My Father R M Bhatnagar Is Having Low Grade Fever

Posted on Sat, 20 Oct 2018

Question: My father R M Bhatnagar is having low grade fever since 15th Sep. Fever ranges from 98.8 to 99.9. After having medicine fever breaks and then comes back after few hours.

We have got CBC and Widal test done twice but both shows negative.

I am attaching the prescription of 2 doctors that we have visited in last 12 days. Also, I have attached the Blood test report, where we have results for CBC, Widal and LFT tet done today.

Request you to please guide.

Can you please answer:

1) Does it looks to be a case of Typhoid

2) Does it requires hospitalization

3) Fever is for more than 12 days, should we continue with Paracetamol

4) Fever is not coming down, what should be our next steps

Here is the Temperate and BP chart since yesterday:

26th Sep ------

7 AM -------------- 98.9 'C

8 AM -------------- 99.1 'C & BP - 118/78/93

10 AM ------------ 99.1 'C & BP - 116/79/91

11 AM ------------- 99.5 'C

1 PM -------------- 99.1 'C

3 PM -------------- 99.2 'C

7 PM -------------- 99.5 'C

9 PM -------------- 99.5 'C & BP - 136/77/94

27-Sep

6:15 AM -------------- 98.6 'C & BP - 121/80/98

12:00 PM ------------ 99.5 'C

6:00 PM ------------ 99.7 'C

Regards,

Varun Bhatnagar

+91 0000

Answered by Dr. salah saad shoman (1 hour later)

Brief Answer:
Hepatic or gallbladder condition together with diabetes

Detailed Answer:
Dear sir, I have gone through your question and I understand your concerns but the test results indicate a liver or a gall bladder condition which could be anything from hepatitis, liver tumor, gallbladder stones or cholecystitis.. so I would recommend that you get a blood test for hepatitis marker together with an ultrasound abdomen to exclude liver or gallbladder abnormalities..
Another thing is that the test results show diabetic condition. so I would recommend that you get a blood test for blood glucose levels both fasting and postprandial and refer to your doctor for metformin or insulin prescription according to the blood glucose level. I hope you find this helpful. if you don’t have any other clarifications then please close the discussion.

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