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Neurology and shivering fever - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3296 Questions
User :   hello doctor,i am suffering from shivering fever since 2 and half months and shivering is continued for 45 mins excatly and after shivering the temperature goes to 103-104.and i have done medical blood tedt for 7 times and everything was negative,like dengue and malaria.and this shivering comes in an interval of 5-9 days..please can you suggest something.
Doctor :   Hi
Doctor :   Dr XXXXXx here
Doctor :   Letr me read your query
User :   hello drXXXXX
User :   ok sure
Doctor :   you mean interemittent attcks
Doctor :   Is associated with fever every time
User :   yes doctor
User :   yes
User :   shivering is there for 40 mins
Doctor :   Do you have headaches associted
Doctor :   Can you breif the shivering episode
User :   only after shivering is over,a bit of headache is there
User :   yes doctor
User :   the shivering started on 12th of august
User :   i went to rxdx hospital in banglore
Doctor :   I would suggest you to get an EEG
User :   doctor what is EEG?
Doctor :   Electro encephalogram
Doctor :   To measure brain activity
User :   ok
User :   but dcotor let me brief you about this shivering
Doctor :   There is no such infection to produce such long shivers
Doctor :   ok
User :   the doctors in rxdx hospital they gave me lariago for malaria
Doctor :   Thats an prophylactic measure
User :   because shivering was there for 3-4 days contiusly on same time everyday
Doctor :   Because you had shivers with fever
User :   yes doctor
Doctor :   The most common cause for such sign
User :   but after the lariago treatment the interval was increased
User :   shivering came after 7 days then after 8 days
Doctor :   Thats an antibiotic so will have results
User :   doctor one more problem is there
User :   my nose is also bleeding some times
User :   doctors say there is an infection
Doctor :   Probably will require full workup
User :   can the nose infection cause such type of fever?
Doctor :   No
User :   ok
User :   is this telling you something about typhoid?
User :   what is the test for typhoid?
Doctor :   WIDAL
User :   ok
User :   doctor the widal test was also negative
Doctor :   The its not typhoid#
User :   i didnt get you doctor?
User :   widal test is for typhoid?
Doctor :   Yes
User :   ok
Doctor :   Get an neurologist opnion with EEG
Doctor :   Will sort out teh issue
User :   ok
User :   so this not any infection?
Doctor :   Probably
Doctor :   Will require complete neurology work up
User :   cn you suggest me other test also which is required?
Doctor :   EEG and an CT scan brain if required, will be suggested by neurologist after examination
User :   doctor why is this EEG required for?
Doctor :   To rule out hyperactivity of brain
Doctor :   Which is also common for resulting in shivers
User :   doctor can you suugest me any doctor?
Doctor :   Location?
Doctor :   Are you there?
User :   yes doctor
Doctor :   Is there anything else i can help you with?
User :   than what are the possibilites symptoms of this diesease
Doctor :   Its rather a disease
Doctor :   Its still undiagnosed
Doctor :   Unless the exact condition is known symptoms cant be worked out
User :   ECG and ECO has been done
User :   Ultra sound of stomach and liver has been done
Doctor :   Thats to rule out cardiac symptoms
Doctor :   ok
Doctor :   Were all of them normal
User :   spleen was 13 inch ..but doctor told that its normal
Doctor :   ok
User :   other things were normal
Doctor :   An infection will trigger spleenomegaly which settles down itself so need not worry
User :   any probability OF TB doctor
Doctor :   Was an Xray taken
Doctor :   And TB will have none of your symptoms
User :   Chest XRay was taken
Doctor :   The main aspect willbe perisitant cough/ cold
Doctor :   With weight loss
Doctor :   Do you have any of these
User :   no doctor..only there is sometimes one and two drop of nose bleeding happens?
Doctor :   Thats epistaxis
User :   LYmphosytes gone to 5
Doctor :   A beningn condition were there is bleeding due to excessive nose pricking
User :   what is epistaxis
Doctor :   Condition in which there is bleeding in nose
User :   lymphosytes gone down to 5,wbc count
Doctor :   Ok
Doctor :   No issues with that
Doctor :   Will always be variations and you ris fine
Doctor :   units plz
Doctor :   bye for now
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