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Tidal Fever, stomach ache - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions

Doctor :   Hi
User :   hi
User :   doctor here are my stmtoms
Doctor :  
How can I help you?
User :   and this is happening since the last 3 weeks
User :   low grade fever
User :   stomach pain
User :   and the fever is mostly in the evenings and i feel cold when i get the fever
User :   i have tried all types of antibiotics
Doctor :  
User :   but i am still having the same problem
User :   what do you suggest is the problem
Doctor :  
Do you have cough?
User :   sore throat
User :   but i smoke so i think its smokers cough
Doctor :  
User :   i had a stomach upset one day and all my medical reports are normal
User :   except little low lymphocytes
User :   but then that became normal too
Doctor :  
Which are the antibiotics you had taken?
User :   what do you think
User :   i had taken broad specturm antibiotics
User :   which didnt work
Doctor :   Can you tell their names?
User :   zifi 200
User :   and levomac 500
User :   and one doctor also gave me some injections
User :   which i dont know
User :   but she said its a broad specturm antibiotic
User :   what disease do thee symtoms tell
Doctor :  
for how many days did she give injections?
User :   one day
User :   thatz all
Doctor :  
User :   then she put me on amoxiicillin and pottasium culvanate tabs too
Doctor :  
May I know your age,gender, location?
User :   27/m
User :   TB -ve
User :   Malaria -ve
User :   TB IGM -ve
Doctor :  
User :   and the fever continues
User :   its a tidal fever
User :   one day i am normal
User :   next day again i have low grade fever
Doctor :  
Doctor :  
What about Widal test?

User :   hi doc
User :   are u there?
User :   hello?
User :   doctor are you there
User :   do you get my messages?
User :   hi
User :   are you there doctor?
Doctor :   Yes
User :   oh thank god
User :   ok doctor
User :   what should i do
User :   i have sonography
Doctor :  
Sorry there was a technical problem
User :   all normal except fatty liver grade I
User :   i have done chest PA view
User :   normal
Doctor :  
User :   i dont have any other symptoms except i have itching all over my body sinec the last few days
Doctor :  
In the last chat I asked you about Widal
User :   the fever is not even persistant
User :   widal is normal
Doctor :  
What was the titre?
User :   one day its not there and i am normal.. and the next day it comes all of a sudden and does not exceed 99.5
User :   or max 100
User :   i dont have the titre report handy as of now sir
User :   but it was checked by a doctor and it showed normal
Doctor :  
Also you know a good amount of medical terms, Good
User :   sir thanks to the internet
User :   i have been doing a lot of research online
User :   and finally my local doc said she wants to do a culture
User :   however i am scared because i am not being diagnosed correctly here
Doctor :  
So now I want to ask you a few more questions
User :   sure sir
Doctor :  
Are you married?
User :   no
Doctor :  
Are you sexually active?
User :   no
Doctor :  
User :   i mean yes all parts are in place but i dont do anything
Doctor :  
Have you undergone tests for Hepatitis A,B,C?
User :   ok 1 doubt befiore you get there.. i had been to a place a few weeks back following 2 days after which these symptoms started.. it started with a stomach upset alongwith the low grade fever.. i felt a prick on my arm when i was walking in a public place however when i checked there was nothing on my arm.. but it felt like a sting or a needle prick
User :   does HIV get transmitted liek this
User :   or have you heard of any such instances of transmission in india
User :   no i havent dont any hepatites checks yet
User :   i am just scared about that prick feeling i felt
Doctor :  
yes if the needle is infected
User :   but i was standing alone when i felt the prick.. i am sure it must have hurt when the needle was inserted right
Doctor :  
But HIV virus does not survive for a longer time outside body
User :   because i felt nothing and i felt the prick when there was no one around me
Doctor :   Ok
User :   so do you doubt hiv early symptoms.
Doctor :  
It is a remote possibility
Doctor :  
You need to be anxious or come to such conclusions
User :   have u personally heard of any such cases in india
User :   ?
User :   well sexually i havent been in contact with a women since 8 months now.. so i am sure if there was anything then it would have surfaced
Doctor :   Yes, people who have injected
User :   however it is this that bothered me a lot.
Doctor :  
Such cases are seen
Doctor :  
So you have had sex before
User :   yes
User :   long back..
Doctor :  
May I know the contact?
User :   CBC showed WBC and RBC all normal
User :   except low lymphocytes
User :   but that test was immediately after the stomach infection as per my local doc here
Doctor :  
User :   what contact?
Doctor :  
Who was your sexual contact?
User :   my gf in dubai
User :   well no chance of her being infected
User :   as the govt there checked ppl every 2 years
User :   for the visa
Doctor :  
Have you had sex with single/multiple partners?
User :   no no single
User :   that too only twice
User :   we stayed seperate but she was commited to me
Doctor :   How about your gf?
User :   i am not a multiple types guy and she is still pretty healthy herself and commited too
User :   i said na sir her visa just got renewed and she is negative as the govt wont process the visa unless they check for hiv every 2 years
Doctor :   Does she have multiple partners? Sorry but I need to ask
User :   no she doesnt
Doctor :  
Ok thats nice
Doctor :  
Now coming back to the point
User :   yes
Doctor :  
even I dont want your test to be positive
Doctor :  
but it is good if you get it tested once
User :   ok
Doctor :  
because HiV becomes positive only after 6 months
User :   does low grade fever show signs of hiv or what else could be the problem
Doctor :   Now get it rectified first
User :   bcoz my stools are all normal except gas
Doctor :  
Also go for Hepatitis tests
User :   ok and..
Doctor :  
Repeat Widal
User :   there is no weight loss or no loss of apptitte
Doctor :  
and MP that is malarial parasite
User :   MP i did
User :   that is normal.
Doctor :   Ok
User :   what do you think could be the problem here doc
User :   from your experience
User :   low grade fever / no loss of appetite / stomach upset / fatigue
User :   gas
Doctor :  
Tuberculosis, typhoid
User :   tidal fever which comes and goes
User :   mostly in the evenings
Doctor :  
User :   and hiv?
User :   are these symptoms?
User :   or even close?
User :   i will get tested anyways
Doctor :  
Since it is 3 weeks I doubt about swine flu
User :   ok
User :   are these the symptoms of swine flu
Doctor :  
It could be
User :   no diaherrea
User :   stools are normal
User :   no flu
Doctor :  
but does not last more than a week or max 10 days
User :   and its not even spreading to my home members
User :   no one else is showing such symptoms..
Doctor :   Is that clear?

