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What Causes Intermittent Fever And Unexplained Loss Of Weight?

Posted on Thu, 16 Jul 2015

Question: I have been always feeling feverish but normal body temperature on the surface for the past few months. It comes and goes everyday or every few days. I also need to pass urine very frequent, sometimes can be as bad as every 5 min. I had lost about 15kg within 2 years for no reason. I had seen specialists and had done colonoscopy, endoscopy, a neck down CT scan, PSA antigen, hormone test, blood test and urine test and all shows that I am normal. But I need to get rid of this frequent feverish feeling. What could be going on?

Answered by Dr. Rakesh Madhyastha (27 minutes later)

Brief Answer:
Need more info

Detailed Answer:
Hello

Thanks for the query

Feelinf of feverishness is a very common symptom. In order to help you I need a few more details

1. What thyroid function and serum cortisol test done ?
2. Were checked for Vit b13 , Vit d deficiency ?
3. When do you feel feverish the most ?
4. please mention all the medications you are on
5. please mention your weight and height
6 do you smoke? if yes how much
7. how often do you drink ?

Awaiting your reply

regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (1 hour later)

Hello,

1. The doctor only told me that blood test shows that my thyroid function is normal and I do not know anything about serum cortisol test.

2. I had not checked for vit b13, vit D deficiency. But I had been taking vit D supplement for past 2-3 months.

3. There is no time specific. It can comes anytime of the day.

4. I am not on any medications. But I started taking supplements such as vit D plus calcium, krill oil, resveratrol, fucoidan, spirulina after I had this feverish symptoms.

5. I was 80kg in 2014. Been losing weight gradually. Currently 60kg. My height is 170cm.

6. I do not smoke now. Already quit it about 8 years ago.

7. I do not drink.

Awaiting your advice. Thank you.

Answered by Dr. Rakesh Madhyastha (8 hours later)

Brief Answer:
Check for malabsoption

Detailed Answer:
Hello

Thanks for getting back

I understand how difficult it should be to lose weight and not know what is going on.

I recommend you to get the following tests done to check if your intestines are absorbing the nutrients are not

1. serum iron level, serum vit b12 and folic acid
2. Check for peripheral smear of the blood
3. Fecal elastase and chymotrypsin
4. Srum IgA levels will be low in patients with malabsoption

Patients with high serum cortisol will have a feverish feeling, I recommend that you get that done as well.

I hope I was of help, if you have any further queries please get back to me

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (13 hours later)

Hello,

So what specialist shall I go to? Gastrointestinal? Internal medicine?
Thank you.

Hello doctor,

I would also like to ask the followings:

1. I always see small bits of white substances in my stool. Is this a symptom of malabsorption?

2. Also, is frequent urination a symptom of malabsorption?

3. What is cause of malabsorption? Is it a serious health problem. What will be the treatment or cure?

4. What medical specialist shall I seek?

Please advise me. Thank you very much.

Answered by Dr. Rakesh Madhyastha (10 hours later)

Brief Answer:
Follow up

Detailed Answer:
Hello and good morning

I shall answer your questions one by one so that I do not miss any

1. Small bits of white substance could mean mucous, most often due to infection of the large intestine
2. Frequent urination is not a symptoms of malabsorption. It just means you are adequately hydrated if you are drinking more than 2 litres of fluids in a day. Sometimes it also means diabetes ( which you do not have)
3. Malabsorption is not a serious problem, it is sometimes due to genetic defect. Treatment is by taking multivitamins and minerals.
4. You have to see a good XXXXXXX gastroenterologist

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar