Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
192 Doctors are Online

Analysis of y - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: null
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3587 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   hi
User :   r u the same doc i spoke to yesterday
Doctor :  
I am not the same doctor but I can help you as it is
User :   do u have the chat logs
Doctor :  
as I can access your chat history
Doctor :  
Yes
Doctor :  
We have
User :   perfect
Doctor :  
Would you like to continue?
User :   HIV negative elisa non reactive it says in the report
User :   please check the full chat log and let me know so i can continue
User :   HIV 1 / 2 both non reactive
Doctor :  
yes gimme a minute
User :   ok
Doctor :  

User :   yes sir
User :   u know the story now
Doctor :   yes
Doctor :  
When did you stop the antibiotics last?
User :   long back after my doc gave me intravenous shot of pentadac and other antibiotics
User :   for 2 days
Doctor :  
So you are not on antibiotics for the last 2 days
User :   yes
User :   except on liv 52
User :   for the fatty liver
User :   do doc now that the hiv is negative i hope i am not infected
User :   and can stop worrying abt HIV right?
Doctor :  
Absolutely
Doctor :  
you should stop worrying
User :   ok
User :   what abt my disease now sir..
User :   what do u think it is
Doctor :   Do you check the temperature thrice a day?
Doctor :  
and noted down the readings
User :   yes
User :   morning is normal
Doctor :  
What are they and their timings
User :   afternoon its 99
User :   evening its 99.5
User :   sometimes 100
User :   morning is 11
User :   afternoon is 3-4
User :   evening is 8-9
Doctor :  
evening what is the temperature in the evening
User :   99.5
Doctor :  
What are the recordings today?
Doctor :  
What is your occupation?
User :   morning normal
User :   afternoon 99
User :   evening i havent checked
Doctor :  
How are you feeling now?
User :   i am better
User :   was feeling tired and weak in the afternoon so i came home from office
User :   now after seeing hiv negative report feeling even better
User :   haha
Doctor :  
Apart from fever do you have any other problems now?
User :   no just bowel movements twice a day
User :   when it was once a day earlier before all this drama started
User :   and fatigue
User :   tiredness
User :   feel like sleeping whenever i have fever
User :   day before yesterday whole day i was normal
Doctor :   Do you have cough now?
User :   yes
Doctor :  
Is it dry or wet cough?
User :   i smoke
User :   dry cough..
Doctor :  
Did you stop from the time you had these problems
User :   no i didnt
Doctor :  
When did the cough start?
User :   3-4 days back
User :   not severe
User :   but its there
User :   mild cought with sore throat
Doctor :  
IAny chest Xray
User :   PA view as you know in my chat log was normal
Doctor :  
With all these I would wait and see for next few days since you stopped the antibiotics
Doctor :  
I would like to add BIOVITAL tablet twice a day
Doctor :  
after food for next one week
User :   hmm
User :   multivitamin
User :   thatz all
User :   but how do i know what is wrong with me
User :   what is this disease
User :   what do you think as per the symptoms
Doctor :   Antibiotics can cause increased fever
User :   ok
User :   its post 48 hours since i stopped
User :   i think moer
Doctor :  
Yes I know
Doctor :  
Since you have no symptoms except low grade fever
Doctor :  
which is not bothersome
Doctor :  
I would leave it alone and tackle the current
Doctor :  
weakness
User :   when there is no fever there is no weakness
Doctor :   ok
Doctor :  
fine
User :   i am worried doctor
User :   help me
Doctor :  
Fever releases pyrogens in the circulatory system and pyrogens attack the immune cells
Doctor :   hence the weakness
User :   oh ok
Doctor :   Do you have bad tooth
User :   no
Doctor :  
joint pains
User :   no
User :   yes
User :   there is itchiness all over my body
User :   and a little bit of rashes on my arm.
User :   which has reduced a little
User :   but its there
Doctor :   Ok
Doctor :  
This kind of fever is called PUO
Doctor :  
Pyrexia of Unknown Origin
User :   ok
Doctor :  
where you will be subjected many tests
User :   how do doctors ususally treat this
User :   i have been asked to do many tests
User :   CDC / Rapid vivax/ rapid falci
Doctor :  
A general physician is the one who tackles this
User :   palettel count
User :   LFT
User :   creatinine
User :   clodd culture
User :   widal
User :   IGM , dengue
User :   FBS, PLBS
User :   do u think its worth it
Doctor :  
The only cause that I can tell you for the low grade fever is Smoking with bronchitis
Doctor :  
An experienced General physician with a degree MD in Internal Medicine shall be able to help you after running more tests
Doctor :  
If you are more particular about the cause
User :   that is why i have contacted you guys to get help
User :   what are you?
User :   actually i am fedup of going to docs every now and then
Doctor :  
Which city are you in?
User :   Mumbai
User :   are u a MD in internal medicine?
Doctor :   I am a General Practitioner
User :   oh ok
User :   what medicine should i take for this itching and rash
User :   and why do u think that is happening
Doctor :   As I told you I have two reasons
Doctor :  
1) Smoking with bronchitis
Doctor :  
2) Antibiotics which were stopped
User :   hmm
User :   the doc gave me intreavenous pentadoc
User :   for 2 days
User :   and also monoceff
Doctor :  
I would like to add Tablet BIFILAC which will replenish your good bacteria
Doctor :   in the digestive system

