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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Low Grade Fever In The Evening?

i m 18, i have been having low grade fevr max 2 max 100 after evening frm past 1 mnth nw..n i have also had sme throat problem fr almst 6- 8 mnths..n dis has hapnd fr the 3 time in last 6 months..i ws on medicines frm past 15 days n nw my doc has finally ask 4 sme tests..recently i had blood tests n urine test..my ERS is 50..n sevrl other things in d tests doesnt seem to b perfect..wt could be the possible reason behind dis..
Plz hlp me..thanks !
Fri, 3 Jul 2015
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General & Family Physician,  's  Response
Hi & Welcome to HCM.
I appreciate your concern for the low grade evening rise of temperature.
Incomplete data: associated symptoms, results of the lab tests done other than raised ESR, not mentioned.
Evening rise of temperature along with loss of appetite and weight, with fatigue, cough with or without sputum are highly suggestive of chronic infections like tuberculosis.

Had you been my patient I would have requested the lab tests like CBC, ESR (which is already high), Chest X rays, sputum for AFB to confirm a diagnosis of tuberculosis.

Since your ESR is already raised as other parameters, I would advise you to kindly consult a physician for proper clinical correlation and possible use of a short course chemotherapy to eradicate tuberculosis after confirmation.

Hope this answers your query.
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What Causes Low Grade Fever In The Evening?

Hi & Welcome to HCM. I appreciate your concern for the low grade evening rise of temperature. Incomplete data: associated symptoms, results of the lab tests done other than raised ESR, not mentioned. Evening rise of temperature along with loss of appetite and weight, with fatigue, cough with or without sputum are highly suggestive of chronic infections like tuberculosis. Had you been my patient I would have requested the lab tests like CBC, ESR (which is already high), Chest X rays, sputum for AFB to confirm a diagnosis of tuberculosis. Since your ESR is already raised as other parameters, I would advise you to kindly consult a physician for proper clinical correlation and possible use of a short course chemotherapy to eradicate tuberculosis after confirmation. Hope this answers your query.