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Hi, For 40 Days Now I Have Had The Following

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Posted on Thu, 25 Jun 2020
Question: Hi, for 40 days now I have had the following symptoms: difficulty breathing at times, exhaustion, low grade fevers, headaches, toes feel like I've been frostbitten. Tested negative 2x for Coronavirus. Bloodwork showed elevated ESRs, liver enzymes slightly elevated, mucus present, bacteria values showing. Had mono at some point. All other bloodwork normal. Having chest xrays tomorrow. What could be causing this? Current medication: Lisinopril 25mg, Crestor 40mg, Alprazolam .5mg
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Follow up: Dr. Nishad BN (0 minute later)
Hi, for 40 days now I have had the following symptoms: difficulty breathing at times, exhaustion, low grade fevers, headaches, toes feel like I've been frostbitten. Tested negative 2x for Coronavirus. Bloodwork showed elevated ESRs, liver enzymes slightly elevated, mucus present, bacteria values showing. Had mono at some point. All other bloodwork normal. Having chest xrays tomorrow. What could be causing this? Current medication: Lisinopril 25mg, Crestor 40mg, Alprazolam .5mg
doctor
Answered by Dr. Nishad BN (4 hours later)
Brief Answer:
Please upload the blood reports.

Detailed Answer:
Hi Sir

Thank you for asking ask a doctor service.
I have gone through your query with diligence. Please upload your blood reports. As your ESR is elevated there is some inflammatory or infectious process running in your body. Doing CRP ( c reactive protein) will give more accurate picture whether it is current one or not.
Urine routine should be done to rule out any urinary tract infection.
X ray chest will be helpful to rule out Tuberculosis. A sputum AFB also should be done.
As your LFT is elevated Widal test to rule out typhoid and hepatitis A, B and C should be checked.
Ultrasound examination for liver should be done also.
If all these are clear then autoimmune diseases like Rheumatoid arthritis should be ruled out by autoimmune panel tests.

Let me know if anything not clear.
I am happy to help you.
Thanks.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Nishad BN (0 minute later)
Brief Answer:
Please upload the blood reports.

Detailed Answer:
Hi Sir

Thank you for asking ask a doctor service.
I have gone through your query with diligence. Please upload your blood reports. As your ESR is elevated there is some inflammatory or infectious process running in your body. Doing CRP ( c reactive protein) will give more accurate picture whether it is current one or not.
Urine routine should be done to rule out any urinary tract infection.
X ray chest will be helpful to rule out Tuberculosis. A sputum AFB also should be done.
As your LFT is elevated Widal test to rule out typhoid and hepatitis A, B and C should be checked.
Ultrasound examination for liver should be done also.
If all these are clear then autoimmune diseases like Rheumatoid arthritis should be ruled out by autoimmune panel tests.

Let me know if anything not clear.
I am happy to help you.
Thanks.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Nishad BN (11 hours later)
Thank you so much. I'm uploading the rest of the bloodwork for you to review. Chest Xrays are being done today.
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Follow up: Dr. Nishad BN (0 minute later)
Thank you so much. I'm uploading the rest of the bloodwork for you to review. Chest Xrays are being done today.
doctor
Answered by Dr. Nishad BN (3 hours later)
Brief Answer:
Please upload the reports.

Detailed Answer:
Welcome again.

Thank you for your follow-up.

I didn't get the reports. Please upload your reports and X ray so that I can help you.
Thanks
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Nishad BN (0 minute later)
Brief Answer:
Please upload the reports.

Detailed Answer:
Welcome again.

Thank you for your follow-up.

I didn't get the reports. Please upload your reports and X ray so that I can help you.
Thanks
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Nishad BN (2 hours later)
I'm trying again. The system won't allow me to upload but so many at one time.
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Follow up: Dr. Nishad BN (0 minute later)
I'm trying again. The system won't allow me to upload but so many at one time.
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Follow up: Dr. Nishad BN (1 hour later)
Please let me know if you received the additional bloodwork.

Warmest Regards,
Pam Hall
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Follow up: Dr. Nishad BN (0 minute later)
Please let me know if you received the additional bloodwork.

