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.

For treating a fever, paracetamol (the active ingredient in Crocin) is generally considered the safest choice during pregnancy when used at the lowest effective dose for a short duration. However, it is best to avoid Combiflam, as it contains ibuprofen, which is not recommended during pregnancy unless specifically advised by your doctor. Please consult your obstetrician before taking any medication to ensure it is safe for you and your baby, and to help identify the cause of your fever. Rest well and stay hydrated!

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.

Please do not give Ibujesic Plus to your four-and-a-half-month-old. This medication contains ibuprofen, which is not safe for babies under six months of age without a pediatrician's direct guidance. Since the Crocin (paracetamol) did not bring the fever down, the safest step tonight is to contact a doctor or visit an urgent care clinic for advice on the correct dosage. For now, keep your baby hydrated with breastmilk or formula, dress him in lightweight clothing, and use a lukewarm damp cloth to help cool him down gently.

Because she has a new cough and, most importantly, is showing marked lethargy or excessive sleepiness, she does need immediate medical re-evaluation. Please take her back to the emergency department or contact the hospital that discharged her right away. Lethargy after a recent hospitalization is a symptom that always needs to be checked by a doctor promptly to ensure she is safe and getting the right care.

Since he took paracetamol (Crocin) three hours ago, it is too early for another dose; paracetamol should only be given every four to six hours. Please do not give him any other medication right now. To help him feel more comfortable, dress him in light clothing, offer plenty of fluids to prevent dehydration, and gently wipe his forehead with a lukewarm, damp cloth. Since he is feeling weak and crying, please monitor him closely. If he becomes unusually sleepy, has trouble breathing, or if his condition worsens, please take him to the emergency room immediately instead of waiting until morning.