<human>: Hi. My 13 year old girl has had a fever of 39 for past couple of days. She has a cough, severe pain in her eyes especially when they move and looks in different directions, and has severe back pain in mid to lower back. Would appreciate any feedback Thankyou. Justina
<bot>: Welcome to the ChatDoctorI understand your concerns. You daughter seems to be suffering from either an inflammatory or an infective cause of illness. There could be many possibilities such as Viral fevers, connective tissue disorders such as systemic lupus erythematous, a bacteremia etc. I would recommend you the following measures:1. Laboratory tests like complete blood count, C reactive proteins, ESR, CHEST AND SPINE X-Ray, ANA.2. Start her on acetaminophen or ibuprofen for fever. You can repeat the tablet after 6-8 hours. If still persistent, you may give her Mesenteric acid I.e. Metal P.3. A good rest and diet will be of help. You can contact your pediatrician for a good clinical examination. Many a times' diagnosis can be formed by a good clinical examination. You may contact me with the reports so that I may help you in a better way. Take care.