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Recurrent fever for an infant, anemia diagnosis - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   Hello Doc
Doctor :   Hi
Doctor :   Please proceed with your query
User :   Doc my baby had high fever 2 weeks back
User :   doc had prescribed meftal-p and said if fever does nt subside do a malaria and typhoid test
User :   but the fever subsided...after that last 1 week was fine
User :   today again my baby has fever in the night it is 102
User :   i hv given meftal
User :   i also got a cbc and malaria test done
Doctor :   ok
User :   the test says he does nt have malaria
Doctor :   ok
User :   and all other things the test is fine except
User :   pcv which is 31.3
User :   also heamoglobin is 10.3
User :   wht does this mean
Doctor :   May i know the age and gender of the baby.?
User :   gender is male and age is 15 mnths
User :   his currnt weight is 10.8kgs
Doctor :   ok
User :   under peripehral smear findings for erthythorcytes morphology, it has been written hypochromia,microcytes
Doctor :   ok
User :   what does this anything serious?
Doctor :   According to the peripheral smear test and haemoglobin test your baby is having Anaemia(low Haemoglobin level)
User :   ok
User :   i am still awaiting the typhoid test
User :   but can low heamoglobin be also due to typhoid?
Doctor :   Is there any history of blood loss in the form of stools, sputum in the past?
User :   just once or twice quite a few months back
User :   but no major blood loss
User :   in the stools when he had constipation
Doctor :   Ok. the anaemia can also be caused by typhoid
User :   ok
Doctor :   But there will be blood in the stools.
User :   when?
User :   currently his stools do not have any traces of blood
Doctor :   During the 3rd week of fever.
User :   this is the 3rd/4th week of fever
User :   so if his stools do not have any blood can we conclude that he may not have typhoid?
Doctor :   Ok then let the report comes then the cause of anaemia can be established.
User :   yes
Doctor :   Is he accepting milk now?
User :   if its only anemia then can it be cured by givng some tonic
User :   im givng him soya milk currently
Doctor :   Yes Anaemia can be corrected by tonics.
User :   ok
Doctor :   What about breast feeding?
User :   no brest feeding was stopped when he was 4 mnths old
Doctor :   Ok
Doctor :   Is the fever is associated with rigors?
User :   rigors?
User :   shivering?
Doctor :   yes
User :   no
Doctor :   Ok.
User :   even under high temp there is no shivering
Doctor :   Ok
User :   are these signs of typhoid?
Doctor :   Signs of typhoid are:1. high fever
Doctor :   2.loose stools
Doctor :   3. abdominal pain
Doctor :   4.blood traces in the stools
Doctor :   In children not all the signs are present so test is essential.
User :   ok
User :   ok
User :   does only anemia coz fever
User :   is it possible that only anemia leads to fever
Doctor :   No . both are symptoms not a disease per se.
Doctor :   Anaemia doesn't leads to fever.
User :   can viral infection coz anemia
Doctor :   usually viral fever doesn't cause anaemia.
User :   ok
Doctor :   only severe viral infection like Dengue can cause
User :   ok doctor
User :   thank you so much
Doctor :   You are welcome
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