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Symptoms of viral hepatitis or dengue fever - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions

Doctor :   hi
User :   hi
Doctor :   how can i help u
User :   one of my friend is suffering with high fever, cough for the last 24 hours.
User :   he is very weak now
Doctor :   ok
User :   he took panado (paracetamol 500 mg) but there is no relief of fever
User :   could you plz let me know as what to do???
Doctor :   any chills and rigors
User :   yes...
Doctor :   burning sensation while passing urine
User :   no
Doctor :   ok
Doctor :   he has headcahe
User :   yes
Doctor :   ok
Doctor :   any loose stools
Doctor :   or stomach ache
Doctor :   or vomiting

Doctor :   hi are yu back
User :   yes doc
Doctor :   shall we continue
User :   yes
Doctor :   does he has any loose stools
Doctor :   nausea
Doctor :   vomiting
User :   he had loose stools 2 days back, but no nausea or vomiting till now
Doctor :   ok
Doctor :   did he have any food outside
User :   no .
Doctor :   does he have abdominal pain
User :   yes ...he does
Doctor :   ok
Doctor :   was any test done
User :   blood tests and x-ray of abdomen was performed but there was no abnormality
Doctor :   ok
Doctor :   was WIDAL test done
Doctor :   Malarial parasites testing done
User :   yes.
Doctor :   was it negative
User : was negative
Doctor :   urine test
User :   urine test was not done....
Doctor :   normal
Doctor :   normal
User :   s normal...
User :   just to let u know doc..he has been suffering from Ulcer for the last six years
Doctor :   ok
Doctor :   was endoscopy done
User :   No .....but ultrasound was done
Doctor :   has the fever reduced
User :   n it was normal
Doctor :   has the chills and rigors reduced
User :   Fever is still there along with chills and rigors
Doctor :   ok
Doctor :   what treatment did he take
User :   he was taking OMEZ for ulcer
User :   n panadol for fever as n when required
Doctor :   was any course of antibiotics given
User :   yes
Doctor :   was he admitted in the hospital
Doctor :   wat antibiotic
User :   yesterday he was admitted in the hospital where they kept him on glucose and some antibiotics
User :   we rnt sure abt the antibiotics
Doctor :   is he still in the hospital
Doctor :   ok
User :   no .....he was discharged after two hours
Doctor :   was the liver function test done
User :   after all the necessary tests were done
User :   by them
Doctor :   ok
Doctor :   was liver function test done
User :   no
Doctor :   ok
Doctor :   was the antibitics given for 5-6 days
User :   previously he was on antibiotics
User :   for one week
User :   but not now...
Doctor :   ok
Doctor :   i will help u in this
User :   thanks
Doctor :   was HIV and hepatitis test done
User :   yes....n it was normal
User :   i mean negative
Doctor :   ok
Doctor :   as per history and investigations
Doctor :   done
Doctor :   the condition is labeled as
Doctor :   PYREXIA of unknown orgin
Doctor :   he may need few tests
Doctor :   i understand after doing so many tests
Doctor :   it came negative
Doctor :   the cause for pyrexia of unknown orgin is
User :   ok
Doctor :   may be a viral hepatitis
Doctor :   or denge fever
User :   k
Doctor :   let me explain u
User :   ok
Doctor :   in some cases of malaria though the test is negative
Doctor :   the course of tablets against malaria will help them a lot
Doctor :   they are called antimalrials
User :   ok
Doctor :   yes he may require
Doctor :   1.liver function test
Doctor :   2 blood culture
User :   ok
Doctor :   a test to rule out dengue fever
Doctor :   a course of antimalarial medicines will help
User :   ok
Doctor :   not to worry he will get well soon
Doctor :   regarding diet
Doctor :   not to have too spicy , oily foods
Doctor :   take plenty of water
Doctor :   fruit juices
Doctor :   and vegetables green leafy
User :   these were the antibiotics which were given to him yesterday....
User :   1. altosec 20
Doctor :   ok
User :   2. Zinnat 500 mg
Doctor :   ok
User :   3. Painanol
Doctor :   ok
User :   do u think..if the above medications will help him??
Doctor :   yes it a course of antibiotics
User :   Many thanks for ur help...i will make sure that we do all the tests which you have suggested for...
Doctor :   will help him to reduce the infection
User :   ok
Doctor :   let him take a full course
User :   ok
Doctor :   regarding fever if its very high
Doctor :   a tepid sponging can be given over fore head
Doctor :   and let him take Tab. Dolo 650
Doctor :   2 times a day
Doctor :   when he has fever
User :   sorry doc....we dont get a DOLO tablet here in South Africa...
User :   we are using paracetamol 500 mg for fever now...
Doctor :   ok
Doctor :   let him continue paracetamol 500mg at least 3 times a day in cases of fever
User :   ok
Doctor :   not to worry he will get well soon
User :   thanks....doc....
User :   many thanks for your support...
Doctor :   let he be mentally relaxed and calm
User :   ok...
Doctor :   Is there any thing else I can help you with?
User :   is it okay if he give him milk with Horlicks .....
Doctor :yes yu can but milk in diluted form
User :   ok
Doctor :   let him take plenty of vegetable soups
Doctor :   its good for his health
User :   we will do so....
Doctor :   Please fill the feedback form say done when done.
User :   done
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   Pleasure.....will do so.
Doctor :   ok take care bye for now
User :   bye
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