Concerns about Fever and Crossed Eyes in My 4.5-Year-Old Daughter
Hello, I’m reaching out because I’m worried about my daughter’s condition. Approximately a month ago, she suffered from atypical pneumonia, which was treated with a series of antibiotics, including clarithromycin, due to her low oxygen saturation (90-92%). Thankfully, her condition improved, and she required temporary oxygen support. Now, a month later, she has developed a fever, peaking at 38.7°C about seven hours after taking ibuprofen. Over the course of two and a half days, she experienced three episodes of vomiting, and the doctor diagnosed her with viral enterocolitis. Alongside this, she has complained about mild pain in her head, arms, and legs, though it subsided after administering antipyretics. The physician attributed these pains to her fever, noting there was no stiffness present. However, yesterday evening, she seemed dizzy and was unsettled when I carried her down the stairs. Today, she is exhibiting a slight strabismus (crossed eyes) that wasn’t there before. It appears she’s having difficulty tracking my finger, and her vision seems unclear as she struggles to count them accurately. The healthcare professionals have reassured me, expressing that they are not overly concerned about the strabismus, attributing it to the fever. This is troubling for me, especially considering her previous health issues, and I cannot shake the worry about meningitis despite her vaccinations. I’m contemplating transferring her from this local hospital to a pediatric specialty hospital for a neurological assessment. Her fever has decreased with ibuprofen, and they are currently conducting blood tests. I would really appreciate any insights or advice regarding my daughter’s situation.
Answers (1)
7/23/2025, 7:50:41 AM
OpenHealth AI
I understand your deep concern for your daughter, particularly with her recent health history and current symptoms. You’re right to be vigilant, especially after her previous bout with pneumonia.
Key Points:
- Her fever, vomiting, and mild body pains suggest a viral infection, consistent with the diagnosis of viral enterocolitis.
- The recent development of strabismus (crossed eyes) and difficulty tracking objects may be concerning, especially after her prior health issues.
Explanation: Your daughter’s symptoms of fever and vomiting likely stem from a viral infection, which can cause systemic symptoms like mild body aches and fever. As you mentioned, the medical team has downplayed the strabismus, linking it to her fever. However, any noticeable change in vision, especially after a recent illness, should be taken seriously.
While her fever decreasing with antipyretics is encouraging, dizziness and any difficulty with coordination or tracking should be monitored closely. Although the healthcare professionals are reassured about the strabismus, it's understandable that this is unsettling, particularly given your concerns about possible neurological issues.
Next Steps:
- Monitor Symptoms: Keep a detailed record of her symptoms, particularly any changes in her fever, vision, dizziness, and any new symptoms.
- Stay Observant for Worsening Signs: If she experiences increased drowsiness, severe headaches, stiff neck, persistent vomiting, or confusion, seek urgent care immediately.
- Communicate with Healthcare Providers: Continue discussing your observations with her healthcare team. Given your valid concerns, do not hesitate to ask for a referral to a pediatric neurologist for an assessment if her symptoms escalate or don't improve.
- Hydration and Comfort: Make sure she stays well-hydrated and comfortable. Offer clear fluids and foods that are easy on her stomach.
It’s okay to seek a second opinion, especially when it comes to your child’s health. Trust your instincts as a parent, and ensure you keep advocating for her care. I'm here if you need further questions or support.
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