Get your Health question answered in 3 easy steps

153 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes high fever with body chills and red spots on arms ?

Answered by
Dr. Rahul Tawde

General & Family Physician

Practicing since :1980

Answered : 1 Question

Posted on Mon, 25 Aug 2014 in Headache and Migraines
Question: My daughter (50) has had a migraine with new symptoms- all over aching she had a fever 101 during the night.She went to bed 6:30 pm and up at 2"30 am with more hurting. She texted me saying she has all that plus chills. She had curious red spots on her arms a few days ago. They are gone now.

Answered by Dr. Rahul Tawde 6 hours later
Brief Answer:
Fever under evaluation

Detailed Answer:
Hi, thanks for posting your concern in the HCM.
A high fever with chills and history of rash need further clinical examination and investigation to rule out viral fever, pneumonia, UTI, vasculitis etc.
I need further information to come to a specific diagnosis.
1. Do you have cold & cough, chest pain, breathing difficulty.?
2. Do you have burning sensation during urinating?
3. Do you have retro-orbital headache or joint pain?
4. How is your bowel habit at present?
5. Do you have yellowish urine and pain in right upper abdomen?
You need a few investigation too.
1. Complete blood count, CRP, urea, creatinine, electrolytes, Malaria dual antigen, NS1 antigen
2. Urine routine examination
It is not advisable to have any antibiotic until you are diagnosed to have bacterial infection.
For the time being my recommendations are
1. Tab Paracetamol 500 mg as and when required for fever, at min. 6 hr interval
2. Tab Immunace Forte- One tab once daily for 7 days.
3. Plenty of oral fluid and ORS- 3 to 4 l/ day
4. Light diet at frequent interval
You should consult your family physician if the fever persists for more than another 2 days for further clinical examination.
For any further questions, please write back. Regards,
Dr. Kaushik
Above answer was peer-reviewed by : Dr. Yogesh D
Follow up: Dr. Rahul Tawde 9 hours later
Hi, yes I have a slight cough, joint pain, neck, back, feet, hips. I do have a very tight chest when breathing and is a bit sore with a deep breath. Fever this morning was 100.7 so not a big deal. I am experiencing very cold moments as well as moments of sweating. My mom I guess got worried. I have been taking Ibuprofen and Tylenol combined. which seems to help allot. I am better already. I think I just got a small bug from my grandson.
Answered by Dr. Rahul Tawde 43 minutes later
Brief Answer:
Details written below

Detailed Answer:
Hi, thanks for posting your concern in the HCM.
My understanding is you are having some viral infection. So, antibiotics should be avoided for the time being.
You can follow my recommendations in the previous answer, because I had given that based on a provisional diagnosis of viral fever.
Another important opinion is, I don't prefer Ibuprofen, because it has more side effects. Paracetamol is safer option. For symptomatic relief you may take higher doses of PCM (650mg).
If you at all take Ibuprofen, please have it post-meal and take a PPI ( e.g. Pantoprazole 40 mg or Omeprazole 20 mg) before meal.
If you are satisfied with my answer, please close the thread and rate my answer.
For any further questions, you can write back to me directly.
Dr. Kaushik
Above answer was peer-reviewed by : Dr. Raju A.T

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication ,  
Lab Tests

Recent questions on Migraine

doctor1 MD

I am a 38 yo white heathly attractive male who masturbates at least twice a day or more. I am not promiscuous, not as in my younger I just watch internet porn or think about it. I Love sex and have since I can remember back to five years old playing with girls. I expected the intesity to lessen with age, but I have come to find out it is not and I am more and more beginning to embrace my nature as it seems this is how I am wired. Will the fire ever subside?

doctor1 MD

Yes, I suffer from severe migraines almost everyday and so does multiple immediate family members. We have with this our whole lives. But I have recently started having severe hair loss...clumps of hair multiple times a day. Could this have anything to do with my migraines ?

doctor1 MD

hi. i am a 33 year old female. just recently, within the past week, i have had a scratchy throat, red eyes-no itching or pus, no fever, occassional nausea, constipation and/or diarreah,, a missed period with a negative pregnancy result.i am not on any medication or birth control. i am 5'3", weigh about 135-140 lbs. i have been trying to exercise more often but not too is tuesday today. on friday about 4p.m. i got a slight migraine wth blurred vision and nausea. what is going on???

doctor1 MD

Am querying current line of thinking by several consultants. Admitted to hospital May 2011; lumbar puncture showed elevated CSF protein of 1088 mg/L with 228 white cells, 95% lymphocytes. The working diagnosis was viral meningitis, and I was discharged after 2 days aciclovir. Negative for herpes simplex virus 1 and 2. Developed infection in leg early October 2011, followed by painful groin, then ulcers either side of scrotum - non painful, and diagnosed as shingles. Mid October 2011, following tinitus, buzzing , hearing different frequencies, then vertigo, admitted for 2 weeks in ID ward...CSF showed 614 white cells with 90% lymphocytosis. CSF protein raised at 1335 mg/L. Tested for everything under the sun, incl. HIV, syphillis, Lyme disease, Cat scratch fever (leg infection thought to have been through an insect bite). All negative, incl. ANA. Chest x-ray, MRI scan of brain and whole spine also negative. Admitted again 26th December 2011, aciclovir for seven days, now back home feeling well, if a little tired. Current thought is Mollarets meningitis, but more recently, rheumatology dept. thinking Behcets syndrome, as I suffer from mouth ulcers. My contention is this; I have sufferd from mouth ulcers since a teenager taking exams at school. If I have a job interview, I will get mouth ulcers after @ 48 hours. Dentist thinks stress induced, as do I. I have no aching joints and no eye irritation, also, just found out that HLAB51 negative. I am a 42 year old British male and caucasian. I can t help feeling there s a square peg being pushed into a round hole here. What about migraine; the tinitus, buzzing and vertigo? Also, I took a non-steroidal (Ibuprofen) prior to the first two episodes. Bickerstaff s encephalitis sounds just as plausible as Behcets...or am I in denial? I would appreciate any advice, even if it s to simply face the music . Thank you for your time.

doctor1 MD

Doctor, I have experienced some strangeness for two days now. I have had 2 TIA's in the past with slurred speech and numbness on the left side of my body. I awoke this AM with a numb arm on my right side. I have a headache now. I have symptoms of...

doctor1 MD

Recent visit 12-21 for headaches that I have for weeks they come and go for months at a time .they start in front and go around my head ,some nausea and ear pain or hot sensation around ears and floaters that make it hard to read or write .and...

doctor1 MD

We are wondering if my husband may have had a small stroke. Taken to the er with confusion loss of balance extremely high BP and migraine type headache. His BP meds have been adjusted but now his behavior has shifted. Very aggressive argumentative...