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I M 35 Years Old Un Married Male Working In

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Posted on Wed, 8 Jan 2020
Question: I m 35 years old un married male working in state job. I have been feeling like a feverish body for past one month. Though temperature is between 97 and 98 but fever symptoms like warm body and fatigue I n feeling for past one month. I went Apollo. They advised 7 blood test, urine m, X-ray, vitamin d and calcium test but all are normal except vitamin d test. It's score is 26. Means deficiency. Then I told doc that I feel a little bit discomfort in lower back. Though there is no pain but discomfort and when I bend I feel low grade pain. I go to gym. Though there has never been injury but some times I did heavy weight squat and dead lift. I never felt any injury type but yes I realised weight is heavy. This thing I told doc he did primary examination and found no exception. He advised for MRI but told that report will also come fine. So further he advised to do MRI after two months. I am off for the past one month. Doc gave vitamins d and calcium tablet for two months and advised sun exposure. But the deseased and feverish type and fatigueness body feeling not going away. My appetite is very good. Rest things are OK only due to feverish type sick body my urine is bit yellow or dark oftenly. Please advise me what to do. As I want to get rid of this situation.
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
I m 35 years old un married male working in state job. I have been feeling like a feverish body for past one month. Though temperature is between 97 and 98 but fever symptoms like warm body and fatigue I n feeling for past one month. I went Apollo. They advised 7 blood test, urine m, X-ray, vitamin d and calcium test but all are normal except vitamin d test. It's score is 26. Means deficiency. Then I told doc that I feel a little bit discomfort in lower back. Though there is no pain but discomfort and when I bend I feel low grade pain. I go to gym. Though there has never been injury but some times I did heavy weight squat and dead lift. I never felt any injury type but yes I realised weight is heavy. This thing I told doc he did primary examination and found no exception. He advised for MRI but told that report will also come fine. So further he advised to do MRI after two months. I am off for the past one month. Doc gave vitamins d and calcium tablet for two months and advised sun exposure. But the deseased and feverish type and fatigueness body feeling not going away. My appetite is very good. Rest things are OK only due to feverish type sick body my urine is bit yellow or dark oftenly. Please advise me what to do. As I want to get rid of this situation.
doctor
Answered by Dr. Dr. Antoneta Zotaj (1 hour later)
Brief Answer:
Needed tests and possible diagnosis explained below.

Detailed Answer:
Hello and welcome to Ask a Doctor service,

I carefully read your query and here is my advice.

I would do a TSH and FT4 test to make sure your thyroid is well. Also, you mentioned you did plenty of tests and mentioned some of them but I would like to make sure if you did ERS and PCR as these show when the body is fighting something.

Also, a basic metabolic profile (liver, kidney function blood tests, sugar level, lipids) are routine checks when there are general symptoms such as fatigue.
If all the checks come out normal and the doctor has not identified any signs of infection (physical examination and x-ray) then anxiety can be considered as the cause of your symptoms.

Please let me know if you have further questions. I would be glad to assist you further.

Kind regards,
Dr. Antoneta Zotaj,
General and Family Physician
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Dr. Antoneta Zotaj (0 minute later)
Brief Answer:
Needed tests and possible diagnosis explained below.

Detailed Answer:
Hello and welcome to Ask a Doctor service,

I carefully read your query and here is my advice.

I would do a TSH and FT4 test to make sure your thyroid is well. Also, you mentioned you did plenty of tests and mentioned some of them but I would like to make sure if you did ERS and PCR as these show when the body is fighting something.

Also, a basic metabolic profile (liver, kidney function blood tests, sugar level, lipids) are routine checks when there are general symptoms such as fatigue.
If all the checks come out normal and the doctor has not identified any signs of infection (physical examination and x-ray) then anxiety can be considered as the cause of your symptoms.

Please let me know if you have further questions. I would be glad to assist you further.

Kind regards,
Dr. Antoneta Zotaj,
General and Family Physician
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. Antoneta Zotaj (1 hour later)
Pathologist told there are many types in PCR. which pcr I need to do ma'am?
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
Pathologist told there are many types in PCR. which pcr I need to do ma'am?
doctor
Answered by Dr. Dr. Antoneta Zotaj (49 minutes later)
Brief Answer:
It is C reactive protein

Detailed Answer:
Hello again,

I mean C reactive protein. This is just to show that your body is fighting something or not. It does not show specifically what but if it is normal it is more reassuring.

Let me know if you have other questions. I remain at your disposal to further assist you.

Regards,
Dr. Antoneta
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Dr. Antoneta Zotaj (0 minute later)
Brief Answer:
It is C reactive protein

Detailed Answer:
Hello again,

I mean C reactive protein. This is just to show that your body is fighting something or not. It does not show specifically what but if it is normal it is more reassuring.

Let me know if you have other questions. I remain at your disposal to further assist you.

Regards,
Dr. Antoneta
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. Antoneta Zotaj (1 hour later)
I had already done it and result is 0.5. I think it's normal....anyway today I tested for thyroid and report will be ready by tomorrow...will let u know doctor...
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
I had already done it and result is 0.5. I think it's normal....anyway today I tested for thyroid and report will be ready by tomorrow...will let u know doctor...
doctor
Answered by Dr. Dr. Antoneta Zotaj (15 minutes later)
Brief Answer:
C reactive protein is normal.

