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Suggest treatment for fever - Online Doctor Chats

Date : 29-Sep-2014
User rating for this question
Very Good Posted in: Elderly Problems
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:hello doctor
Doctor:
Please proceed with your query
Doctor:Hello
User:doctor my mother she is suffering with fever from abt 20 days
Doctor:Ok
User:she is admitted in hospital also
Doctor:Ok
User:there doctors didn't find root cause of the fever
User:they done all the tests
Doctor:ok
User:like malaria dengue
Doctor:Ok
User:so many times
Doctor:Ok
User:I have some latest reports with me
User:uploading
Doctor:Ok sure
Doctor:I have gone through your reports
User:ok
User:uploaded all reports
User:got reports?
Doctor:WBC counts is elevated and platelet count is decreased
User:ok
User:symptoms of?
Doctor:It indicates infection mostly viral infection
User:ok
Doctor:Have you done typhoid tst?
User:yes
User:let me check
User:in reports
Doctor:Ok
Doctor:I will check it
Doctor:Just received all reports
Doctor:give me some moments i will check them
User:ok
Doctor:widal test for typhoid not done, has she received any antibiotics IV or orally?
User:yes
User:sending reports
Doctor:I have not seen malaria test report as well
Doctor:ok
Doctor:sure
Doctor:Are you there?
User:yes
Doctor:Have you uploaded all reports?
User:yes
User:sent medicine list also
Doctor:I have seen all reports and medication
User:Malaria and typhoid report also
User:ok
User:she has so much pain in throat also
Doctor:Still is she having fever?
Doctor:Ok
User:after doxycyclin her stomach also upset
Doctor:Ok
Doctor:Since when is she having throat pain?
User:since 22nd of Sept
Doctor:Oh ok
Doctor:22nd aug?
User:oh yes
Doctor:Still is she having fever?
Doctor:Has she done throat swab or culture?
User:with swelling in right side of jaw
User:right now 95.7
User:fever
Doctor:is swelling inside of mouth or outside?
User:outside
Doctor:Ok
Doctor:Any redness around the swelling?
User:no
Doctor:Can you send me images of swelling?
User:sure
User:this time also not much
User:swelling also not much
Doctor:Ok
User:culture mean blood cluture?
Doctor:Yes and if she has any swelling in throat then swab culture
User:ok
User:what is the root cause of this problem doctor
Doctor:go for blood culture if she still having fever
User:?
User:blood culture done
Doctor:I have seen some abnormality in scan
User:we are waiting for 2nd level blood culture report
User:ok
User:abnormality?
Doctor:Just give me few moments i will tell you
Doctor:CT thorax it has shown small consolidation in right lung
Doctor:It indicates lung infection
Doctor:One calcified lymph node in middle right lobe
Doctor:Are you there?
User:sorry doctor
Doctor:Ok no issues
User:got disconnected
Doctor:Ok
User:calcified lymph node in middle right lobe?
Doctor:Her every test is normal except small findings in scan which i have read in discharge summary
Doctor:Sorry calcified nodule
User:ok
User:she is asthma patient also
Doctor:Does she has history of lung infection in past?
Doctor:Oh ok
Doctor:I suggest you wait for blood culture
User:got the report
Doctor:Ok
Doctor:Second report?
User:yes
Doctor:this is also negative
User:yes
Doctor:It might be viral infection of lungs
User:ok
User:is any indication of tuberculosis?
Doctor:We will observe her for 3 days if she is getting fever or not
User:today morning fever was there
User:after dolopar its gone
Doctor:ok
Doctor:Ok
Doctor:If she will not feel after 2 days then go for TB tests
User:ok
User:ok
Doctor:No worry she will recover soon
User:now we can continue with same medication?
Doctor:Kindly discuss about scan report with your doctor
Doctor:Yes you continue medication
User:ok
User:no throat infection it means?
Doctor:give her XXXXXXX warm water
User:ok
Doctor:Salt water gargles twice a day
User:ok
Doctor:And those medication also helpful for throat infection
User:after this medicine she is having burning sensation in stomach since yesterday
Doctor:if throat pain persist then go for throat swab and culture
Doctor:Ok
Doctor:I suggest her Omeprazole 30 minutes before breakfst
Doctor:It is an antacid
Doctor:This is for 2 weeks
User:we are giving pentaside before brekfast
Doctor:Whenever she gets fever sponge her body with wet cloth
User:ok
Doctor:Ok once or twice?
User:once
Doctor:you can give twice before food
User:ok
User:one before breakfast and one before dinner?
Doctor:yes Ask her to drink more water
Doctor:Give her soft food
Doctor:avoid spicy and cold food
User:ok
Doctor:Do you have any more queries?
User:no doctor
User:thanks for your consultation
Doctor:Ok dear I wish a good health for your mother
Doctor:Thanks for visiting me here. Bye for now.
User:bye
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