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Suggest treatment for persistent fever and high BP

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Posted on Mon, 18 May 2015
Question: What should I do?!
I'm still running a fever every day and my blood pressure is still around 145/100 - even on my BP meds. I'm worn out and exhausted from this infection. I have been in bed the last two weeks, but my sinus keeps blocking back up and the infection never drains. I have a lot of pain and pressure in my face, eyes and front-right teeth. Sometimes after I rinse, I can smell a fowl smell from my right sinus. I wake up with massive sinus headaches that run from the back of my head to above my eyes. I refuse any more Prednisone, it doesn't work for me. It makes me fat, crabby, sleep deprived and depletes my immune system.


I'm hoping the explanation of my current symptoms makes sense along with my health summary and other attachments. Besides two sinus surgeries, I had to have my gall bladder out last August.
I would like your opinion on my diagnosis, how I should proceed so that I can get out of bed and take care of my family, and how I can best advocate for myself in this situation.
I understand that my mental health can have a play in this as well, but I know myself, and this is not an episode of double depression. I take my meds, see my psychiatrist monthly and my therapist twice per month to prevent that.
I'm just sick:(
I'm up or down each day, and different times of the day. When I kinda start to feel better, I can make it till about 10:30/11 and then I collapse. I feel my whole body give up, my fever and chills get worse and my brain fogs over.
Thank you so much for your info!
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Answered by Dr. Sumit Bhatti (5 hours later)
Brief Answer:
Repeat Sinus CT,Abdomen USG.Check meds.Hypertonic nasal washes.Fungal Swab.

Detailed Answer:
Hi,

Thank you for your query.

1. I have gone through your comprehensive summary sheets.

2. If you can get a post-op Sinus CT Scan done and upload the images (along with images of the pre-op scan for comparison), I will be able to give you an accurate assessment.Get an Abdomen USG (Ultrasound) done.

3. This fever signifies a septic focus still active in the body, most likely in the sinuses or the abdomen.

4. Get a review of your current medications to check whether there is any drug induced cause.

5. Change your nasal washes to hypertonic saline for a few days and report the difference. Get a fungal culture of the nasal secretions done. 'Biofilm' formation is a possible cause. From your history it seems that your sinuses still fill up at different times of the day, causing symptoms.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2652 Questions

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Suggest treatment for persistent fever and high BP

Brief Answer: Repeat Sinus CT,Abdomen USG.Check meds.Hypertonic nasal washes.Fungal Swab. Detailed Answer: Hi, Thank you for your query. 1. I have gone through your comprehensive summary sheets. 2. If you can get a post-op Sinus CT Scan done and upload the images (along with images of the pre-op scan for comparison), I will be able to give you an accurate assessment.Get an Abdomen USG (Ultrasound) done. 3. This fever signifies a septic focus still active in the body, most likely in the sinuses or the abdomen. 4. Get a review of your current medications to check whether there is any drug induced cause. 5. Change your nasal washes to hypertonic saline for a few days and report the difference. Get a fungal culture of the nasal secretions done. 'Biofilm' formation is a possible cause. From your history it seems that your sinuses still fill up at different times of the day, causing symptoms. I hope that I have answered your query. If you have any more questions I will be available to answer them. Regards.