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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Do I Suffer From Consistent Fever, High Pulse Rate, Headaches And Dizziness While Being Morbidly Obese?

I am a 27-year-old woman. I am morbidly obese (BMI 61; 5'9'' 416 lb), not pregnant nor in a sexual relationship, not diabetic (last A1C 5.4 on 4 November 2013), and I have not recently been out of the country. My cholesterol is also good (Total LDL 120, Total HDL 59, Total VLDL 19, Triglycerides 121, Lp(a) 5, Apo B 96, Apo AI 162--all measured mg/dL; VAP from 14 September 2013).

I track my vitals daily and my average BP is 118/67 (Omron BP760) and my average temperature is 99.7F. Right now my temperature is 101.7F (axillary) or 101.4 (oral). My BP is 118/78 and my pulse is 82.

Here is my problem:

That temperature of 101.7 has been pretty consistent now for almost a month. I have been stuck between 100-103F for a month (max temp was 102.8 4 days ago). I have some other symptoms but I don't know if they are at all related. I have been getting headaches almost daily (front and sides; last for 1-5 hours usually; onset can be any time of day), my eyes have been burning--I am not dehydrated as I drink about 1.5 GAL of water every day. When my cat walks on me I have started to feel pain where he steps and I haven't before unless he stepped on my breast with all of his weight. My legs and abdomen seem to particularly sensitive to this. I have also had some neuro issues. I have been forgetting things I don't usually forget, e.g., debit card number, account number, phone numbers. I am not thinking as clearly as I am used to and I am finding it difficult to focus sometimes. I was in the restroom at work a few days ago and got suddenly dizzy and almost fell but saved myself against the sink counter.

I don't have medical insurance. I cannot afford a bunch of tests.

What's possibly wrong with me and what can I do about it?
Thu, 26 Dec 2013
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  User's Response
HI
Thank for asking to HCM
I really understand your concern, this could be said pyrexia of unknown origin in such case the best strategy is to treat the case with broad spectrum antibiotic, and the drug of choice would be "Trimethoprim with sulfamethoxazol in double strength for five days have nice day.
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Why Do I Suffer From Consistent Fever, High Pulse Rate, Headaches And Dizziness While Being Morbidly Obese?

HI Thank for asking to HCM I really understand your concern, this could be said pyrexia of unknown origin in such case the best strategy is to treat the case with broad spectrum antibiotic, and the drug of choice would be Trimethoprim with sulfamethoxazol in double strength for five days have nice day.