We are family of 4.all are having fever cough and cold. Husband has no fever since 3 days bt my 20 month old daughter is having 7 day of fever .for me and my son its 4 days of fever. please guide wht we should do.

1. For adult nimesulide 200 mg twice daily + paracetamol 500 mg 4 times daily + becadexamin once daily for 7 days For older child (son) use nimesulide 100 mg and paracetamol 250 mg for 20 months old daughter use nimesulide 50 mg and paracetamol 125 mg per 5 ml and give 5 ml 2. Get CBC (complete blood count done) If TLS is less than 6000: viral if TLC >10000: bacterial If platelets below 75000: get admitted to hospital for supervision and platelet transfusion if count goes below 50,000 If platlet above 1-2 lac, repeat after some days, if goes below 1 lac, be alarmed. If joint pains are very seveare: Chikungunya If joint pains not very seveare bit headache, pain behind eyes and seveare muscle pains: may be dengue. If nose running heavily: simple viral fever (Rhinoviruses) 3. Give Vitamin A 10000 (Aquasol) once daily to boost immunity and cause epithelial growth to prevent secondary bacterial infection 4. If bacterial infection is present: yellow or dirty white thick sputum or expectoration coming with cough or from nose and TLC > 10,000: Give Microcef 200 mg twice daily for 5 days to older child 100 mg twice daily younger child below 3 yeras: 75 mg twice daily 5. Never give gastric irritant analgesic like ibuprofen (ibugesic ior brufen) or Diclofenac (voveran) or like as they may cause gastric erosion and if platelets count goes down, gastric hemorrhage may occur resulting into death. 

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