Doctor :  
( the reason for increased frequency of bowels)
User :   doc also asked me to start T lariago
User :   T.Duxy
User :   Trablet
User :   t.Fabrex
Doctor :  
Did you start?
User :   i am going to today
User :   as he said sometimes it is not detectable in the tests
Doctor :  
Yes that is right
User :   so if at all there is malaria
User :   hwo long after taking the above medicines should i find relief
Doctor :  
There is no harm in starting the tablet
User :   any side effects?
Doctor :   No
User :   ok
User :   the antibiotics had lots and lots of side effects
User :   headache
User :   gas
User :   and all that
User :   i was in hell
Doctor :  
slight nausea tendency might be there
Doctor :  
this is not antibiotic
User :   it stopped after i stopped taking the antibiotics like lemovac and zifi
Doctor :  
this is antimalaria
User :   what else doctor
User :   what do u suggest i do
User :   apart from all that we discussed
Doctor :  
just a moment
User :   ok
Doctor :  
I would suggest to cut down the smoking for few days
User :   ok
Doctor :  
2) take BIFILAC tablet
User :   then there will be withdrawal symptoms..
User :   ok noted
User :   will do that
User :   and doctor
User :   i am releasing a lot of gas
User :   even in sleep
User :   when i say lot of gas means loooong farts
Doctor :  
It sets right after you stop these tablets
Doctor :  
No pulses in the food
Doctor :  
No carbonated drinks
User :   ok
Doctor :  
Eat bland rice, chapathi and sabzi
Doctor :  
No dal, no cabbage, no cauliflower
User :   ya i am doing just that
User :   rice and roti and sabzi thatz all
User :   dal i wil stop
Doctor :  
No buttermilk
User :   no butter milk
User :   some dictors say have more curd and buttermilk
User :   as much as u can
User :   ok
Doctor :  
More fluids
Doctor :  
are important
Doctor :  
If you take buttermilk mix pinch of salt in it
User :   ok doctor most important thing.. do i need to worry abt HIV and that window period as i read online that the symptoms will appear like the ones i have and then disappear
User :   but the tests will be negative now.
User :   so what do u have to say abt that.
Doctor :  
If the ELISA is negative then you can sleep happily
User :   oh ok
Doctor :  
All the more you do not have any risk factors like
Doctor :  
multiple sexual partners
User :   no i dont
User :   last time i had sex was like 13 months back
User :   and not after that
Doctor :  
not a health professional to stick needles
User :   so if it was transmitted sexually then the window period is well over as they say its 6 months
User :   right..
Doctor :  
yes
User :   its only the stick needles prick that i am worried abt
User :   i went to a downtown area
User :   i will tell u what ahppened with me
User :   listen
User :   i was walking in a very crowded area
User :   and once i came out of the area
User :   after like 5-10 mins i felt a prick type sensation like a ant bite on my arm.. when i ram my hand over it. there was nothing.. i checked the shirt and it didnt have any signs of a prick or thread tear
User :   and i checked my arm
User :   there was no sign of any prick
Doctor :  
when was this
User :   4 days prior to the stomach upset and fever started
User :   i have been eating a lot of food outside in unclean enviroments too
User :   but then doe the prick sensation happen immediately on prick or after that
User :   because i felt like a ant bite 10 mins after i walked out of that area
User :   what do u think
User :   can elisa detect that kind of a infection too
User :   recent infection
Doctor :   it cannot detect recent infection
Doctor :  
but this all happened one month before right
User :   yes
User :   one month
Doctor :  
no worry
Doctor :  
you should not bother about it
User :   and i am assuming that all symptoms are active then the virus should also show right
Doctor :  
and take off your mental strength
User :   and if its not showing when the symptoms are active then its a negative
User :   what say
Doctor :  
es
Doctor :  
the best test here is PCR DNA or a repeat ELISA after one more month
Doctor :  
PCR DNA is too costly
User :   what is that all about
Doctor :  
PCR DNA traces the virus particle per se
Doctor :  
ELISA detects the human antibody to the virus particle
Doctor :   PCR DNA can be done early
User :   so which one
Doctor :  
sorry PCR RNA
Doctor :   not PCR DNA
User :   ok
Doctor :   My suggestion is to wait for one more month and get ELISA antibody for HIV
Doctor :  
once more to be clear
Doctor :  
But my opinion is that you should not be worried
User :   ok
Doctor :  
and you might not contract the HIV virus
User :   sexually i am cetain..
User :   just worried abt the prick
Doctor :  
If you want a documented evidence then repeat ELISA is what I can suggest
User :   ok
User :   fine
Doctor :  
Please fill the feedback form say done when done
User :   ok
User :   done
Doctor :  
There are a quite a few patients in queue. Can we chat later
User :   bye
User :   ok
Doctor :  
It has been a long chat and I hope I have given you enough advice
Doctor :  
Bye
Doctor :  
Thanks for consulting us
Question is related to
Lab Tests
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor