<s>[INST] Dear Sir, My 2 year daughter is facing fever since three days. Temperature reoccurring at about 6 hours. Her head, neck,hand and stomuch is hot but legs are cold. I contacted doctor and he advised paracetamol seryup at 6 hours if fever persistent. I am not seeing significant change. Can you please advise what could be reasons and treatment? [/INST] Hi....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 15mg/kg/dose (Maximum 500mg according to the weight) 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>