Yes, a lukewarm sponge bath is safe and can help soothe him, but avoid cold water as it can worsen shivering. Since his fever has not responded to paracetamol, and because nimesulide is generally not recommended for children under twelve, please do not give any more doses of these medications. Keep him well-hydrated with small sips of water and dress him in light clothing. Because the fever remains at 103?F despite antibiotics, please contact his pediatrician or seek immediate medical evaluation to safely identify the cause and adjust his treatment.

Since the fever hasn't responded to Crocin DS (paracetamol) given every eight hours, the most important step is to consult a pediatrician promptly. A throat infection with persistent fever may be bacterial, requiring specific antibiotic treatment that only a doctor can prescribe. In the meantime, keep her comfortable, offer plenty of fluids like water or warm clear soups to prevent dehydration, and use lukewarm water sponging to gently soothe her fever. Avoid changing her medication dose without a doctor's guidance.

I understand your concern. Since Crocin DS has not lowered the fever, Meftal-P (Mefenamic Acid) can be used, but the exact dosage depends strictly on your child's weight, not just age. The standard pediatric dose is 4 to 6 mg per kg of body weight, given up to three times daily after food. For example, a child weighing 10 kg would typically require 2.5 ml of Meftal P (100mg/5ml) syrup per dose. Please consult your pediatrician with your child's current weight to get the precise dose. Keep him hydrated and use tepid sponging to help reduce the fever safely.

Please be reassured that taking Crocin (paracetamol) is highly unlikely to cause ear bleeding or fluid leakage. However, the combination of a severe headache and draining fluid requires immediate medical evaluation, as it could indicate an underlying issue like a severe ear infection or another condition needing urgent care. Please do not plug your ear or put anything inside it. I gently encourage you to visit the nearest emergency room right away so a doctor can safely examine you and ensure you get the right care.

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.

Persistent painful swelling in both armpits and a mild fever lasting for two weeks require a professional medical evaluation. While Crocin (paracetamol) and warm compresses can temporarily ease your discomfort, they do not address the root cause, which could be reactive lymph nodes or a localized infection. Please schedule an appointment with a doctor soon. They can properly examine the area, determine the exact cause, and prescribe targeted treatment if needed. In the meantime, please avoid squeezing or pinching the swollen areas, rest, and stay well-hydrated.