My nine year old son has had a fever for 4 days ranging from 99 to 102. He is also extremely fatigued. I have been giving him Motrin and Tylenol. He is not eating much and has developed today a bit of a dry cough. We had traveled to puerto rico earlier this month and he was violently I ll with vomiting on the last day 7/17. He was then better until 7/30 when the fever and fatigue started. He had some blood work done and urine test, no strep, but has low white blood cell count, but I don t know how low yet. He seemed better yesterday but is worse again now. I am taking him back to the doc tomorrow to get test results but am worried wand am also worried about giving him ibuprofen and Tylenol for so ,any days. He only sighs 60 pounds and a month ago weighed 65.
Hi... Thank you for consulting in Chat Doctor. 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. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.