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Persistent fever suggestive of Typhoid chronic state - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   Hi
Doctor :   How can I helpyou
User :   hello doctor
Doctor :   Tell me
User :   actually i want to ask some ques regarding my mothers health
Doctor :   are you there
Doctor :   ok.
User :   she is having fever for last 2 years...her age is 44
Doctor :   Please go ahead
User :   she has consulted various doctors
User :   it remains between 99-100
User :   reports are fine
User :   may i know the reason
User :   her HB is low-8.5
User :   r u there?
Doctor :   What are the investigations that have been done and what are the
Doctor :   Reports..
Doctor :   If you can Mention.
User :   ya i ll tell u..
User :   DOT, lippo profile, lungs Xray, urine, sugar, typhiod..thesetest have been done so far
User :   all medical reports are fine
User :   what else v have to do??
Doctor :   DOT you mean Tuberculosis is it
User :   please help us doctor..we are very much worried
User :   yes
Doctor :   ok.
Doctor :   Have you Evaluated for thyroid profile..
User :   no.
Doctor :   And does she have any otherr symptoms or she is normal and comfortabloe
Doctor :   Comfortable
User :   she got fever..and has body ache
Doctor :   Has that been since the Start or that has been recently..
User :   she had undegone two surgeries before...gall bladder stone and incisnal harnia
Doctor :   ok.
Doctor :   What are her BP and Blood Sugars
User :   let me check
User :   BP is 100-140. somettimes 90-120. blood sugar is normal
Doctor :   ok
User :   she had tried every medicine bt didnt get well.
Doctor :   Did she get Blood Smear study done..
User :   she always have fever between 99-100
Doctor :   Have you got the Peripheral Smear Study done for your Mothers blood
Doctor :   Since there a re chances of any Blood parameter to be raised to give similar picture
Doctor :   and have you got the Gynecological examination since most elderly ladies will not mention due to the
Doctor :   Inhibitions and..
User :   these test have been done..and its fine
User :   any other test for her?
Doctor :   Peripheral Smear Study
Doctor :   You mean
User :   can u plz tell me abt this peripheral smear study?
User :   i am not gettin u.
Doctor :   That will evaluate the Necessary parameters of the blood and it will
Doctor :   give which particular cell has been elevated
Doctor :   that is the common in Leukemias..
User :   will it help us doctor?
Doctor :   which are of various types..
Doctor :   Yes the common cause for chronic Fever are
Doctor :   1) tuberculosis 2) Cancers (Lukemia) 3)
Doctor :   Typhoid Chronic state
Doctor :   with regard to your mother's condition and the age the next thing having done all this investigation i would suspect is
Doctor :   Malignancy..
User :   what is this doctor?
Doctor :   Malignancy is Cancer. the medical term..
User :   will she get fine doctor?
User :   m very much worried
Doctor :   That is why i want you to get it done
Doctor :   and if diagnosed early it can be very well treated.
Doctor :   and she just needs to be diagnosed, and attention needs to be done..
User :   ok doctor..we will do that.
Doctor :   Hyperthyroid state will also need to be rule out..
Doctor :   Is there any thing else that I could help you with?
Doctor :   Have you had her examined by the Gynecologist
User :   i am from Chandigarh. cud u plz tell the better place to go for all there tests?
Doctor :   the lady doctor..for any infections or Uterine Descent or such thing
Doctor :   PGI- Chandhigar is the place...
Doctor :   Please fill this feed back form that i send, and do inform me when done.
User :   where r u from?
Doctor :   Bangalore
User :   which hospital?
User :   m working in Bangalore
Doctor :   we provide you medical consultation and advice over chat and phoneonly
Doctor :   ok
User :   its ok doctor. m just askin u
Doctor :   No
User :   ok doctor
Doctor :   we are not affiliated to any Hospital..
User :   one more thing doctor
Doctor :   If require we can refer you to the hospital in ad near your locality in Bangalore
Doctor :   Tell me...
User :   she had undergone al the test in PGI. they were saying like the body temp is increased. nothin else.
User :   they didnt even agve her ny medicine
Doctor :   Lady doctor examining her personally was that done..
User :   no its not done
Doctor :   Please ask her to get that done since she might have some Inhibitions as most women do so you can ask her to do that..
User :   ok doctor i will tell her for that
Doctor :   Due to the possibilities of a Uterine Descent and that getting infected..
User :   ok doctor..
User :   the next time when i chat. will u b the one to consult ?
User :   bcoz u kno the problem now
Doctor :   No you van have a chat with any one here that should not be atrouble..
Doctor :   else you can ask for Dr. Raaj
User :   is this ur name?
Doctor :   Thanks for Consulting Health care Magic. IF you find this service helpful please refer your friends and family members.
User :   this is really helpful...thanks a lot doctor
Doctor :   You are Welcome.
Doctor :   Bye for now..
Doctor :   hi
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