[12F] With severe weakness, fever, and cough

What might be happening

Based on the information you have provided, here are some possible explanations for your sister's symptoms:

• Viral Infection: Given the combination of fever, cough, nasal congestion, sore throat, and vomiting, a viral infection such as influenza or another respiratory virus could be a likely cause. These infections can cause significant fatigue and weakness, especially in children.

  • Treatment: Viral infections typically resolve on their own with supportive care, including rest, fluids, and over-the-counter medications to manage symptoms. Antiviral medications may be prescribed in some cases.

• Asthma Exacerbation: Her asthma could be contributing to her symptoms, especially the cough, wheezing, and shortness of breath. Viral infections can often trigger asthma exacerbations.

  • Treatment: Continue using her inhaler as prescribed and monitor her breathing. A doctor may prescribe additional medications such as corticosteroids to manage the asthma flare-up.

• Gastroenteritis: The vomiting and inability to keep food down could be due to gastroenteritis, which is an inflammation of the stomach and intestines often caused by a viral or bacterial infection.

  • Treatment: Ensure she stays hydrated by drinking small sips of water or an electrolyte solution. Avoid solid foods until vomiting subsides, then gradually reintroduce bland foods.

• Secondary Bacterial Infection: Sometimes, a viral infection can lead to a secondary bacterial infection, such as pneumonia or a sinus infection, which could explain the persistent fever and worsening symptoms.

  • Treatment: A doctor may prescribe antibiotics if a bacterial infection is suspected.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to help manage her symptoms:

1. Rest and Hydration: Ensure she gets plenty of rest and stays hydrated. Offer small sips of water, clear broth, or an electrolyte solution to prevent dehydration.
2. Monitor Symptoms: Keep track of her symptoms, including fever, cough, and vomiting. Note any changes or worsening of symptoms.
3. Use a Humidifier: A cool-mist humidifier can help ease coughing and congestion.
4. Elevate Her Head: When she lies down, elevate her head with pillows to help reduce coughing and improve breathing.
5. Follow Asthma Action Plan: Continue using her inhaler as prescribed and follow her asthma action plan. If her asthma symptoms worsen, seek medical attention.
6. Avoid Irritants: Keep her away from smoke, strong odors, and other irritants that could worsen her symptoms.
7. Use MDandMe: Utilize the MDandMe app to journal her symptoms, track progress, and share detailed medical notes with her healthcare provider.

What you should look out for

Seek medical attention if you notice any of the following:

• Difficulty Breathing: If she has severe difficulty breathing, wheezing, or shortness of breath that does not improve with her inhaler.
• High Fever: If her fever persists above 102°F despite medication or if she develops a new, higher fever.
• Dehydration: Signs of dehydration include dry mouth, decreased urination, and lethargy.
• Persistent Vomiting: If she continues to vomit and cannot keep fluids down.
• Worsening Symptoms: If her symptoms worsen or new symptoms develop, such as chest pain or confusion.

Remember, while I can provide information and suggestions, it's crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment.