1. Fever is a rise in body temperature above 38 °C (38.5 °C when measured in the rectum).

2. In case of fever, give Paralen, Panadol (both from newborn age) or Nurofen (from 3 months) in the dose according to the package leaflet. It is necessary to give this sufficient dose and not less, otherwise the drug cannot work successfully. The correct dosage is according to the child&´s weight and not according to its age.

Closer to the dosage of drugs for fever - the dose of Paralen (paracetamol) is 15 mg per 1 kg of the child´s weight. This dose is given 4 times a day after 6 hours. The dose of Nurofen (ibuprofen) is 10 mg per 1 kg of the child&´s weight. This dose is given 3 times a day after 8 hours.

Example of calculating the drug dose for a 6-month-old infant weighing 7.3 kg for:

1) Paralen syrup 24 mg/ml. For a child, a dose of 15 x 7.3 = 109.5 mg of the drug is needed. One ml contains 24 mg of the drug. So I calculate the dose as 109.5 : 24 = approximately 4.5 ml of Paralen syrup. I will give this dose 4 times a day.

2) Nurofen syrup 20 mg/ml. For a child, a dose of 10 x 7.3 = 73 mg of the drug is needed. One ml contains 20 mg of the drug. So I calculate the dose as 73 : 20 = approximately 3.5 ml of Nurofen syrup. I give this dose 3 times a day.

3. If the fever lasts for more than 48 hours, for a newborn or an infant under 6 months of age for more than 24 hours, if the child is unusually sleepy, repeatedly vomits, has frequent watery stools, rash appears on the skin, refuses to eat or drink fluids all day, has persistent severe headaches.

1. We consider a cough that is not normal and can be treated, when the child coughs more than 11 times a day.

2. In the case of long-lasting dry irritating cough, medicines to suppress it (up to 2 years Kaloba, from 2 years Sinecod or Levopront), in case of wet cough to support the expectoration of mucus (Mucosolvan).

3. For newborns and infants up to 6 months of age in case of severe cough immediately, in the older children in case of cough that does not get better for 10 days.

1. By runny nose we mean liquid discharge from the nose (i.e. the presence of snot is not a runny nose).

2. Rinsing the nose with a solution with sea water or Vincentka and subsequent suction, if this is not enough, then with a spray to reduce swelling of the mucosa(Nasivin Sensitive or Olynth from 2 years old). It is also advisable to use Pinio nasal ointment for an irritated nose.

3. If the cold turns green, if there is a fever (temperature > 38 °C) or if it lasts longer than two
weeks.

1. A sore throat is an unpleasant condition when a child refuses to eat, drink, or has trouble swallowing. I feel a "lump", cutting or scratching in my throat

2. Application of a Priessnitz wrap (gradually wet cloth, dry compress and plastic or foil on top), use of sprays or gargles (from 4 years – Orofar, from 8 years – Iox).

3. Fever (temperature > 38 °C) lasting more than 48 hours, the child´s exhaustion, problems with breastfeeding in newborns and infants, drooling from the mouth or problems with the intake of liquids and food.

1. Ear pain is a very unpleasant condition, the child is bothered by being stroked on the face, touching his ears, especially squeezing the tragus is painful. There may or may not be discharge from the ear.

2. Nurofen or Ibalgin for pain, Otic Solution drops in the ear.

3. Pain lasting more than 1 day, presence of fever (> 38 °C), ear discharge, hearing impairment.

1. By diarrhea we mean the presence of 3 or more loose stools per day. In newborns and infants, it is mainly a change in the consistency or color of the stool, otherwise even 3 stools per day are considered normal.

2. First of all, it is necessary to maintain a sufficient intake of fluids, the diet must be served in a non-irritating way (e.g. mashed banana, grated apple without skin, boiled potatoes, rice broth and carrots). Among the drugs, it is possible to use Tasectan or Smecta. It is essential to avoid dairy products in the diet.

3. The child does not take fluids, urinates very little or not at all, there is associated fever (temperature > 38 °C), vomiting or blood in the stool. Always if it is a newborn or an infant under 6 months.

1. Any discharge from the eye, other than tears, is not okay. Please take a photo and send it to us.

2. It is possible to use disinfection in the form of Ophthalmo-Septonex drops. It is also necessary to drip the nose in the same way as with a runny nose.

3. Fever is present (temperature > 38 °C), swelling around the eye or the discharge does not improve after two days of using the drops. At the moment when the discharge is most obvious (usually in the morning), it is ideal to take a picture of it and send it to us via email to speed up the diagnosis.

1. In newborns and infants, blinking occurs in smaller amounts normally. If in this case you are not sure, contact us by email and together we will find out whether it is still a normal finding or not.

2. It is necessary to maintain a sufficient intake of fluids, which we give in spoonfuls (e.g. weak sweetened tea) due to tolerance. As soon as it is possible, we also serve sparing food (banana, day-old white bread, biscuits, broth, rice, compote fruit and boiled vegetables).

3. Immediately in newborns and infants up to 6 months old, the so-called projectile vomiting (1 meter and more) is a particularly serious problem in newborns. If the child does not take fluids,
 
urinates very little or not at all, fever (temperature > 38 °C), rash on the skin, if poisoning is suspected, vomiting is present every morning.

1. Small children can't localize pain, they don't have experience with it, but their tummy hurts anyway. It is necessary to know when and what the child last ate, when he pooped, when he peed, if there was blood anywhere. Pain in the right lower quadrant is especially dangerous.

2. If the pain is associated with vomiting or diarrhea, follow the instructions for the respective conditions. If it has been going on for a long time (more than a week) and/or if it is also associated with constipation, make an appointment with us for a non-acute scheduled examination. Give pain medication (Paralen, Ibalgin) in case of known recurrent pain related to menstruation. On the contrary, if the pain is atypical, related to an increased temperature and, possibly, to a stoppage of gas and stool passage, do not administer pain medication (due to the yield of the examination)!

3. Always in children up to 6 years of age, further if the pain is severe and sudden, associated with stopping the passage of gas and stool, blood in the stool, stone-like hardening of the abdominal wall.

- Paralen suppository or syrup – temperature, pain

- Nurofen suppository or syrup – temperature, pain, swelling, inflammation

- Fenistil drops and gel – allergies

- Smecta – vomiting, diarrhoea

- Kulíšek - vomiting, diarrhoea

- Black coal – diarrhea, intoxication

- Nasivin spray + nasal ointment Pinio nasal – runny nose

- Hedelix – cough

- Panthenol – sunburn

- Ophthalmo-Septonex – eye inflammation

- Otic solution – inflammation in the ear (water trapped in ear)

- Ichtamol paste – skin rashes