my son has fever and swollen glands since last night. As we live in Thailand I can go to the pharmacy and they can give us anything we request even antibiotics. My husband just went to the store and they offered him paracetamol liquid , ibuprofen liquid and acoxicillin. Which should I take? I dont usually rush to give him antibiotics, especially if they have not been prescribed by the doctor. I have kept his fluid intake up and given him echinacea so far.
Hi.... I appreciate you not giving antibiotics unnecessarily. By what you say, I feel that it is only a viral illness. With swollen glands, it could be ABV too. Fever of 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\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. Regards -