[28F] Reporting symptoms in 16-month-old child

What might be happening

Based on the symptoms you have described for your 16-month-old, here are some possible explanations:

• Viral Infection (e.g., Common Cold or Flu): The combination of a runny nose, lethargy, loss of appetite, and fever suggests a viral infection. These infections are common in young children and can cause a range of symptoms, including those you mentioned.

  • Treatment: Viral infections typically resolve on their own. Treatment focuses on symptom relief, such as using fever reducers like ibuprofen (as you have been doing), ensuring adequate hydration, and providing comfort.

• Ear Infection: Sometimes, a runny nose and fever can lead to or be associated with an ear infection, which can cause discomfort and lethargy.

  • Treatment: If an ear infection is suspected, a doctor may prescribe antibiotics if it's bacterial. Pain relief and fever management are also important.

• Teething: Although less likely given the fever and lethargy, teething can sometimes cause a runny nose and irritability.

  • Treatment: Teething gels and pain relief can help, but this is less likely to be the primary cause given the fever and lethargy.

• Dehydration: If your child is not eating or drinking well, dehydration could contribute to lethargy and a feeling of being hot.

  • Treatment: Ensure she is drinking fluids. Oral rehydration solutions can be helpful.

What you can do

1. Monitor Symptoms: Keep a close eye on her symptoms. Note any changes or new symptoms that develop.
2. Hydration: Ensure she is drinking plenty of fluids. Offer small amounts frequently if she is not interested in drinking.
3. Comfort Measures: Continue to use ibuprofen for fever and discomfort as needed, following the dosing instructions.
4. Rest: Allow her to rest as much as she needs. Sleep is important for recovery.
5. Humidifier: Using a cool-mist humidifier in her room can help with the runny nose, especially at night.
6. Nasal Suction: Use a bulb syringe or nasal aspirator to gently clear her nasal passages, especially before feeding and sleeping.
7. MDandMe Journal: Use the MDandMe app to journal her symptoms, track her progress, and share this information with her healthcare provider.

What you should look out for

Seek medical attention if you notice any of the following:

• High Fever: If her fever is very high (over 102°F) or persists despite medication.
• Dehydration: Signs include dry mouth, no tears when crying, and significantly fewer wet diapers.
• Breathing Difficulties: If she has trouble breathing, is breathing very rapidly, or you notice any wheezing.
• Persistent Symptoms: If her symptoms do not improve after a few days or worsen.
• Ear Tugging: If she is pulling at her ears, which could indicate an ear infection.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. If you have any concerns, don't hesitate to reach out to your pediatrician.