### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hello, Doctor, myself dr. Rajib, Pathologist. My son wt 21kgs having fever n cold since last night. He used to have febrile convulsion at high temp. So his paeditrician advised him frisium n meftal p whenever fever is above 100 d F. He has taken both 1 hr back but fever is not coming down in spite of cold sponging. What to do now?

### output:

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. 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 mg/kg/dose (Maximum ceiling dose 500 mg per dose) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. As you are a doctor I am herewith providing a link to a publication of mine i am reputed journal regarding not to use Metonymic acid.http://medind.nic.in/ibv/t10/i5/ibvt10i5p453.pdfRegards - 