Since he is shivering and the fever of 102.4?F persists despite paracetamol and mefenamic acid, please consult a pediatrician or visit an urgent care clinic immediately. In the meantime, keep him comfortable by dressing him in lightweight clothing?avoid bundling him up, even if he shivers. Offer frequent, small sips of water to keep him hydrated, and you can gently wipe his skin with a lukewarm damp cloth. Please avoid giving any more medication until a doctor evaluates him.

You started your medications, Opox CV (cefpodoxime with clavulanic acid) and Meftal Forte (mefenamic acid and paracetamol), quite recently. Antibiotics and fever reducers can take 48 to 72 hours to fully control an infection and bring noticeable relief. It is very important not to change or stop your dosage without consulting your doctor, as this can cause the infection to return. For now, please continue your prescribed schedule, drink plenty of fluids, and rest. If your symptoms worsen or do not improve after 72 hours, please consult your physician.

Please consider pausing Meftal (mefenamic acid), as this type of pain reliever can sometimes irritate the stomach lining and worsen her upper stomach pain. Lanzol (lansoprazole) helps reduce stomach acid, but it will not relieve her constipation. Burning, painful constipation requires a pediatric-approved treatment rather than pain medicines. Since her symptoms are not improving, please consult her pediatrician promptly. They can safely evaluate her stomach and prescribe a gentle, child-safe laxative to help her pass stool comfortably. Encourage her to drink plenty of water in the meantime.

Meftal Forte contains an anti-inflammatory medicine which, if used long-term, can irritate your stomach or affect your kidneys, especially at 69. If your fever returns after three days, please consult your doctor for a proper evaluation. For occasional fever, plain paracetamol like Dolo 650 is generally a safer as-needed option, but it is always best to check with your healthcare provider first to ensure your safety.

Since your temperature has been normal for 10 hours, you do not need to continue taking Meftal Forte (mefenamic acid and paracetamol) for the full five days. This medication is meant for symptomatic relief of fever and pain, not to cure an infection. You should switch to taking it only on an as-needed basis if your fever or pain returns. Taking it unnecessarily can increase the risk of stomach irritation. Keep resting, monitor your temperature, and stay hydrated. If the fever returns or you feel worse, please reach out to your doctor.

Please be cautious, as Meftal Forte contains paracetamol alongside mefenamic acid; taking it with additional paracetamol can lead to an unsafe cumulative dose. To help lower your temperature safely, try lukewarm water sponging and stay well-hydrated with plenty of fluids. Since your 102?F fever is persisting despite these medications, it is very important to contact your doctor right away. They can safely evaluate your symptoms, investigate the cause of the persistent fever, and adjust your treatment plan appropriately.