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jbmd
jbmd, Board Certified Physician
Category: Paediatrics
Satisfied Customers: 615
Experience:  Board Certified physician in Internal Medicine - 30+ years experience
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son is 3

Customer Question

 son has had green snot then direa sick pains in tummy and paleness irregular temp from 37 to 39.8 for three days not eating at all sleeping a lot not playing at all been docs 2 times im very concerned they gave me antibiotics and when his temp was high at 39.6 his heart rate started to race fast for 3 mins i'm concerned his nose discharge is now run clear 

Submitted: 4 years ago.
Category: Paediatrics
Expert:  jbmd replied 4 years ago.
Hi--I'm sorry no one has answered your question yet. I hope your son has gotten better. Unfortunately I can't examine or treat your son but I want to direct you what to check for and when to get emergency help.

39.6 is a pretty high temperature but not completely uncommon for a child his age with viruses or bacterial infections. You didn't mention cough, so I imagine he doesn't have one or other signs of pneumonia.

Racing heart with fever is normal.

I'm glad the green snot has cleared--that shows that his antibiotic has probably cleared up a sinus infection that may or may not have been one of the problems causing his fever.

The main worries I have are with his sleepiness. While lethargy is common with sicknesses, if he can't easily be awakened or if he is delirious or especially if he has a bad headache or if his neck is stiff (check by having him lie on his back and lift his head with your hand under it)--if he cries out or you can lift much of his body with just your hand under his head, get him emergency care as this could be a sign of meningitis, infection in his spinal fluid.

He had tummy pains--does he still have them? If he has any single area of his tummy that's tender, like the right lower side of his belly, or if he can't keep fluids down or is getting dehydrated from vomiting or diarrhea, or there is blood in his vomit or diarrhea, get him emergency care.

I don't know what antibiotic he was given but some antibiotics prolong diarrhea or cause nausea and vomiting.

Do not give him aspirin but acetaminophen is okay for fever.

If none of the above problems are there but he remains sick more than 2-3 more days, get him seen again.

If you have any questions, please ask them even after the question has closed.
Expert:  jbmd replied 4 years ago.
Is your son all better (I hope)? I didn't hear back so I worried about you and him.