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Hello I Had A Few Days (3-4) Of Constipation Following

Posted on Fri, 12 Oct 2018

Question: Hello
I had a few days (3-4) of constipation following which which i had 30 ml of Lactuluse Duphalac given to me yesterday to clear the bowels. The bowels were cleared but i started feeling feverish from early monring with temparatures running between 37.2 to 37.6 C wiht a light headache . What can be the reason of fever right after bowel evacuation. I dont have throat infection or dont seem to have any stomach infection

Answered by Dr. T Chandrakant (43 minutes later)

Brief Answer:
Most probably viral as you have headache too, although mild.

Detailed Answer:
Hi.
Thanks for your query.
Noted the history and understood the concerns well.
Please give additional information for me to assist you better:
Does anyone in family or at work have symptoms of Viral infection?
Do you have any urinary complaints?

Well, it is not really known to have any fever or headache after bowel evaluation with medications unless the fecoliths were attached with colon mucosa causing mild ulceration or so.
Hence the probable reason can be unrelated.
Also watch for development of any other symptoms.

Awaiting for your feedback.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. T Chandrakant (11 minutes later)

Hello Doc , Nobody from the family has viral. I eat outside home twice so not sure if i caught any virus from food or water.
I have weakness too

Follow up: Dr. T Chandrakant (0 minute later)

No Infection in ENT/Lungs

Answered by Dr. T Chandrakant (14 minutes later)

Brief Answer:
Please take Paracetamol.

Detailed Answer:
Thanks for your feedback.
You may please take Paracetamol as per the weight and watch for further development if any.
Please let me know the progress.

Take care.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. T Chandrakant (30 minutes later)

OK doc. Taking the same . But not able to ascertain the cause of fever.

Answered by Dr. T Chandrakant (2 minutes later)

Brief Answer:
Let us see the results of Paracetamol and see for progression

Detailed Answer:
I can understand.
We can know the cause only if there are any specific symptoms or signs that can be attributed for the present symptoms that are mild.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. T Chandrakant (17 hours later)

I went to the Hospital here and have attached the reports . Kindly check doc.

Follow up: Dr. T Chandrakant (3 hours later)

Hello Doc, i have attached my blood and urine work reports. Please let me know your views.

Answered by Dr. T Chandrakant (24 minutes later)

Brief Answer:
What is the clinical situation at the moment?

Detailed Answer:
Thanks for your feedback.
Seen the reports.
What are the symptoms today?
How are you now?

We have to correlate the reports with the clinical picture to have more useful information as simply going through reports is inadequate.
Awaiting.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. T Chandrakant (17 minutes later)

The fever has come down today. Feeling much better. Although some feverish and weakness exists. Does high neutrophils and high CRP mean a bacterial infection. Still not able to locate where the infection is.

Answered by Dr. T Chandrakant (2 hours later)

Brief Answer:
As detailed below.

Detailed Answer:
Good question.

High C-reactive protein indicates inflammation somewhere but it's not specific.
Neutrophils can be raised even as the response of the body to any challenge. Since your total white count is normal and if there is a clinical improvement there is nothing much to worry about it.

I hope this answer helps you further.
Please let me know the progress.

Take care.
Wishing you an early and complete recovery.

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Arnab Banerjee