my 4 yr old daughter was sliding down the sliding board at the park with her friends.  They went down together as a group and when they all came out at the bottom she was trampled.  Now there is a bruise in her left flank and complains about pain.  She also has a slight fever.  What could this be?
Hi...it could be a soft tissue injury and there could be a hematoma forming there due to that, that is the reason for bruising. Pain also could be due to the crushing of soft tissues there. I suggest you not use an NSAIDs as it will aggravate bleeding. For pain or fever - Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. If the pain is intolerable or if the bruise is spreading fast - I suggest you consult a physician. Regards -