<s>[INST] Why does my 3 and a half year old daughter get a high temperature (38-39 degrees) during the night only, but then seems fine and happy during the day, she has only ever had a few small colds before and at the moment has a bit of a blocked nose. This only happened last night but it s not the first time either. Thank You [/INST] Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor.  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal  </s>