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Having throat infection with coughs, took cough syrup, increased, fever. Cure? - Online Doctor Chats

Date : 26-Mar-2013
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User:hi doctor today i have something to ask abt me
Doctor:yes please
User:2 weeks back i had a mild throat infection
User:with very few coughs in a day 2-3 times
User:i started taking mild syrpus liks honitus
User:for 1 week it didnt go and throat infection increased
User:i started havig harder coughs though frequency was less but it was painful
User:then i did a small course and took machef for 3 days
User:and throat infection still didnt go
User:for past 1 week at night i also get temprature of 99 - 102
User:and morning its genrally low fever and night time high
User:now I am taking another antibiotic course
Doctor:where do you live?
User:of oflomac 400
User:WOKOCEF 325
User:south delhi
Doctor:okay, you consulted any doctor?
User:he only suggested 4 medicines
User:i dont have leaking nose
User:it is dry infection but some amount of liquid do come from mouth
Doctor:since when are you taking these medicines?
User:1.5 days now
User:i feel little relief but fever is not going
Doctor:you can wait for two more days and see how it goes
User:but what it could be
Doctor:if the fever is still persisting after another two days, you will have to get some investigations done
User:my doctor said something like bronchulites
Doctor:Yeah it could be bronchiolitis or it could be some other infection aswell
Doctor:You will have to get some investigations like chest X-ray, complete blood counts
Doctor:and a peripheral smear examination
User:i got chest xray done
User:and blood counts also
User:as per doctor blood count is fine
Doctor:what did the radiologist say?
User:chest x XXXXXXX also didnt saw something significant
Doctor:can you tell me your blood counts?
User:HB 12.3
Doctor:your hemoglobin levels, total counts and differential counts and your ESR levels
User:RBC 5.7
User:Neutrophil 58
User:Lymphocyte 32
User:Eosinophil 4
User:Monocyte 6
Doctor:Total counts?
User:Palete count 247
User:MPV 9
User:TLC 5.6
User:ESR 27
Doctor:ESR is slightly raised
User:range says 0 -15
Doctor:other than that it is fine
Doctor:in males it will be less than 5 and in females it can be upto 15
Doctor:but that is not raised verymuch
User:so what i should do
User:are these medicines fine
User:which i am eating
Doctor:Yes the medicines are fine
Doctor:but You should get a throat swab done to get a culture done so that an appropriate antibiotic can be selected for you
Doctor:Sputum culture and sensitivity and gram staining and AFB staining may be required along with a peripheral smear testing
User:so shud i do now
User:or after completing this course now
Doctor:It could be anything from malaria to typhoid to simple allergic bronchitis
Doctor:Yes, you can wait till this course of antiboitics is completed
Doctor:then you can go for these investigations
User:what are symptoms of typhoid
Doctor:Typhoid usually presents with mild abdominal discomfort and some loose stools initially, later on constipation may be seen along with high grade fever
Doctor:this is the usual pattern but now a days this does not happen
Doctor:many patients also present with atypical symptoms such as cough, nightsweats
Doctor:even malaria can present with cough some times
Doctor:so it is always better to rule out these two conditions when ever you have fever
Doctor:another type of infection I can think of in your case is called atypical pneumonia/patchy pneumonia
User:but in all these i should feel cold
User:and shiver
Doctor:in this condition there will not be many changes on the x-ray
User:but this is not the case
User:i feel normal but yaa fever is there and i feel weak
Doctor:You will shiver and feel cold only if the fever rises rapidly
Doctor:if the temperature rises gradually over two to three hours, you will generally not feel shivering
Doctor:is there anything else you would want to discuss?
User:no thats fine
User:thanks doctor
Doctor:Thank you for consulting me
User:one question
User:can i take crocin to reduce temperature without knowing the cause
User:it wont effect liver
Doctor:Crocin contains paracetamol, it can be taken to reduce fever
Doctor:yes it can harm the liver if taken excessively
Doctor:so you should only take 500 mg three or four times a day
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