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Fever during the night, fatigue, throat irritation - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
User :   When I wake up in morning feel tired and some cold. kind of feverish feeling. It goes away as day progresses. But in evening I again started feeling tired
Doctor :   Ok
Doctor :   Can you elaborate the symptoms, duration, how did it started?
User :   ya sure : It happened around one month back, was there for few days then gone. Its been repeating again from last week. Syptoms : tiredness, heavy nose, kind of feverish feeling
User :   when take bath and get ready feel normal
Doctor :   OK
User :   then again in evening same thing
User :   tiredness
User :   then goes away in night
Doctor :   Ok
User :   and comes back in morning
Doctor :   Ok
Doctor :   Is there any throat rash or irritation?
User :   yes
Doctor :   Do you consume filtered water or normal water?
User :   filetered water
Doctor :   Ok
Doctor :   Do you consume home food or outside food?
User :   outside
Doctor :   Ok
User :   for last one month
Doctor :   OK
Doctor :   Did you see any doctor for this condition?
User :   not yet
Doctor :   OK
Doctor :   Are you taking any medications?
User :   not exactly...but sometinme took combiflams
Doctor :   OK
Doctor :   After going through the description provided by you, I am of the opinion that you might be suffering with Acute pharyngitis.
Doctor :   This is a bacterial infection of the posterior wall of the throat or it could also be Upper respiratory tract infection.
Doctor :   It would be better if you see a ENT specialist as you require a course of antibiotics.
Doctor :   Meanwhile you can follow these measures
Doctor :   1. Steam inhalation as this will help in reducing mucus production and also relieve inflammation of the nose.
Doctor :   2. Drink boiled water
Doctor :   3. salt water gargling everyday for three to four times a day.
Doctor :   4. Throat lozenges like strepsils or vicks four times a day will help in reducing the throat inflammation.
Doctor :   Did you follow my suggestions?
User :   yes
User :   one more thing - I had recurring knee joint pain also for last 3-4 days
Doctor :   OK
User :   had to take a painkiller for that
Doctor :   OK
Doctor :   Did you suffer with any injury in the recent past?
User :   nope
Doctor :   Is it a single knee or both the knees?
Doctor :   Are you there?
User :   yes
User :   both
Doctor :   Ok
Doctor :   Similar complaint from any other joints in the body?
User :   joint between hand palm ang fingers and foot palm and fingers
Doctor :   Ok
Doctor :   Any history of similar complaints in the past?
User :   yes mainly when change in wether
Doctor :   Ok
User :   or exertion
Doctor :   Can you state the severity of pain from 1 to 10 where 1 being the least and 10 the severe pain?
User :   4-5
Doctor :   Ok
User :   I can walk
Doctor :   Ok
Doctor :   may I know your age?
User :   27
Doctor :   Ok
Doctor :   This could be a normal variation present in most of the people during winters.
Doctor :   You need to apply hot fomentation during winters to avoid pain and to relieve inflammation of the joints.
Doctor :   If the symptoms still persists then you might need to see an Orthopedician to rule any systemic disorders and X ray of the joints may be required.
Doctor :   Did you follow my suggestions?
User :   yes
Doctor :   Are there any more queries for me to help you with?
User :   any thing serious?
Doctor :   Nothing serious just a seasonal variation.
Doctor :   So I feel there is no need to worry.
Doctor :   Just observing the degree of the pain and motility.
User :   so I need to visit an ENT for my antibiotic dose:))
Doctor :   Yes, please..
Doctor :   Are there any more queries for me?
User :   Acute pharyngitis is a normal desease or any thing serious
Doctor :   It is just a bacterial infection of the throat.
Doctor :   This is why you need a antibiotic.
User :   ok
User :   thanks doc
Doctor :   Are there any more queries for me?
User :   no
User :   thanks for your help
Doctor :   Thanks for consulting me.
Doctor :   Take care
User :   It was nice talking to you
Doctor :   Same here.
Doctor :   Bye for now.
User :   bye
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