<s>[INST] i have a 5 yr girl she was fine before going to bed she got up an hour ago and her temp went from 101 to 104 in she was initially shivering and shaking but she has calm down now ... we gave her fever reducer when she was at 103 but has risen to 104 what should we do [/INST] Hi...Thank you for consulting in Health Care magic.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 dayIf 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 15mg/kg/dose (maximum ceiling dose of 500mg) 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 - Dr. Sumanth </s>