...Read more
100.4 F (38.0 C): Fever in a child is a temperature of 100.4 farenheit or 38.0 celcius. In an infant, this temperature should be measured rectally. Temps taken under the arm in a baby may read falsely lower than the child's real core body temperature. Fever is more serious in a newborn baby in general than in an older child. ...Read more
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