Please do not give another dose of Crocin DS (paracetamol) after only three hours. It is very important to wait at least four to six hours between doses to keep him safe and protect his liver. In the meantime, you can help soothe his fever by offering plenty of fluids and gently wiping his forehead and body with a lukewarm, damp cloth. If his fever remains very high or he is very uncomfortable, please contact his pediatrician right away for safe guidance.

It is common for fevers to return as paracetamol (Crocin) wears off, as it manages the temperature but does not cure the underlying infection. The most important step right now is preventing dehydration. Please offer him small, frequent sips of Oral Rehydration Salts (ORS) alongside breast milk or formula. Since he has both a recurring fever and diarrhea, please have him evaluated by a pediatrician promptly to determine the cause and get the right treatment. Watch closely for signs of dehydration, such as lethargy, a dry mouth, or fewer wet diapers.

Since you are already taking prednisolone (Wysolone) and methotrexate (Folitrax), your doctor might consider advanced biologic therapies. These include TNF inhibitors (like adalimumab or infliximab), interleukin-6 inhibitors (like tocilizumab), or rituximab. These targeted medications help reduce severe cartilage inflammation and protect your airway and remaining vision. Please discuss these advanced options with your rheumatologist and airway specialist to see if they are suitable for your specific care plan.

I advise against giving Crocin DS to your 11-month-old baby. Crocin DS is a double-strength paracetamol syrup formulated for older children. For an 11 kg baby, a 4 ml dose of this high-strength syrup is too strong and could be unsafe. It is much safer to use the standard infant-strength paracetamol suspension (120 mg/5 ml). Please consult your pediatrician to get the precise dose of the infant formulation tailored to your baby's weight to keep them safe and comfortable.

Because a persistent fever of 103.2?F is not responding to medications like paracetamol or ibuprofen, he needs to be evaluated by a pediatrician immediately. Since his dengue test was negative, the doctor will look for other causes, such as viral infections, urinary tract infections, or other inflammatory conditions. For now, please keep him cool with lukewarm sponge baths, dress him in lightweight clothing, and encourage him to sip water or oral rehydration solutions to stay hydrated. Please seek emergency medical care right away to ensure he gets the right treatment.

A high fever and sore throat can be caused by either a viral infection or a bacterial infection like strep throat. While the Crocin DS (paracetamol) suppository is safe to help lower your fever and ease the pain, please do not start the Amoxicillin yet. Antibiotics only treat bacterial infections, and using them without a doctor's diagnosis can be harmful. It is best to have a healthcare professional examine your throat to determine the exact cause and prescribe the correct medication. Please rest, sip cool liquids to stay hydrated, and have a parent or guardian take you to a doctor soon.