human
19 month old has had fever since end of JanuaryAge: 19 monthsSex: MaleHeight: 33 inchesWeight: 27lbsRace: CaucasianDuration of complaint: just over three monthsLocation: Southern United StatesAny existing relevant medical issues: Dominant Dystrophic Epidermolysis Bullosa with recessive traits. This is a genetic skin disorder. When googling this disorder, you'll find very bad cases. My son's case is very mild compared to some other children. My child's father also has the same type.Current medications: Tylenol and Motrin as needed.Include a photo if relevant: noneI'm on a mobile app, please forgive me if this looks awful as far as formatting goes. My son and I got COVID back at the end of January. We both seemed to recover okay. We both ran fevers throughout the duration, never above 102F. After recovering, we then noticed a new fever and took him to the doctor where he presented with a high pulse, left ear infection, and an upper respiratory infection. Dealt with that with antibiotics and the fever came and went. Never above 102F. About a month later, still not better. Back to the doctor with a right ear infection and strep throat. Antibiotics once more, different one this time. Two or so weeks later after antibiotics were finished, back to the doctor where he had a double ear infection and still had strep. My husband and I double down at this point and begin sterilizing everything this child touches. We clean his toys and play areas every evening after he goes to bed, sterilize common areas, threw away toothbrush and bottles and sippy cups, wash every single stuffed animal and pillow and change sheets. We went over the top to try and keep the germs at bay. They had him on the strongest antibiotic they could give him at this point. He finishes the antibiotics and we take him back to the doctor to ensure all the infections and strep are gone. They are. Relief, right?No. He still has the fever. He's had a fever of at least 100F nearly every single day since he got COVID at the end of January. The last appointment he had at the doctor where they confirmed ears looked fine and the strep was gone, the doctor said his fever was from teething. A nearly 102F fever from teething? For that long? I'm not buying it. I had another doctor we took him to (before all this) while his regular pediatrician couldn't see him tell me that it wasn't normal for a baby to have that high of a fever while teething.He goes back to the doctor tomorrow. I don't even know what to ask them to test for. I don't know what to even do. They're blaming it on teething. It doesn't seem normal for a toddler to have a fever for this long even when his sickness is no longer there. He doesn't currently have any infected sores from his skin condition, either. Nothing open and nothing oozing or bleeding, so that's not it. It's something else and I have done so much googling to try and figure out what it is he has or what's wrong and I don't know where to turn anymore.Please help. Thank you.
gpt
Hi, wondering what happened with your little one
Thanks for taking the time to respond. Your comment about torodol is interesting. My PCP, the previous anesthesiologist, my previous pain management doctors and the new PA all agreed I could have it, all knew my medical history. My PCP said it bypasses my stomach so it's safe. What in the world is going on here? I see your a pharmacist so I am now going to ask some more pointed questions from my providers. They nurse just said, " we don't do that here " when I asked for it, nothing about my specific history.I have a hard time believing not allowing my husband back with me was a COVID policy as they don't require masks on staff or patients at this practice. In fact the doctor gave me a snarky comment about me wearing one in pre-op. He said, " I should take some deep breaths if my mask will allow it".You may be right about them wanting to avoid a nocebo effect and so they underplay the pain component. I've had the same experience with previous doctors. I always thought consent was a big deal though and knowing what pain you may be in seems to be a part of giving, or not giving, consent for a procedure.I informed them of my negative experiences in detail in order to avoid all this, they knew. I guess I just have to decide if I want to use the mental energy to try again with them.Again, thank you for the response, much appreciated.
The stomach bypassing actually doesn't affect the mechanism of action that it works. The reason why NSAIDs like Toradol and Motrin cause issues with the stomach is due to the inhibition of COX-1 which happens whether it's taken orally or given IV/IM.