Common Childhood Illnesses

Fever

Most of the time, fever indicates that some type of infection has started. In many cases, the fever is gone in a day or so and the child becomes better. This is usually a short-lived viral infection. Temperatures of 100.5° F rectal or below are considered normal. Unless instructed to use these medications after vaccinations, please contact the office if an infant under 3 months has a rectal temperature above 100.5°.

Rectal temperature of 103-104° F is common in ordinary childhood illness and is not necessarily a reason for great concern. The reason to reduce a fever is to improve comfort. To lower the temperature, give an acetaminophen product (Tylenol) or
ibuprofen product (Advil, Motrin), using the following dosage guidelines:

Acetaminophen: Every 4-6 Hours as needed

Weight (lbs) Weight (kg) Dose (mg) Liquid (160 ml/5 ml)
Dose (ml)
8-12 3.6-5.3 60 1.8
12-17 5.4-7.7 80 2.5
18-23 8.1-10.4 120 3.75
24-35 10.9-15.9 160 5
36-47 16.3-21.3 240 7.5
48-59 21.8-26.8 320 10
60-71 27.2-32.3 400 12.5
72-95 32.7-43.1 480 15
 100+
50+
One or two 500 mg tablets every 6 hours as needed not to exceed 8 tablets (4 grams) a day.


Ibuprofen: Every 6 Hours as needed

Weight (lbs) Weight (kg) Dose (mg) Liquid Dose
(100ml / 5ml)
18-23 8.1-10.4 75 3.75
24-35 10.9-15.9 100 5
36-47 16.3-21.3 150 7.5
48-59 21.8-26.8 200 10
60-71 27.2-32.3 250 12.5
72-95 32.7-43.1 300 15
 100+ 50+
Two 200mg tablets every 6 hours
Note: Ibuprofen should not be given routinely to infants under 6 months of age.


Aspirin should not be used in children unless specifically directed by your physician. Dress the child in light, comfortable clothing. Call us if the fever does not respond to medication or your child is very lethargic or has persistent vomiting.

Click here for our handout on childhood fevers.

Vomiting and Diarrhea

Vomiting and diarrhea are common in infants and children. The most significant problem that can develop is dehydration. If your child has good urine production, tears in the eyes, or saliva in the mouth, he/she is not dehydrated. For vomiting, nothing should be offered by mouth for 2 hours. Then offer 1/2 ounce of clear liquid (Pedialyte) for infants under 12 months (Gatorade for older children) every 1/2 hour for 2 hours, then 1 ounce an hour for 2 hours.

When symptoms have subsided, you may gradually resume a normal diet. For diarrhea, the child can take liquids. Milk or fruit juice should be avoided. At this point, you may gradually resume a normal diet, restricting only milk for the next 1-2 days. If the symptoms of either vomiting or diarrhea persist more than 2 days, or the child seems ill, please call us.

Poisoning

If your child has swallowed a poison, call the office or Poison Control Center (800-222-1222) immediately. Most poisonings can be prevented by the proper storage of drugs and household cleaners and chemicals. Request that all your prescriptions be dispensed in child-proof containers.

Office Visits

One of the purposes of routine visits is to assess your child's growth and development at key intervals. In thefirst few months, these visits are more frequent because infants grow and change rapidly. At certain visits, tests will be done to check for anermia, hearing, vision and cholesterol. The schedule of office visits may change periodically due to changing recommendations for immunizations. Our current schedule of routine visits is linked below.

Vaccines

Our practice strongly believes in adherence to the American Academy of Pediatrics (AAP) and Center for Disease Control (CDC) guidelines for childhood immunizations. It is the policy of our practice to immunize all children as recommended within the guidelines set forth by these organizations.We do not offer non-standard or "alternative" immunization schedules.

Flu Vaccine

This year, in addition to flu shots, we will offer FluMist (an intranasal vaccine) to our patients. FluMist is an option for children 2 and older who don't have certain health problems. Please read the attached patient information sheet to see if your child is a candidate for FluMist.

We tentatively expect to offer FluMist and flu shots beginning sometime in September, but please check the home page for updates on flu vaccine availability. As always, we are available to answer your questions about these and all other vaccines.

Medical Advice

Currently, all advice services are provided free of charge as a service for our patients. Peachtree Park Pediatrics absorbs the cost of our in-office advice nurses and the after-hours advice provided by CHoA. We ask for your help in properly utilizing these services so we may continue to offer them at no cost to our patients and families.

A Peachtree Park Pediatrics Advice Nurse is available during office hours Monday-Friday to answer routine child questions about development, illness and medications. For complicated questions, please call and schedule an appointment with a doctor. If you wish to speak directly with the doctor, non-urgent calls will be returned as time permits, typically by the end of the day. Please remember that our website has many resources to answer common questions and concerns.

After hours calls to our office may be answered by a Nurse from Children’s Healthcare of Atlanta (CHoA). If you need to speak with a doctor and your concern is urgent, please ask the answering service to page the doctor directly. Routine issues should be called to our office during regular weekday hours; please limit after-hours calls to urgent questions or concerns that cannot be addressed during regular hours.