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My granddaughter, aged 15 1/2, been suffering from low grade fever for almost 2 weeks with vomiting episodes for the same period. The vomit is usually light yellow though initially had flakes of blood. Vomit happens usually after a heavy meal. Vomiting is quite frequent ranging from 5 to 10 times daily. Endoscopy, ultra sound, blood, urine and tests for malaria and dengue have not shown any abnormality. Generally a healthy individual. Has consulted three different doctors physician, gastroenterologist and Pediatrician who have not been able to find the cause of fever and vomiting. Has been taking medication as per advice to include Pantocid or Pantop, Emset, Lesurpride, Oflotas, Zocef 500 mg, DOMDT 10 mg, calpol 650 mg Received injections ondem IV. Fever now ranges between 101 to 103 mainly at night and vomiting persists. The pediatrician has opined that the parents of the child are passing through divorce proceedings and her relations with her father are very tense. Other symptoms are normal and clear. Including throat and lungs. Could be case of Bulimia. Advised counselling and CBT.
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Since she is sick for 2 weeks and running fever ranging between 101 to 103 mainly at night, it may not be a case of Bulimia in spite of strained relation with father. even then counselling may be useful. You can stop all medicine and maintain Temp chart 4 times in a day for 4-5 days. Paracetamol 500 mg may be given if temp is more than 101 degree F and can be repeated after 6 hours if needed. Watch her general behaviour.
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