Usually a viral infection causes fever that starts to decrease after 48 hrs. So after 48 hrs he will still have fever but either the frequency decrease (so for example instead of having 39 every 4 h it will be every 8 hrs) and/or it will decrease in intensity (so instead of 39 it will be 38.5 or less). After 48 hrs of giving only anti-pyretics (medication to decrease fever) you should take your child to your doctor and he might give him antibiotics if necessary but it can always be viral and he might not prescribe antibiotics. It all depends on the physical exam.
If your child has fever but he is ill looking, sleeping a lot, vomiting a lot, and you feel he is not doing well you should directly take him to the Dr.
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Annual Checkup
It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.
The American Dental Association recommends dental cleanings for adults at least twice annually. Some stains can only be removed by a professional cleaning.
It’s recommended by the American Academy of Ophthalmology that every adult between the ages of 18 and 80 does an eye examination at least once every two years.
It's recommended by the American Cancer Association that every adult between the age of 20 and 80 does an annual skin screening by a licensed dermatologist.
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