iCliniq Logo
HomeAnswersChild Healthviral infection

Can teething cause fever with diarrhea in a 10-month-old?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My 10-month-old daughter got a fever. I have been rotating between Tylenol and Motrin every 3 hours or as I feel necessary based on her temperature.

Yesterday, I did not give her anything for a couple of hours, and the fever spiked to 103.6. I gave her Motrin, and it went back down to 100.7. But I could not seem to get it to go away completely. She also has been having mild diarrhea (two to three wet, watery diapers a day).

She also got her first tooth this last weekend and is getting another one. Could this be due to teething? At what point do I need to take her to the ER? How long can I keep up the Motrin and Tylenol?

Please advise.

Thank you.

Hi,

Welcome to icliniq.com.

Many thanks for your query.

Very often we put down these symptoms to teething, but this usually is a viral illness - a viral upper respiratory tract infection (URTI). Teething by itself does not cause these symptoms; it is just that it is at the same age that they start teething that they get the more viral illness, as the mother's antibody in the child's blood dies down, and the child has not yet grown their own antibodies. So it is a coincidence, rather than a cause.

Viral illnesses, as a general rule, start getting better three to five days after the onset, though on rare occasions it may take up to seven days. But we advise seeing the child in the emergency room (ER) or general practitioner (GP) surgery if there is no sign of improvement after three days, so if the child is not better by today, I would probably get her examined by a doctor.

Diarrhea may have been caused by the same virus that has caused the URTI; viruses like Adenovirus can often affect the gut and the respiratory tract at the same time. You need to make sure that you give her plenty of fluids and watch her urine output.

For viral fever, there is very little to do other than use Tylenol (Paracetamol) and Motrin (Ibuprofen). You cannot use Tylenol more frequently than every 6 hours, but it is very usual for viral temperatures to return before the next Tylenol is due, so we advise using Motrin at that time. Motrin, however, cannot be repeated before six to eight hours.

Making sure that the doses are right is essential. For a 19-pound child, Tylenol should be 120 mg per dose, and Motrin should be 50 mg per dose.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.

The Probable causes

The probable cause is the virus.

Investigations to be done

Investigations include FBC (full blood count), U&Es (urea and electrolytes), and CRP (C-reactive protein).

Differential diagnosis

Differential diagnosis is bacterial illness.

Probable diagnosis

The probable diagnosis is viral URTI.

Treatment plan

1. Tylenol 120 mg if the temperature is above 100 F (maximum 6 hourly). 2. Motrin 50 mg if the temperature returns before the next dose of Tylenol is due (maximum 6-8 hourly). 3. Plenty of fluid by mouth. 4. Watch urine output. 5. Attend ER/GP Surgery if no signs of improvement.

Medically reviewed byiCliniq medical review team

Published At February 15, 2016
Reviewed AtOctober 16, 2025

Same symptoms don't mean you have the same problem. Consult a doctor now!

Listen to related tracks in our music library

Ask your health query to a doctor online

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.