Brief Answer:
Fever with night sweats.

Detailed Answer:
Hello Mam,

Greetings,

I can understand the gravity of your disease condition, and problem you are facing since last 5 months, my sympathy is with you.

After going through your history I am of the opinion that you are having problem with your respiratory system which is causing cough, fever, drenching night sweats, body pain, pain in ribs, nausea, etc. As per your clinical condition there are a list of disease in respiratory system which can cause these symptoms. They are as follows.......
1. Pulmonary Tuberculosis (more common in travelers to endemic areas)
2. Lymphoma,
3. Sarcoidosis,
4. Lower respiratory tract infection,
5. Some mixed infections...etc

Since the detailed history, investigation and clinical examination status is not known to me, I am in the opinion that you require some relevant tests like sputum microscopy, chest x ray, blood tests to rule out the above mentioned conditions and arrive at a diagnosis. Then only the exact treatment can be started.

Hence I request you to go to a hospital near by you and get the tests and investigation done.

I also request you to keep me updating about your test reports so that I can further guide you better.

Please feel free to write me back again if you further require any clarification on any aspect of your disease condition.

Expecting to hear back again from you,

Hope I am able to clear the disease condition of yours.

Wishing you a speedy recovery and good health,

Regards,

Thanks.

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Brief Answer:
Fever with night sweats contd.

Detailed Answer:
Hello Mam XXXXX,

Welcome back, nice to see you again.

As per the history told by you again it seems that proper investigation and treatment has not being done.Because if your diagnosis have would been done exactly then disease would have not come back again, there is incomplete investigation done by your treating doctor..

There is no evidence investigation wise saying that your immune system is weak. I can agree that Iron may be low, and for that you are already on iron supplementation, and red meat.etc.

Its OK for low Iron part,but the main problem you are facing is of chest infection that is not getting investigated and diagnosed properly..

So in my opinion you should concentrate on chest infection part get it diagnosed by proper blood investigation and chest x ray, may be CT scan chest or biopsy, is also required, depends on your treating Doctor and clinical examination.

So my sincere advise is to go to a good hospital or good doctor preferably pulmonologist (chest specialist) for further investigation and diagnosis into the disease matter of chest infection.

Hope I am able to clear the disease condition of yours in detail, if still you have any further query please don't hesitate to write me back.

Expecting to hear back again from you,

Wishing you a speedy recovery and good health,

Regards,

Thanks.

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