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How Can Persistent Fever With Headache Be Treated?

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Posted on Tue, 23 May 2017
Question: My son of 26 years old started having a fever Friday night.(102.5) He went through the night and through Saturday with a lower grade fever hovering around 100 degrees. He went to the Urgent Care and they checked for strep. He doesn't have any other symptoms other than the fever and a very strong headache. The fever finally broke Sunday with use of ibuprofen. He teaches school and said he seemed fine today until he got home and laid down for a nap. When he woke up the fever was back.
doctor
Answered by Dr. Geeta Sundar (28 minutes later)
Brief Answer:
I would like to advise a blood total count and Widal test.

Detailed Answer:
Hi welcome to Health care magic,

Since the fever is persisting without any other throat or stomach complaints it is likely to be either typhoid or viral.
I would like to advise a blood total count and Widal test for typhoid.
Meanwhile continue with a Ibuprofen/paracetamol combination--400/500--half tablet four times a day till report comes.
And he should rest till report is received.

Please revert back.
Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Geeta Sundar (25 hours later)
I apologize if this is a repeat.

My son has had continual headaches and fever. There have been periods throughout the day that he has felt better with ibuprofen. Acetaminophen does not seem to help.
His fever spiked tonight to 102.1. His temporal headache is very intense. No nausea, vomiting or diarrhea.

His frequency of urination is every 2 hours and it is dark yellow.

I learned he ate a live cricket in his class Friday on a wager from a student. He called the Poison Control Center to make sure that a pesticide couldn't have been in the cricket. He was advised it was not very likely.

No blood tests for Typhoid yet.
Please advise.

Thank you.

doctor
Answered by Dr. Geeta Sundar (2 hours later)
Brief Answer:
get his routine urine, Liver function tests and Widal for typhoid done

Detailed Answer:
Hi yes, it is a partial repeat. Please get his routine urine, Liver function tests and Widal for typhoid done.
These tests should reveal the cause.
I don't think eating the live cricket is the cause. It would have got destroyed by the acid in the stomach.
regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Geeta Sundar

Internal Medicine Specialist

Practicing since :1975

Answered : 1329 Questions

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How Can Persistent Fever With Headache Be Treated?

Brief Answer: I would like to advise a blood total count and Widal test. Detailed Answer: Hi welcome to Health care magic, Since the fever is persisting without any other throat or stomach complaints it is likely to be either typhoid or viral. I would like to advise a blood total count and Widal test for typhoid. Meanwhile continue with a Ibuprofen/paracetamol combination--400/500--half tablet four times a day till report comes. And he should rest till report is received. Please revert back. Regards