Since your routine blood tests and chest X-ray are normal, and antibiotics (which only target bacteria) haven't helped, we should consider non-bacterial causes. Persistent symptoms like a sore throat, low-grade fever, and night sweats can sometimes be caused by viral infections, such as infectious mononucleosis (Epstein-Barr virus) or cytomegalovirus. Other times, they relate to post-viral syndromes or inflammatory conditions. Please consult your physician for targeted viral screenings.

It is very reassuring that your white blood cell count is back to normal, which means the active infection is resolving. Please be reassured that scrotal swelling can often take several weeks, or even a month or two, to completely go away, even after the bacteria are cleared. It is important to finish your course of ofloxacin (Oflox 200) exactly as prescribed. To help ease the swelling, you can wear supportive underwear, rest as much as possible, and use cold compresses. Please follow up with your doctor or a urologist for a physical exam to ensure you are healing perfectly.

Since your symptoms have not responded to antibiotics like amoxicillin or azithromycin, and your initial tests are normal, we should look beyond common bacterial infections. It would be wise to consult your doctor about testing for viral infections such as infectious mononucleosis (Epstein-Barr virus) or cytomegalovirus, which often cause prolonged sore throat and fatigue. Given the night sweats, an HIV screening, throat culture, or a thyroid function test may also be helpful. Rest assured, identifying the precise cause is the first step to helping you feel better. I highly recommend consulting an ENT specialist or an infectious disease physician.

The medications she is taking?including ofloxacin (Oflox), metronidazole (Flagyl), Saccharomyces boulardii (Econorm), zinc, and oral rehydration salts (ORS)?are excellent for clearing infections. Sometimes, the gut lining remains irritated and needs a few days to fully recover, or she may have a temporary sensitivity to milk. Please keep giving her ORS to prevent dehydration. Because she still has blood and mucus, it is best to consult her pediatrician promptly for a quick re-evaluation.

Please do not extend the Oflox 100 (ofloxacin) without consulting her pediatrician first. Prolonged antibiotic use can sometimes worsen diarrhea by disrupting healthy gut bacteria. Since she is still having 12 to 14 stools daily after a week of treatment, she needs to be evaluated by her doctor immediately to check for dehydration and reassess her treatment. In the meantime, continue giving her ORS (oral rehydration salts) frequently to keep her hydrated, alongside Econorm and Zinc as prescribed.

Avoid using combination drops like Oflox-D (ofloxacin-dexamethasone) without a doctor's evaluation. While the antibiotic fights bacteria, the steroid component (dexamethasone) can be risky. If your symptoms are caused by a viral infection or a scratch on your eye, steroids can make the condition worse and delay healing. It is very important to have an eye specialist examine your eye first to ensure this medication is safe for you. Please schedule an eye exam soon.