Stephen J. Schueler, M.D.

Overview Incidence Symptoms Evaluation Treatment questions for doctor specialist Home Care pain and fever adults pain and fever children sore throat in adults sore throat in children warning signs Prevention Complications Underlying Cause

Acute Rheumatic Fever Home Care

Home care for rheumatic fever includes:

Acute Rheumatic Fever Pain and Fever Adults

Medications commonly used to control pain and fever in adults with rheumatic fever include:


Acetaminophen
  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Adult dosing is 2 regular strength (325 mg) every 4 hours or 2 extra-strength (500 mg) every 6 hours.
  • Maximum dose is 4,000 mg per day.
  • Avoid this drug if you have alcoholism, liver disease or an allergy to the drug. See the package instructions.
  • Common brand names include Tylenol, Panadol, and many others.

Aspirin

Ibuprofen

Naproxen

Ketoprofen

NSAID Precautions

Acute Rheumatic Fever Pain and Fever Children

Common medications used at home for pain and fever in children with rheumatic fever include:


Aspirin and most of the other nonsteroidal anti-inflammatory drugs (NSAIDS) are not used in children except under a doctor's care.

Acetaminophen
  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Dosing is 10-15 mg per kilogram (5-7 mg per pound) of body weight every 4-6 hours, up to the adult dose.
  • Do not exceed the maximum daily dose.
  • Acetaminophen products come in various strengths. Always follow the package instructions.
  • Avoid this drug in children with liver disease or an allergy to acetaminophen.
  • Common acetaminophen products include Tylenol, Panadol and many others.

Ibuprofen

Naproxen

Acute Rheumatic Fever Sore Throat in Adults

Home care for a sore throat in an adult with rheumatic fever includes:

Acute Rheumatic Fever Sore Throat in Children

Home care for a sore throat in a child with rheumatic fever includes:

  • Avoid citrus juice.
  • Avoid hot and spicy foods.
  • Avoid exposure to secondary smoke.
  • Drink plenty of fluids.
  • Get plenty of rest.
  • Numb the throat pain with throat spray or lozenges.
  • Perform warm salt water gargles several times a day. Mix 1/2 teaspoon (92.5 ml) salt per cup (240 cc) of water.
  • Place a vaporizer or nebulizer in the bedroom at night.
  • Take acetaminophen or ibuprofen for pain.

Acute Rheumatic Fever Warning Signs

Notify your doctor if you have rheumatic fever and any of the following:

Continue to Acute Rheumatic Fever Prevention

Last Updated: Jan 4, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Acute Rheumatic Fever References
  1. Carapetis JR, McDonald M, Wilson NJ. Acute rheumatic fever. Lancet. 2005 Jul 9-15;366(9480):155-68. [16005340]
  2. Cilliers AM, Manyemba J, Saloojee H. Anti-inflammatory treatment for carditis in acute rheumatic fever. Cochrane Database Syst Rev. 2003;(2):CD003176. [12804454]
  3. Lennon D. Acute rheumatic fever in children: recognition and treatment. Paediatr Drugs. 2004;6(6):363-73. [15612837]
  4. Manyemba J, Mayosi BM. Penicillin for secondary prevention of rheumatic fever. Cochrane Database Syst Rev. 2002;(3):CD002227. [12137650]
  5. Roodpeyma S, Kamali Z, Zare R. Rheumatic fever: the relationship between clinical manifestations and laboratory tests. J Paediatr Child Health. 2005 Mar;41(3):97-100. [15790318]
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