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Persisting fever after C-section delivery, Postpartum depression - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Child Birth
Answered by

General & Family Physician
Practicing since : 2009
Answered : 352 Questions
Doctor :   Hi
User :   hii doctor
Doctor :   How can i help you ?
User :   I have a query regarding my wife ailment
Doctor :   ok , please proceed
User :   she is having low grade fever since her cesarean delivery on 21st August 2010
Doctor :   may i know her age?
User :   24
Doctor :   ok
User :   fever range [98 - 99.5]
Doctor :   so its been 2 months
User :   yes
Doctor :   any other symptoms other than this ?
User :   it started 5th day after delivery
User :   weakness, fatigue
User :   she is having almost complete bed rest since then
User :   no household chores or any other work
Doctor :   has she taken any treatment ?
Doctor :   any investigations etc ?
Doctor :   What is her Hb?
User :   First 2 weeks there were normal medicines - given after discharge from hospital
User :   including Antibiotics
User :   13.3 as of Friday
Doctor :   ok
Doctor :   how is the baby doing ?
Doctor :   what was the indication for C section?
User :   baby is doing good
User :   1. Uterus didnot open much
User :   2. they told, baby's head was slightly big, so wouldn;t fit into uterus
Doctor :   ok
User :   3. they said baby is still upwards, otherwise normally it comes down, they say
User :   no complicaitons were there otherwise
Doctor :   Is she cheerful or still anxious, or sad ?
User :   she is anxious and sad
Doctor :   Is she good with the baby?
User :   otherwise she is very cheerful girl, always smiling
User :   ya, she cares a lot abt the baby, breastfeed him regularly inspite of weakness, fever she feels
Doctor :   does she always wear shawls and warm clothes ?
User :   rather she keeps worryng abt the baby, that her illnesss should not affect the baby
User :   no, she wears normal suits
User :   We live in New Delhi India
Doctor :   has she seen by a doc, after the delivery?
User :   yes, regular
Doctor :   what was the last impression by the doc ?
User :   she got some many blood, urine tests, cultures, xrays, USG
Doctor :   were they normal?
User :   intially Vidal was positive, ESR 55, CRP +ve, rest all other tests negative
Doctor :   ok
Doctor :   i think, she is having pueperal fever
User :   all normal/-ve test includes Xray, HB, Cultures
User :   latest, the Urine report says - 16 pus cells
User :   ESR - 32
User :   T DOT Igg +ve
User :   T Dot Igm +ve
Doctor :   ok
User :   before that when Vidal was +ve, doctor asked for Quantiferon TB Gold test
User :   that was also -ve
Doctor :   ok
Doctor :   as i said, there is nothing serious with your wife
User :   Doctor, what is pueperal fever?
Doctor :   and this will pass
Doctor :   probably due to minor infection, and inflamamiton, she has a fever
User :   k
Doctor :   and the fever she has is not that high either
User :   yes
User :   is there any diagnosis to confirm that?
Doctor :   there is no need for any more tests for diagnosis
User :   today we consulted a doctor, he prescribed - Pruflox for urine infection
Doctor :   how is the wound of the surgery C SECTION?
User :   it looks ok, but if touhed, is painful
Doctor :   i think thats the cause of the fever
Doctor :   contact the surgeron who did the surgey for a relook
User :   is it not supposed to be painful touch?
User :   *on touch?
User :   after 2 months
Doctor :   ok
User :   sorry I did not get ur last point
Doctor :   there is an infection in the surgery site
User :   no
Doctor :   that needs to be checked a
User :   we visited the gynae surgeon, who did the delivery last month
User :   she said it is ok
Doctor :   ok
Doctor :   but the presnec e of pain, is it still there ?
User :   pain, only on touch
Doctor :   ok
User :   not otherwise
Doctor :   i would advice you to get her checked with a psychologist , and take her out ,
User :   ok
Doctor :   good nutrition and adeqaute counslleing and to rule outr postpartum depression is needed
User :   ok
Doctor :   there is no need to worry about the fever
Doctor :   the fatigue and anxiety is common post delivery
User :   actually the concern is pro longed fever only
Doctor :   the degres of fever is low,
Doctor :   and over time it will go away
User :   thts true
Doctor :   give her some aspirin or crocin, which will reduce the fever and body ache as well
User :   k
User :   she is taking wenever it is high, hope that helps
Doctor :   yes
Doctor :   thats ok
User :   Doctor,where do u practice?
Doctor :   bangalore
User :   ok. last question
User :   as i mentioned
Doctor :   sure go ahead
User :   today she consulted a doctor(actually she went to her parents place 3 days back)
Doctor :   ok
User :   he prescribed Pruflox for urine infecton
Doctor :   ok
User :   but i read that Pruflox passes into breast milk, so not fit for lactating mothers
User :   can you please advice
Doctor :   how many days has she been adviced
User :   we generally confirmd with doctor before I read on internet abt this, doctor said - no worries
User :   5 days
User :   u know abt Pruflox
User :   (No offenses general question)
Doctor :   i would advice amoxicillin instead for 3 days
Doctor :   ask her not to take pruflox
User :   oh ok. she has already taken today's dose, I hv already asked her to discontinue
Doctor :   was this prescribed by a GP or a gynae?
User :   Physician,
Doctor :   u have done well by stoping it
Doctor :   a single dose will not do much issue
Doctor :   do u have any other query?
User :   so amoxycillin would be ok for Urine Infection?
Doctor :   yes
Doctor :   that will be fine
User :   also conside the T Dot Igg & igm +ve test reports
Doctor :   thats ok,
User :   what does that tell?
Doctor :   nothing to be worried
User :   T Dot igg, Igm
Doctor :   it means the patient is immune and has antibodies
User :   oh is it, I was mistaking it for typhoid
User :   :) Thanks Doctor
Doctor :   you are welcome
Doctor :   please remember to leave your feedback as you log out
User :   sure
Doctor :   do u have any other query?
User :   so there are no symptoms for Typhoid/TB
User :   as doctor once signaled
Doctor :   abd pain, diarhea, weight loss, nausea, vomiintg etc
User :   no
User :   no such symptoms
Doctor :   then no need to worry for typhoid
User :   ok
User :   thx doctor, it was gr8 talking to u
User :   Thumbs up :)
Doctor :   you are welcome
Doctor :   have a good night
User :   Good night
User :   :)
Doctor :   and congrats on your baby boy
Doctor :   good night
Doctor :   bye for now
User :   thx again
User :   bye
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