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What is the cause and treatment for fever? - Online Doctor Chats

Date : 28-Oct-2014
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor:Good morning
Doctor:how can I help you?
User:good morning Dr. XXXXXXX
User:I am having fever for past 3 days
User:I am taking crocin advanced for fever
User:I visited a general physician and he suggested a few tests
User:which I got done
User:these were Malaria, Dengue, Urine and CBC
User:all were negative
User:however, fever is not going down
User:it ranges between 99-102
Doctor:What was the CBC like
User:when it goes around 101.5, I take a crocin
Doctor:can you tell me the numbers please?
User:what number you require?
User:shall I upload the report in the link here?
Doctor:in CBC you will have WBC counts
Doctor:it will have something like, total WBC counts
Doctor:then differential counts
User:Neutrophiles - 77
Doctor:under which you should see Polymorphs/neutrophils
Doctor:please go ahead
User:Eiosoniophiles - 2
User:Lymphocites - 12
User:Monocytes - 9
Doctor:What is the total count?
User:Basophiles - 0
Doctor:Total WBC counts?
Doctor:and platelets?
User:there is nothing like total count
User:Plateelet count - 222
Doctor:On top of This Differential count, there should be one number
User:WBC count - 10.8
Doctor:You can upload the report in this chat
Doctor:that is it
Doctor:From this report it is clear that you are having some kind of active infection
User:shall I continue with other symptoms?
User:I am having dry cough, which doesn't let me sleep also
User:I cough a lot
User:what should I do to get well?
Doctor:I have gone through your report
User:and what do you suggest?
Doctor:according to that, your total count is high
Doctor:urine is showing some blood in it
Doctor:I would suggest you to wait for 2 days
Doctor:and repeat the WBC counts
Doctor:and urine test
User:and what medicine shall I take?
Doctor:and you should repeat the Malaria test
Doctor:and you should get a typhoid test done
Doctor:(either a blood culture or WIDAL), blood culture will be preferable
Doctor:As for the treatment, I suggest you to take Dolo/crocin 650 mg 4 times a day
Doctor:Drink plenty of water as your urine is concentrated
Doctor:eat healthy and fresh foods
Doctor:watch out for vomiting sensation, pain while moving the neck, headache
User:and all these tests I have to get done after 2 days?
Doctor:Yes, that is why they may be not showing any major abnormality
Doctor:after infection, it takes some time for the tests to become positive
User:vomiting sensation is there only when fever goes to around 102
User:I don't feel like eating anything at that time. else it is fine
Doctor:so repeat the tests after at least 5 days of fever
Doctor:That is okay
User:no pain in neck the only thing is that I feel heaviness in head due to excessive coughing
Doctor:If you take dolo 650 4 times a day the fever will not reach high
User:do I have to eat something before taking DOLO 650?
Doctor:you can take omeprazole 20 mg twice a day
Doctor:you should eat something before taking dolo 650
Doctor:omeprazole should be taken half hour before food
Doctor:Wait for two or 3 more days, repeat the test and see how it is
User:thanks doctor
Doctor:and remember to add blood culture and WIDAL for typhoid
Doctor:and drink water
Doctor:You are welcome
Doctor:is there anything else I can help you with?
User:no that's it
User:you have a nice day
User:thank you
Doctor:You too have a nice day
Doctor:Take care
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