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Fever,no apetite,profuse sweating - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions

Doctor :   Hi
User :   Hello
Doctor :  
How can i help you?
User :   I have become very ill but the doctor here took NO blood,urine,saliva samples...
User :   he only prescribed me medicine broad spectrum anti-microbial and an anti-inflammatory/antipyretic
User :   my fever got as high as 104.4 and I have no appetite, profuse sweating. It began with a severe headache and I have had diahrea as well.
User :   I have numbness/weakness in my arms and fingers
User :   my arms feel very heavy as though there were weights attached
Doctor :  
ok
User :   right now I am controlling my fever with tylenol but I am very frightened because the doctor does not really know what my problem is without samples... and he blamed this on my sleeping with the fan on... which I have done for years.
Doctor :   since when you are suffering from fever

User :   three or four days now
Doctor :  
now how is the temperature
User :   four
User :   taking temp now
User :   right now only 99.1, took tylenol again a couple of hours ago.
Doctor :  
ok

Doctor :   usually the symptoms you narrated
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries.
User :   I just purchased the subscription to continue
Doctor :   welcome back
User :   thank you
Doctor :   lets continue...

User :   ok
User :   i do also have some bladder discomfort
User :   pressure
Doctor :  
ok
Doctor :  
i will help you in this
User :   i would be most grateful
Doctor :   you have fever, joint pains, generalised body tierdness

User :   fever and extreme fatigue
User :   no joint pain
Doctor :  
is there any sore throat
User :   no
Doctor :  
runny nose
User :   no
Doctor :  
May i know your age and occupation
User :   I am 36 and I stay home with my 4 year old son
Doctor :   ok

Doctor :  
from the symptoms it suggests that the fever you suffered
Doctor :   is probably of viral etiology
Doctor :  
the initial mamagement is
Doctor :   only symptomatic
Doctor :  
in the form of tylenol
Doctor :  
and anti biotic is advised cause to prevent secondary bacterial infection
Doctor :  
usually no diagnostic test is done
User :   let me get the medicines and tell you exactly what was prescribed for me
User :   I would like to have your opinion as to whether these are appropriate
Doctor :   sure
User :   ok thank you
Doctor :   ya proceed

User :   last night I had one intra-gluteal injection of Cataflam (diclofenac potassium) 75 mg
User :   also..
Doctor :   ok

User :   taking Lomefloxacin 400 mg
Doctor :  
ok
User :   in oral tablet form
Doctor :  
it is antibiotic
User :   the shot and the pill are to be taken once daily
User :   it says antimicrobial
Doctor :  
ok
Doctor :  
antibiotic is the broad term, more specific term is antibacterial
User :   the doctor said to have three shots of the Cataflam, but the paper insert says it should not be taken for more than two days by injection but rather if needed beyond two days one should use tablets.
Doctor :   the oral forms are available for diclofenac potassium

User :   ok
User :   in egypt we don't need prescriptions we just go tell the pharmacist what we want
User :   so what dosage should I request in oral tablet form? I weigh about 220 pounds
Doctor :   even the antibacterial also is available without the prescription

User :   unfortunately they pass out antibiotics like candy...
User :   amazing they are even effective here anymore...
Doctor :   ok

Doctor :  
let me asses the present status
User :   ok
Doctor :  
how do you feel at present
User :   my arms still feel weak and i have some mild pain around my bladder
User :   but right now not sweating and don't feel feverish
Doctor :   ok
User :   i do have one other concern
Doctor :   it means fever is reducing
Doctor :   Ya plz proceed

User :   i am supposed to fly back home on Monday
Doctor :   ok

User :   is there any risk in flying at high altitudes in my condition?
Doctor :   i will address to this issue after assesing the bladder problem

User :   oh ok I'm sorry
Doctor :  
now since how long you are taking the lomefloxacillin
User :   one pill so far, last night... and it says on the indications that it works for urinary tract infections
Doctor :   how was you advised to take the tablet

User :   1 per day for 10 days
User :   the doctor didn't say
Doctor :  
ok
User :   in egypt you just get the insert that comes with the medicine and you have to figure it out yourself
User :   it has several options... it also says I might need to take one/day for 14 days...
Doctor :  
ok
User :   so i don't know which to go with
Doctor :   ok

Doctor :  
i understood the situation
Doctor :  
i will help you in this
User :   thank you
Doctor :   you are suffering from uti

Doctor :  
that is urinary tract infection
User :   ok
Doctor :  
you can go for oral form of medicines
User :   I didn't know it would cause such a high fever
Doctor :   it will cause high grade fever
User :   oh
Doctor :  
with chills and rigors
User :   yes I had chills and shivering in the night
User :   so is the arm sensation unrelated?
Doctor :   ok

Doctor :   it is fatigue and the effect of fever i suspect

User :   ok
User :   also with no appetite I have eaten very little in the past four days
Doctor :  
ya in fever usually there will be suppresion of appetite
User :   yes probably explains my arms weakness
Doctor :  
even the high grade fever cause tierdness and medically we call it malaise
User :   ok
User :   i heard that term before but did not know what it meant
Doctor :   ok

Doctor :  
now tab paracetamol 500mg you take
Doctor :  
two times a day
User :   you are saying I need to get this at the pharmacy here?
Doctor :   yes
Doctor :  
it is a tablet
User :   should I continue my current medicine as well?
Doctor :   it is substitute for the shots you were taking
Doctor :  
i am converting it into oral forms
User :   ok so I can take the last shot tonight and then take the paracetamol tomorrow then? or do not take another shot? So far I have only taken it one time, last night.
Doctor :  
for fever paracetamol is sufficient. if you have a shot finish it off and switch it to oral from tomo
User :   ok
User :   if I take the paracetamol will I still need to continue with Tylenol (Acetaminophen)?
Doctor :   it is the same drug

Doctor :  
which i told you just now
User :   okay
Doctor :   tylenol is the brand name
User :   oh I didn't know that
Doctor :   continue the lomefloxacin

Doctor :  
one tab per day
Doctor :   14 days
User :   ok
Doctor :   drink plenty of water

Doctor :  
plenty and plenty of water
User :  
User :   we are supposed to fast and not eat or drink
User :   if one is sick with a fever it is okay to break the fast
User :   but how long will I have to break my fast?
Doctor :   ok
Doctor :  
thing is drinking water will ease the bladder symptom
User :   the discomfort then... I can live with the discomfort if it is safe for me to fast
Doctor :   fasting is ok

User :   thank you
Doctor :   only water you drink in the morning a lot of water
User :   I will only break my fast if I find my fever going too high. Otherwise I will try to take my medicine before and after fasting (sunrise to sunset)
User :   ok
Doctor :  
you no need to break the fast
User :   that is good
Doctor :   as possible you drink water
Doctor :  
it will help you in relieving the symptoms and ease the problem sooner
User :   i will drink as much as I can in the mornings and evenings
Doctor :   thats it

User :   thank you very much, I was very scared when my arms felt so funny and I was afraid it might be something more complicated
Doctor :   as far as travel is considered you can travel to any place
Doctor :  
any time
Doctor :  
no restrictions on the travel
User :   that is a relief
Doctor :  
please fill the feed back form
Doctor :   is there any thing i can help you with
User :   thank you very much, you have eased my mind tremendously
Doctor :   we are available 24/7 you can contact us any time

Doctor :  
thanks for consulting health care magic
User :   I am very grateful. Thank you and God Bless You!
Doctor :   hope you recover soon
User :   Thank you
Doctor :  
User :   Thank you very much.
Doctor :  
bye for now
Question is related to
Drug/Medication
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