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Fatigue and low grade fever - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3543 Questions
Doctor :   hi
Doctor :  
how can i help you
User :   my wife has been feeling sick for almost 6 weeks now. her primary doctor did some tests and bloodwork and found nothing.
Doctor :  
ok
User :   she saw an internist who found nothing but reordered blood work and an ultra sound and found a palyp in the galbladder but does not think it is related to her feeling sick\

User :  
we were thinking it was chronic fatigue syndrome before all the sests
Doctor :   ok polyp in the gall bladder
User :  
her symptoms are: low grade fever, weak, nauses, sometimes light headed
User :  
can these be symptoms of a polyp in the gall bladder?
Doctor :  
her age
User :   32
Doctor :  
ok
User :  
usually very active
Doctor :  
how long the fever is there
User :  
for six weeks or so, and is usaully there , seldom normal
User :  
99-100 degrees
Doctor :   is the fever associated with chills and shivering
Doctor :  
hi are yu there
User :   i dont think so
User :  
not usually
Doctor :  
how is the appetite ?
User :  
really good
Doctor :  
does she have jaundice or yellow discoloration of skin
User :  
a little just showing up
Doctor :   does she has pain in the right sided abdomen
Doctor :   how is her bowel movements - passing stools
User :  
a little cramping
User :  
yes she is passing stools, but seems to have an upset stomache usually
Doctor :   is the urine high colored ?
User :  
i dont know
Doctor :   ok
Doctor :  
is she obese or overweight
User :  
no 5'6" 125lbs
Doctor :  
ok
Doctor :  
does she prefer more spicy and fatty foods
User :   no not really
Doctor :   was liver function test done to detect the jaundice
User :   no, just notices it a few days ago
Doctor :  
ok
Doctor :  
so liver function test not done
User :  
no
Doctor :  
regarding the ultrasound report
Doctor :  
can read the report for me
User :  
have not seen report, doctor has it and she told my wife over the phone that it was a polyp
Doctor :  
my interest is to know the size of the gall bladder polyp
Doctor :  
is it obstructing the bile (fluid) passage are not
User :  
\let me call my wife
Doctor :  
yes please
User :  
i dont think so since the doctor was not worried about it
Doctor :   is it not associated with gall stones
User :  
doctor didnt say
Doctor :  
is she on any medications like oral contraceptive pills
User :  
no
Doctor :  
did she have blood transfusion before
User :   no
Doctor :   does she has yellow discoloration of eyes, skin, nail beds
User :  
wife said dr said it was not associated with symptoms
User :  
no
Doctor :  
thats a good news to hear
Doctor :  
ok
Doctor :   does she has tiredness even at rest
User :  
yes
Doctor :  
does she any difficulty in breathing
User :  
sometimes shortness in breath
Doctor :  
does she has joint pain or body ache
User :   more body aches
User :  
than joint pain
Doctor :   which part of the body is more affected
User :  
upper
Doctor :  
is it shoulder blades and neck
User :  
among other things
Doctor :   ok
Doctor :  
is her memory affected
User :  
yes a little air headed
Doctor :   any sore throat or swelling in the neck
User :   no
Doctor :  
ok
User :  
memory is fine but has problems focusing
Doctor :  
less concentration
User :  
yes
Doctor :  
does she has frequent headache
User :  
no
User :  
wife just said she has had really bad diarrea the past 10 days
Doctor :  
does she gets more fatigue after sleep
User :  
no
Doctor :  
ok
Doctor :   is she depressed/
User :  
sleep does not help with fatigue
User :  
no not depreesed
User :  
she just told me she gets chills a lot
Doctor :   as per her symptoms some of her symptoms fits in chronic fatigue syndrome and some doesnot
Doctor :  
ok
User :  
ok
Doctor :  
now the history is coming out more positively
Doctor :  
chronic fatigue syndrome is not a disease
Doctor :  
its a collection of symptoms seen
Doctor :   let me explain some common causes of chronic fatigue sydrome
Doctor :  
1. viral fever
Doctor :  
2. liver and gall bladder disease
User :  
she did have a cold before all this began
User :  
with a fever
Doctor :   3. Loss of fluids from the body - acute diarrhea or dysentry
Doctor :  
4. thyroid issue- hypothyroidism
Doctor :  
5. kidney disease- renal failure
Doctor :   6. tumor- any malingnancy
Doctor :  
psychosomatic disorders
Doctor :  
as per her history its due to
Doctor :  
liver disorder and diarrhea
Doctor :  
are yu there ?
User :  
but diarrhea stated just recently
Doctor :  
diarrhea can be aggravating factor
User :  
liver looked normal under ultra sound
Doctor :  
in diarrhea there is water and mineral loss
User :  
not from palyp or her cold
Doctor :  
which leads more fatigue and tiredness
Doctor :  
liver is normal but the gall bladder
User :  
gall bladder has the polyp
Doctor :  
yes
User :  
yes
User :  
so the polyp would not be causing these symptoms?
Doctor :  
some of the symptoms are related to polyp
Doctor :   like mild jaundice, nausea, right sided discomfort, low grade fever
User :  
so if polyp is removed, or gall bladder would that fix chronic fatigue
Doctor :  
yes
Doctor :  
ideal for her is go for following investigations
Doctor :   a) liver function test
Doctor :  
b) thyroid profile
Doctor :  
c) and to monitor the size of the gall bladder polyp by repeat ultrasound
User :  
ok thank you
User :   boss is calling me so i better go
Doctor :   please fill the feed back form
User :   i did
Doctor :  
thanks for doing it
User :  
if there is anything else plese type it and i can read it when i get back to my computer
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now.
Doctor :   yes i want to advice her few medical tips to reduce
Doctor :  
the fatigue
Doctor :  
are yu there ?
Doctor :   1. avoid over use and high dosage of pain relief medications

Doctor :  
2. take plenty of fluids in the form of water and fruit juice
Doctor :  
3. reduce fatty and oily foods
Doctor :  
4. be relaxed not to get stressed and tensed
Doctor :  
5. Use Hepamerz syrup 6-7 ml 3 times a day for 15 days
Doctor :  
its a liver and gall bladder protective
Doctor :  
Thanks for consulting Health care Magic. Bye for now. Please refer your friends to our service.
Doctor :   are yu back AAAAAAA
User :   yes
Doctor :   please proceed
User :  
i was just reviewing
Doctor :  
ok
Doctor :  
do yu have any doubts
User :  
no
Doctor :  
wat are the medications she is on
User :  
she really is not taking anythin, maybe ibprofine or an occasional vicadin
Doctor :   ok
Doctor :  
its good for her to go for a B complex multivitamin
Doctor :  
to keep more active and less tired
User :  
i know she takes vitamens regularly
Doctor :  
thats good
Doctor :   Ibufprofen 400- 600 mg is fine
Doctor :  
after the food
User :   ok
Doctor :  
Is there any thing i can help yu with
User :   no thankyou
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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