For a six-year-old with a fever of 102?103?F slow to respond to Meftal-P (mefenamic acid), the key is keeping them comfortable and well-hydrated with water, clear soups, or oral rehydration solutions. You can also apply lukewarm water compresses to help lower their temperature safely. Please do not give additional doses or alternative medications without medical advice. Since the fever is persistent, it is highly recommended to have them evaluated by a pediatrician to safely identify the underlying cause and ensure a prompt recovery.

Because your son's fevers are highly predictable, last four days, and are linked to high inflammation markers with no weight loss, this pattern strongly points toward a periodic fever syndrome, like PFAPA. It is very reassuring that he is growing well. While Crocin (paracetamol) and Meftal P (mefenamic acid) help manage his symptoms, I highly recommend consulting a pediatric rheumatologist or immunologist. They can guide you toward specific tests and treatments to help prevent these monthly cycles.

Your ongoing mild fever and morning loose stools, especially after taking azithromycin, could be due to a disruption in your gut's healthy bacteria (gut dysbiosis) caused by the antibiotic, or a persistent mild gut infection. Sometimes, medications like Meftal Forte can also irritate the stomach. Since these symptoms have lasted 15 days, it is important to stay well-hydrated with oral rehydration solutions. I highly recommend consulting a doctor for simple blood and stool tests to find the exact cause and guide proper recovery.

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.

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.

Intermittent stomach pain with fever for two days may indicate an infection or inflammation that needs examination. Consult a doctor promptly for proper diagnosis and treatment, and avoid self-medicating to prevent complications.