My daughter is 2yr and 10mon old. Her fever is 102.4 after giving Pacimol mf syrup her fever goes down to 99.5 in 1.5 hour but her fever is not getting down to 99.5 ??

Question

Accepted Answer

I'm sorry to hear that your daughter is not feeling well. A fever can be concerning, especially in young children. It sounds like you're doing the right thing by monitoring her temperature and giving her fever-reducing medication like **Pacimol MF syrup** (which contains paracetamol and mefenamic acid). Here are some steps you can take to help manage her fever:

### Steps to Manage Fever

1. **Continue Monitoring Her Temperature**: Keep checking her temperature every 4-6 hours to see if it rises again. It's important to track any changes and note how she responds to the medication.

2. **Stay Hydrated**: Make sure she is drinking plenty of fluids, such as water, oral rehydration solution, clear broths, or diluted fruit juices. Dehydration can happen quickly when a child has a fever.

3. **Use Fever-Reducing Medications**: 
   - **Continue with Pacimol MF**: Follow the dosing instructions provided by your pediatrician or on the medication label. Typically, paracetamol (acetaminophen) can be given every 4-6 hours as needed, but do not exceed the maximum recommended dosage for her age and weight.
   - **Alternating Medications**: If the fever remains high and doesn’t reduce effectively with paracetamol alone, some doctors recommend alternating paracetamol with ibuprofen (if it is safe for her and recommended by her doctor). However, always consult with a healthcare provider before doing so to ensure it’s appropriate for your child.

4. **Use Lukewarm Sponging**: 
   - To help bring down the fever more quickly, you can give her a lukewarm sponge bath or use a damp washcloth to gently sponge her body, especially the forehead, neck, armpits, and groin area. Avoid using cold water, as it can cause shivering and may raise her internal temperature.

5. **Dress Lightly**: Dress her in lightweight clothing and use a light blanket if needed. Overdressing can trap heat and make her fever worse.

6. **Maintain a Comfortable Environment**: 
   - Ensure her room is at a comfortable temperature. Use a fan to circulate air if the room feels too warm, but do not point it directly at her.

### When to Seek Medical Attention

- **Persistent High Fever**: If her fever remains above 102°F (38.9°C) or does not come down below 100°F (37.8°C) after medication and other measures.
- **Fever Lasts More Than 3 Days**: If the fever persists for more than three days, it’s best to consult a healthcare provider.
- **Other Symptoms**: If she develops additional symptoms such as a rash, difficulty breathing, vomiting, diarrhea, persistent headache, or extreme fussiness or lethargy.
- **Dehydration Signs**: If she shows signs of dehydration (dry mouth, sunken eyes, no tears when crying, decreased urination).
- **Seizures**: If she experiences a febrile seizure, seek emergency medical care immediately.
  
### Conclusion

While a fever can be a normal response to infection, it’s essential to keep monitoring her condition closely. If you are worried about her fever not reducing enough or if she appears to worsen, contact her pediatrician for further advice or visit a healthcare facility for an evaluation.