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Query about continuous cough and fever - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3339 Questions
User :   hello doc
Doctor :   Hi
User :   can i post my case history?
Doctor :   yes
User :   Doctor pls help me.. I am suffering continuously for the last 6 months at the age of 25 and came here for last resort. It all started from August, 2010. For skin problems(itching) the doctor gave me medicines and steroids(omnacortil 10).. During the course, I got cold and cough and it did not cure with normal azithromycin antibiotics. After viewing chest xray he gave me 10 taxim injection but it did not cure the problem. At last I had to be hospitalised and diagonised as pneumonia affected and was treated with clarithromycin and augmentin duo tablets. I was spitting blood only once at that morning, so doc examined the sputum but no tuberculosis was detected. they released me after 3 days with mild cough and told that it will subside gradually. But it did not subside and after near about 1 month, I again got a cold and had to be hospitalised for 15 days. Now the respiratory experts tested sputum, city scan, xray, expensive IGE, PIANCA, CIANCA, HIV those tests but everything was normal execpt the cold and cough. So they observed for that long time with nebulizers and clarithromycin tablets and released me after 15 days with monteluklust tablets and foracort fort inhalers for after the hospital again blood was there for 1 day but doctors said that blood was from tearing of tissues for excessive coughing and it is of no concern.They told me that i have developed cough variant asthma and treated me with inhalers(no improvement after using it, but doctor insisted).I was recovering (mild cough was present though) and joined the job but again caught a cold and this time with high fever. (previous 2 cases no fever was present). the doctor gave me normal azithromycin tablets and it recovered partially. This happend in last of November,2010. From then on I catch a cold after 7-10 days and doctor again treated with balokem 10, doxycyciline courses subsequently.along with inhalers. But there is always a low grade fever (98.8- 99 F ) at the afternoon for 4-5 hours everyday till today along with mild coughing. Currently I am taking monteluklust tablets along with INditel H ( for high B.P.) and ocassionally those antibiotic courses. I have done PFT and mantoux test but everything was normal, so doctor stopped the inhaler as I do not have any breathing problems.Now at every afternoon this low grade fever stays for 4-5 hours and then gone. I am totally becoming frustrated and depressed. I was treated by one of the best respiratory specialists of city (kolkata,India) and hedetected no additional problems. Please help me in my current condition as it is my last hope now. After six month of pneumonia this is really frustrating. Will I be able to go back to my normal life again ?:( :(
Doctor :   I am rading
User :   ok
User :   r u there doc?
Doctor :   It was very clear that you had pneumonia
Doctor :   right?
User :   ya
User :   in august 2010
User :   patchy consolidation
Doctor :   Now jan 2011
Doctor :   Do you still have fever ever since then?
User :   and second time they told that mild cough variant asthma
User :   yes
User :   from november
Doctor :   ok
User :   for 2 months I have this low grade fever
Doctor :   How much is the fever?
User :   before that It was just slightly higher than normal during hospitalisation days
Doctor :   OK
User :   now it is around 99f
User :   in the afternoon
User :   it stays for 4-5 hours
User :   and comes back next day
Doctor :   when it comes back to normal, what is the reading?
User :   98 and below 98
Doctor :   he typical oral (under the tongue) measurement is 36.8±0.7 °C, or 98.2±1.3 °F.
Doctor :   The typical oral (under the tongue) measurement is 36.8±0.7 °C, or 98.2±1.3 °F.
User :   I take temperature under forearm
User :   there sorry armpit
User :   there it shows
User :   and at night it goes away
User :   mantoux test was normal
Doctor :   The time of day and other circumstances also affects the body's temperature.
User :   currently i am taking telecast l, Inditel h and rabized
Doctor :   he body temperature also changes when a person is hungry, sleepy, or cold.
User :   telecast l is causing loose motion
User :   but my current doc dont support that
User :   so am i normal now?
Doctor :   What Telecast
User :   during the low grade fever eyes are burning and having discomfort
Doctor :   can type the name
Doctor :   telekast
User :   composition is monteluklust and levocetrizine dihydrochloride
Doctor :   ok
User :   mild cough is present
User :   after 30-40 mins
User :   with this low grade fever
User :   will I be normal again?
Doctor :   Drug induced fever is also common when u have no other symptoms
User :   ok.....
User :   so what do u think?
Doctor :   The temperature variations are normal
User :   its 6 months after pneumonia
User :   hw much time it will take for complete healing?
Doctor :   pneumonia 6 mo agao does not cause fever now
Doctor :   it will take max 1 mo
User :   so whats causing fever now?
User :   mild cough?
User :   its so disturbing
Doctor :   fever is one side of montelukast
Doctor :   I suggest you stop the medicine
User :   so it is common?
User :   ok
User :   then what should i take?
User :   current doc told me tpo take the medicine for 3 months
User :   its also causing diahrea
Doctor :   what is Inditel
Doctor :   Ok
User :   for blood pressure
Doctor :   what is inside med
User :   composition telmisartan+hydrochlorothizide
User :   somethinhg like that
Doctor :   ok
Doctor :   Do you still cough?
User :   and rabiplus d
Doctor :   Do u have difficulty breathing?
User :   so what should i do now?
User :   I even not joing the job
User :   no difficulty in breathing'
Doctor :   I recommend stop Monoleaukast
User :   and?
Doctor :   And use only Levocetrizine
User :   when will cough stop [permanently?
User :   I am frequently getting cold these days
Doctor :   You already had all investigation on lungs
User :   and its getting violent
User :   ya
User :   everything was normal
Doctor :   I need more to give the advise ..
Doctor :   You can get the connetciv tissue disease profile
User :   that was ok
Doctor :   Any rhematological disease can cause low grade fever
User :   that was also done
Doctor :   was it normal
User :   ya
Doctor :   =what is ph #
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