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Suggest Treatment For Persistent Fever
Question: I am from XXXXXXX XXXXXXX I have been suffering from a low grade fever ranging from 99-100 deg.F for last two weeks. As on date I have no symptoms other than fever except slight chills .Fever is increased in day time(between 99.5-100) and decreased in late evening since morning. I have consulted with 3 doctors in XXXXXXX and undergone several blood, urine test and usg abdomen.No significant abnormality detected so far.
Note :I have used One herbal medicine containing zinc as prostate support for 45 days until this problem.
Past medical History : ESBL Ecoli-urine infection in April 2014, later diagonised as chronic protatitis. Infection was resistant to several antibiotics. But treated in XXXXXXX hospital and recovered. However since then some RBC is always detected in routine urine analysis.
I was using One herbal medicine containing zinc for 45 days until this pr
PLEASE HELP
Note :I have used One herbal medicine containing zinc as prostate support for 45 days until this problem.
Past medical History : ESBL Ecoli-urine infection in April 2014, later diagonised as chronic protatitis. Infection was resistant to several antibiotics. But treated in XXXXXXX hospital and recovered. However since then some RBC is always detected in routine urine analysis.
I was using One herbal medicine containing zinc for 45 days until this pr
PLEASE HELP
Brief Answer:
Provide me further details.
Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney. I understand your concern.
I have seen the attached reports too and low platelet count might be because of a viral infection. These days viral infections may take more then a week to get eliminated.
However since your fever is of duration more then 2 weeks I would like to rule out Typhoid, Tuberculosis, Urinary tract infection.
I need to know:
1. How high was the fever initially?
2. Any pain abdomen?
3. Any weight loss?
4. Any response to antibiotics in reducing the fever?
5. Any cough, sinus infections?
Revert with the asked details for a better help.
Stay Healthy.
Provide me further details.
Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney. I understand your concern.
I have seen the attached reports too and low platelet count might be because of a viral infection. These days viral infections may take more then a week to get eliminated.
However since your fever is of duration more then 2 weeks I would like to rule out Typhoid, Tuberculosis, Urinary tract infection.
I need to know:
1. How high was the fever initially?
2. Any pain abdomen?
3. Any weight loss?
4. Any response to antibiotics in reducing the fever?
5. Any cough, sinus infections?
Revert with the asked details for a better help.
Stay Healthy.
Above answer was peer-reviewed by :
Dr. Prasad
Thank you sir for your reply.
I am trying to provide details to your question as under :
1)Started with feverish feeling, initial temperature was not high. It was with in 100 deg.F
2) Initially mild pain in abdomen was there for 1-2 days, but not significant. No pain now. No loose motion so far.
3) No significant weight loss so far. no tiredness feeling so far. only some uneasiness when fever is there. No problem in taking food so far.
4) No antibiotic as used so far seemed worked in reducing fever.
5) No cough, cold, sore throat, rash, vomiting, loose motion so far since inception of the fever.
Sir, kindly note I have used one herbal medicine ( 4 tab per day containing 15mg zinc/tab). This is for info only if any connection with my ailment.
My PLATELET Count is low for years. I know it since 1999. For this I had had no health problem in the past. My mother's platelet count is also low.
I have chronic haematuria ( 2-5/hpf) since last year's urine infection. Strain of that infection was ESBL.
If you need any more information please ask me.
MANY MANY THANKS FOR YOUR SUPPORT
I am trying to provide details to your question as under :
1)Started with feverish feeling, initial temperature was not high. It was with in 100 deg.F
2) Initially mild pain in abdomen was there for 1-2 days, but not significant. No pain now. No loose motion so far.
3) No significant weight loss so far. no tiredness feeling so far. only some uneasiness when fever is there. No problem in taking food so far.
4) No antibiotic as used so far seemed worked in reducing fever.
5) No cough, cold, sore throat, rash, vomiting, loose motion so far since inception of the fever.
Sir, kindly note I have used one herbal medicine ( 4 tab per day containing 15mg zinc/tab). This is for info only if any connection with my ailment.
My PLATELET Count is low for years. I know it since 1999. For this I had had no health problem in the past. My mother's platelet count is also low.
I have chronic haematuria ( 2-5/hpf) since last year's urine infection. Strain of that infection was ESBL.
If you need any more information please ask me.
MANY MANY THANKS FOR YOUR SUPPORT
Brief Answer:
Get a urine culture done
Detailed Answer:
Hello, In my opinion your symptoms represents either a persistent urine infection or typhoid.
I would recommend you to get a Urine Culture done and start on broad coverage antibiotic for urine infection like Nitrofurantoin.
Also, get a widal test done. In case, that comes positive, we would treat you for typhoid.
I would advice you to get these tests and the antibiotic prescribed by your doctor after discussion.
If you have any further query, please ask me.
Stay Healthy.
Get a urine culture done
Detailed Answer:
Hello, In my opinion your symptoms represents either a persistent urine infection or typhoid.
I would recommend you to get a Urine Culture done and start on broad coverage antibiotic for urine infection like Nitrofurantoin.
Also, get a widal test done. In case, that comes positive, we would treat you for typhoid.
I would advice you to get these tests and the antibiotic prescribed by your doctor after discussion.
If you have any further query, please ask me.
Stay Healthy.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Sir, Kindly refer attached reports. Widel test, Urine culture all done and negative.
Brief Answer:
Repeat test is warranted.
Detailed Answer:
Hello.
Widal test gets positive after 1 week of illness. That's why I have asked you for the re test.
As far as Urine test is concerned I have asked you for a Urine culture.
Get investigations done to be sure.
I hope it helps you.
If you have any further query, please ask me.
Stay Healthy.
Repeat test is warranted.
Detailed Answer:
Hello.
Widal test gets positive after 1 week of illness. That's why I have asked you for the re test.
As far as Urine test is concerned I have asked you for a Urine culture.
Get investigations done to be sure.
I hope it helps you.
If you have any further query, please ask me.
Stay Healthy.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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