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Causes of recurring viral fever, blood test reports - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 650 Questions
User :   Hi, may I answer your health que
Doctor :   Hi
Doctor :  
How can I help you?
User :   hi
User :   my son is 3 yr old
Doctor :   Ok

User :   we have had his blood test done last 10 days back
Doctor :   Ok
User :   the TC is 23,000
User :   and ESR is 50mm/hr
Doctor :   Ok

User :   what does it indicate/
Doctor :   I shall help you in that

User :   yes
Doctor :  
Before proceeding may I ask you what was the reason for undergoing these tests?
User :   he has been suffering from fever
Doctor :   Ok

User :   very high temp >104
User :   and he got fever three times in last month
Doctor :  
It is due to an infection mainly
Doctor :  
More chances of a bacterial infeciton
User :   and was getting viral fever atleast once in a month
Doctor :  
Ok
Doctor :  
Viral fever usually lasts for 1 week usually
User :   ok
Doctor :   So for 1 month, viral fever is not that likely

Doctor :   Should be thought of a bacterial one

Doctor :  
and antibiotic treatment is necessary
User :   doctor has suggested to use antibiotic for ten days
Doctor :   Ok, that is fine

User :   i have done that
User :   my son is normal now
Doctor :   How did he respond to it?

User :   but worried if he gets fever agin
Doctor :  
Good that he is back to normal
Doctor :   Now again fever, you should not worry about

Doctor :  
Keep him well fed
Doctor :  
that is quite enough for a good immunity
User :   ok
Doctor :  
which should keep him off from serious infections
User :   do you suggest going for blood test again
Doctor :  
usual viral infections are like natural vaccinations
Doctor :  
so should bear with it
User :   to check everything is fine
Doctor :  
Now when was this test done?
User :   21st of decx
Doctor :  
Ok
User :   *dec
Doctor :  
When was the antibiotic treatment started?
User :   on the same day
Doctor :  
Fine
Doctor :  
No issues
Doctor :  
Only these 2 tests were made, or there were any other tests as well?
User :   all other counts in blood,malaria and urine routine
Doctor :   Ok
Doctor :  
Were they normal?
User :   neutrophil is 80
Doctor :  
How about Widal test? chest x-ray
User :   lymphocyte is 18
Doctor :  
Neutrophil 80 is sure bacterial
User :   basophil 1
Doctor :  
and hence he has responded to antibiotics
User :   ok
User :   chest x-ray is also done
Doctor :   Ok

Doctor :  
What was the result?
User :   prominent bronchovascular markings noted in both the lung fields
User :   lung fields free of acute infiltrates
Doctor :   Ok

Doctor :  
The report indicates a little problem in the airways
User :   ok,what does it mean?
Doctor :   An infection in the airways

User :   ok
Doctor :  
while feeding him, do it slowly and gently
Doctor :  
because food should not pass through the airpipe
User :   that also should have been sorted out with antibiotic?
Doctor :  
if some traces go in then there is a chance of infection
User :   ok
Doctor :   So, be careful about it

User :   or require any other medication
Doctor :   and dont force him food
User :   ok
Doctor :  
No other medication is required of now
Doctor :  
since the antibiotic course has been completed
Doctor :  
and the symptoms have also come down
User :   is repeatition of tests needed?
Doctor :   Lymphocytes are a bit less

Doctor :  
Enquire about it with your Pediatrician in your next visit
Doctor :   No need of a test right now

Doctor :  
Discuss about it with your treating doctor
User :   what does it mean?
Doctor :   that is also a white blood cell

Doctor :  
which is usually above 35%
User :   what is the problem if lymphocytes are low
Doctor :  
but during infection there can be fluctuations in the blood cells
Doctor :  
since the neutrophils are increased there could be compensatory decrease in lymphocytes
User :   but doctor said not to worry of that
Doctor :   Yes, no need to worry
Doctor :  
even 25% is normal
User :   so i am asking you what the problem could be?
Doctor :  
and now in infection it fluctuattions
Doctor :  
Discuss about it
User :   or shall we consult other doctor?
Doctor :   No need of it now

Doctor :  
There is no problem
User :   he says it will be ok now
Doctor :  
Just reconfirm the same again
Doctor :  
thats it
Doctor :  
Tell him that you got to know by the doctor from healthcaremagic that lymphocyte count is low
Doctor :   thats it
User :   what can the less count cause?
Doctor :  
the lymphocytes are mainly responsible for the immunity in the body
Doctor :  
Hence that should be within the normal limits
Doctor :  
but you cannot categorize your son that he has low counts
Doctor :  
as the test was done during infection
User :   we have a history of lucamia also in our family
User :   so very much worried
Doctor :   No that is not related to this
User :   thanks
Doctor :  
You can consult our Pediatrician over phone/mail
Doctor :  
I shalll give you the link
User :   ok
Doctor :  
If you have further queries you can do that
User :   sure
Doctor :   WWW.WWWW.WW
User :   but as of now you feel ,everything is OK ,right?
Doctor :   You can get your queries further clarified with him
Doctor :  
Yes, there is no need to worry as of now
Doctor :  
But since you said leukemia history
Doctor :  
i would suggest you to take advice, second opinion only
Doctor :  
regarding what to do in future
Doctor :   Like any further blood tests required
User :   ok
Doctor :  
and in what intervals do you need to see a doctor
Doctor :  
keeping leukemia in mind
Doctor :  
For the present complaint, there is no need to worry
User :   every 20 days
Doctor :   Ok

Doctor :  
Are you visiting the doctor in that frequency?
User :   yes
Doctor :   That is good enough

User :   thats why i am so much worried
Doctor :   Why?
Doctor :  
Meaning every 20 days, there is a problem, thats what you eman
Doctor :  
'mean
User :   yes
Doctor :  
Ok
User :   he is taking lot of medicines
Doctor :  
No apprehensions regarding that, it is common for a child to have such infections
User :   ok
Doctor :   medicines in the sense, what?
Doctor :  
antibiotics/cough medications? or others if any?
User :   antibiotics and also paracetamol,cold /cough syrups
Doctor :   Ok

Doctor :   Since when has this been like this?
User :   since june
Doctor :  
Ok
Doctor :  
Is he continuously ill since June?
Doctor :  
meaning on and off again and again?
User :   meaning once in every month he gets fever, ear infection and in last month it was thrice
Doctor :   Ok

Doctor :  
Weather is also to be blamed off later
Doctor :  
'late

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