User :   are u there?
Doctor :  
Regarding malaria get both Peripheral smear and QBC done
Doctor :  
Repeat it once more
User :   ok.
Doctor :  
Get a second opinion of your X-ray
User :   i did
Doctor :  
chest x-ray i mean tossay
User :   chest PA view is normal
User :   PA view wont help?
Doctor :  
Doctor :  
No that is fine
User :   what is that?
Doctor :  
Sorry that was a typing error
User :   ok
Doctor :  
Among blood tests get ESR, TC, DC, Hb done
User :   ok
User :   do i need to do blood culture?
User :   are u there
User :   hello
User :   you called?
User :   oh u are from bangalore
User :   wow
User :   i am from mumbai
Doctor :   Ok
Doctor :  
There was a problem with Mozilla
User :   i am troubled with this ailment doctor.. dont know what to do.. and scared about that prick feeling..
User :   no problem
Doctor :   Firstly do not worry
User :   ok
Doctor :  
Be bold enough to get yourself tested first
Doctor :  
Lets see
User :   that is a tough part
Doctor :  
It is a rare possibility
User :   sure sir i am getting it tested tomm itself
User :   do i need to do a culture test too as my doc suggested
Doctor :   I wanted to suggest
Doctor :  
but reserved it for next round
User :   ok
Doctor :  
if these test dont detect
Doctor :  
culture you can do
User :   ok
User :   fine
Doctor :  
blood, urine and stool culture
User :   do they do it at a regular pathology center?
User :   here in india
Doctor :  
User :   and also the HIV.. do they do it at the normal pathology center
Doctor :  
I recommend to you get these tests done in a good laboratory, preferably from a hospital
Doctor :  
rather than local labs
User :   yes its one of the best ones around
Doctor :   Is there any thing else I can help you with?
User :   well as of now nothing..
Doctor :  
Please fill the feedback form say done when done.
User :   this session is only for a day right
User :   done
Doctor :  
For 24 hours
User :   so i will have to pay again to talk to u
User :   or some other doc
Doctor :  
you still have 2 chats remaining
User :   will i get u or some other doc
Doctor :  
within next 24 hours
Doctor :  
No problem
User :   ok fine..
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   sure
User :   bye
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