Detailed Answer:
Hello and welcome back,

Yes, CRP of 0.5 is normal.
Please feel free to let me know how your thyroid tests will be tomorrow.

Kind regards,
Dr. Antoneta
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Dr. Antoneta Zotaj (0 minute later)
Brief Answer:
C reactive protein is normal.

Detailed Answer:
Hello and welcome back,

Yes, CRP of 0.5 is normal.
Please feel free to let me know how your thyroid tests will be tomorrow.

Kind regards,
Dr. Antoneta
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Antoneta Zotaj (11 hours later)
Please find attached report.. Thyroid is also normal and sugar also.... Then what's the problem with me?
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
Please find attached report.. Thyroid is also normal and sugar also.... Then what's the problem with me?
doctor
Answered by Dr. Dr. Antoneta Zotaj (3 hours later)
Brief Answer:
Thyroid tests are normal- further details below

Detailed Answer:
Hello and welcome back,
Thank you for the uploaded reports. The thyroid is normal as well.
The only tests I have not heard of are liver and kidney function tests (mentioned in the first message) and also a urinalysis (as you say the urine is sometimes dark). Did you already have a CBC to rule out anemia (very likely you did as it is a very common test but please check to make sure)?

If you wish you can upload these tests for me to examine and check if they are normal.
If all these tests come out normal then, in my opinion, the symptoms you are experiencing can be related to anxiety.

Let me know about the above tests.

Regards,
Dr. Antoneta Zotaj
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Dr. Antoneta Zotaj (0 minute later)
Brief Answer:
Thyroid tests are normal- further details below

Detailed Answer:
Hello and welcome back,
Thank you for the uploaded reports. The thyroid is normal as well.
The only tests I have not heard of are liver and kidney function tests (mentioned in the first message) and also a urinalysis (as you say the urine is sometimes dark). Did you already have a CBC to rule out anemia (very likely you did as it is a very common test but please check to make sure)?

If you wish you can upload these tests for me to examine and check if they are normal.
If all these tests come out normal then, in my opinion, the symptoms you are experiencing can be related to anxiety.

Let me know about the above tests.

Regards,
Dr. Antoneta Zotaj
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr. Antoneta Zotaj (46 minutes later)
Dear ma'am,
All these test as u mentioned above are already done and reviewed by here local doctor at Apollo. And all are normal.
I don't know if it's due to anxiety. Though I m living single but I m busy in my life. I play guitar, go to gym. I m not ruling out this possibility so If it's due to anxiety could u plz prescribe some medicine for some days. I'll see if it improves my condition.
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
Dear ma'am,
All these test as u mentioned above are already done and reviewed by here local doctor at Apollo. And all are normal.
I don't know if it's due to anxiety. Though I m living single but I m busy in my life. I play guitar, go to gym. I m not ruling out this possibility so If it's due to anxiety could u plz prescribe some medicine for some days. I'll see if it improves my condition.
doctor
Answered by Dr. Dr. Antoneta Zotaj (3 hours later)
Brief Answer:
Drugs for anxiety are prescription drugs and need a face to face visit- they can not be prescribed online

Detailed Answer:
Hello and welcome back,

I am glad that all the tests are normal.

Treatments for anxiety need a face to face consultation and can not be prescribed online.

You will need to talk to your local provider and ask for treatment for anxiety and be regularly followed up there. SSRI drugs are the first choice, quite effective and generally well-tolerated.

I hope this answers your query and is helpful to you. I remain at your disposal in case further medical assistance is needed.

Kind regards,
Dr. Antoneta

Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Dr. Antoneta Zotaj (0 minute later)
Brief Answer:
Drugs for anxiety are prescription drugs and need a face to face visit- they can not be prescribed online

Detailed Answer:
Hello and welcome back,

I am glad that all the tests are normal.

Treatments for anxiety need a face to face consultation and can not be prescribed online.

You will need to talk to your local provider and ask for treatment for anxiety and be regularly followed up there. SSRI drugs are the first choice, quite effective and generally well-tolerated.

I hope this answers your query and is helpful to you. I remain at your disposal in case further medical assistance is needed.

Kind regards,
Dr. Antoneta
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
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Dr. Dr. Antoneta Zotaj

General & Family Physician

Practicing since :2004

Answered : 4435 Questions

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I M 35 Years Old Un Married Male Working In

I m 35 years old un married male working in state job. I have been feeling like a feverish body for past one month. Though temperature is between 97 and 98 but fever symptoms like warm body and fatigue I n feeling for past one month. I went Apollo. They advised 7 blood test, urine m, X-ray, vitamin d and calcium test but all are normal except vitamin d test. It's score is 26. Means deficiency. Then I told doc that I feel a little bit discomfort in lower back. Though there is no pain but discomfort and when I bend I feel low grade pain. I go to gym. Though there has never been injury but some times I did heavy weight squat and dead lift. I never felt any injury type but yes I realised weight is heavy. This thing I told doc he did primary examination and found no exception. He advised for MRI but told that report will also come fine. So further he advised to do MRI after two months. I am off for the past one month. Doc gave vitamins d and calcium tablet for two months and advised sun exposure. But the deseased and feverish type and fatigueness body feeling not going away. My appetite is very good. Rest things are OK only due to feverish type sick body my urine is bit yellow or dark oftenly. Please advise me what to do. As I want to get rid of this situation.