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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fever, Muscular Pain, Headache, Body Shiver, Nausea, Abdominal Pain. No Dengue. Blood Test Normal. Help

hi doc... from the past 4-5 days m suffering from high fever(104) severe muscular pain,,severe headache,body shivers at night, nausea ,and severe abdominal pain too.... pls help me doc. i have shown 2 doctors before they suggested me platelets count and dengue test... fortunately my blood platelets are good in number n m not having any dengue.... till today doctors are only diagnosing no outcome till date... i am a student of 20 years and my exams are also going on... i cant study cuz of my severe problems...pls help me out i will b very thankful...
Tue, 22 Oct 2013
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Psychiatrist 's  Response
Welcome to health care magic!
I have read our question, the important aspects are: your on-going exams, high grade fever, muscular pain, abdominal cramps, headaches, nausea and night shivering. Your blood counts are normal.
You have not told what medicine you have been taking in the query.

As you are having exams, had I been your treating doctor, I would have gone for an injectable antibiotic (like cefotaxime or other cephalosporin, they are very useful in such cases)and antiemetic, this would control the illness faster compared to oral medicines. Antiemetic like (metocloperamide) will prevent nausea and vomiting and you will be able to eat.

It is not clear that when you got your blood counts done, but it is not bad to repeat them again, and also get an ultra sound abdomen because you have severe cramps. I strongly feel that you get a malarial parasite test and typhoid test (WIDAL) done, to rule them out.

Continue to eat something and take adequate water, in sips (may be electrol) to maintain hydration. if temperature goes high, go for cold compress over forehead and limbs, this will help in reducing fever.

Hope this answer helps you in getting better
Please feel free to ask if you have more queries.
Dr. Manisha Gopal


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Fever, Muscular Pain, Headache, Body Shiver, Nausea, Abdominal Pain. No Dengue. Blood Test Normal. Help

Welcome to health care magic! I have read our question, the important aspects are: your on-going exams, high grade fever, muscular pain, abdominal cramps, headaches, nausea and night shivering. Your blood counts are normal. You have not told what medicine you have been taking in the query. As you are having exams, had I been your treating doctor, I would have gone for an injectable antibiotic (like cefotaxime or other cephalosporin, they are very useful in such cases)and antiemetic, this would control the illness faster compared to oral medicines. Antiemetic like (metocloperamide) will prevent nausea and vomiting and you will be able to eat. It is not clear that when you got your blood counts done, but it is not bad to repeat them again, and also get an ultra sound abdomen because you have severe cramps. I strongly feel that you get a malarial parasite test and typhoid test (WIDAL) done, to rule them out. Continue to eat something and take adequate water, in sips (may be electrol) to maintain hydration. if temperature goes high, go for cold compress over forehead and limbs, this will help in reducing fever. Hope this answer helps you in getting better Please feel free to ask if you have more queries. Dr. Manisha Gopal