Warmest Regards,
Pam Hall
doctor
Answered by Dr. Nishad BN (9 hours later)
Brief Answer:
Upload in Report section.

Detailed Answer:
Welcome again.
Thank you for your follow-up.

I didn't get the reports still. Please upload in the report section or send it by mail by quoting attention Dr Nishad BN.
Thanks.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Nishad BN (0 minute later)
Brief Answer:
Upload in Report section.

Detailed Answer:
Welcome again.
Thank you for your follow-up.

I didn't get the reports still. Please upload in the report section or send it by mail by quoting attention Dr Nishad BN.
Thanks.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Nishad BN (6 hours later)
This is the 3rd time I'm trying to upload the rest of the bloodwork. I'm not sure why the reports arent loading. I'm going to try one more time...
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Follow up: Dr. Nishad BN (0 minute later)
This is the 3rd time I'm trying to upload the rest of the bloodwork. I'm not sure why the reports arent loading. I'm going to try one more time...
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Follow up: Dr. Nishad BN (2 minutes later)
I just loaded 5 more...
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Follow up: Dr. Nishad BN (0 minute later)
I just loaded 5 more...
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Follow up: Dr. Nishad BN (2 minutes later)
Loading the last 5 now...
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Follow up: Dr. Nishad BN (0 minute later)
Loading the last 5 now...
doctor
Answered by Dr. Nishad BN (4 hours later)
Brief Answer:
Reports not received.

Detailed Answer:
Welcome again.

Reports are not received still. Please email them to YYYY@YYYY as attachment quoting ATTN:Dr.Nishad BN since you're unable to upload in the Report section. Feel free to contact the customer care team for any further assistance.

Thanks


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Nishad BN (0 minute later)
Brief Answer:
Reports not received.

Detailed Answer:
Welcome again.

Reports are not received still. Please email them to YYYY@YYYY as attachment quoting ATTN:Dr.Nishad BN since you're unable to upload in the Report section. Feel free to contact the customer care team for any further assistance.

Thanks


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Nishad BN (7 hours later)
The latest is his doctor has given him AMOX-CLAV 875MG tablets by mouth every 12 hours. He's seeing improvements by taking this.
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Follow up: Dr. Nishad BN (0 minute later)
The latest is his doctor has given him AMOX-CLAV 875MG tablets by mouth every 12 hours. He's seeing improvements by taking this.
doctor
Answered by Dr. Nishad BN (4 hours later)
Brief Answer:
Previous EBV infection.

Detailed Answer:
Welcome again

Thank you for your follow-up query.
I have seen the reports. EBV IgM is equivocal and IgG is positive which means that you had a previous infection of EBV which is almost recovered.
As you feel better after Amoxiclav it is a good sign. Additional secondary bacterial infection could have made you sick. Finish the course of antibiotic, Amoxiclav. You can also take chewable vitamin C, tea with lemon, warm chicken soup with pepper also.
Thanks.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Nishad BN (0 minute later)
Brief Answer:
Previous EBV infection.

Detailed Answer:
Welcome again

Thank you for your follow-up query.
I have seen the reports. EBV IgM is equivocal and IgG is positive which means that you had a previous infection of EBV which is almost recovered.
As you feel better after Amoxiclav it is a good sign. Additional secondary bacterial infection could have made you sick. Finish the course of antibiotic, Amoxiclav. You can also take chewable vitamin C, tea with lemon, warm chicken soup with pepper also.
Thanks.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Nishad BN

General & Family Physician

Practicing since :2009

Answered : 5482 Questions

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Hi, For 40 Days Now I Have Had The Following

Hi, for 40 days now I have had the following symptoms: difficulty breathing at times, exhaustion, low grade fevers, headaches, toes feel like I've been frostbitten. Tested negative 2x for Coronavirus. Bloodwork showed elevated ESRs, liver enzymes slightly elevated, mucus present, bacteria values showing. Had mono at some point. All other bloodwork normal. Having chest xrays tomorrow. What could be causing this? Current medication: Lisinopril 25mg, Crestor 40mg, Alprazolam .5mg