Suggest Treatment For Intermittent Fever

Posted on Mon, 7 Sep 2015

Question: Hi Doctor I was admitted under you at Gmc in 2008 for hepatosplenomegaly.
The I was instructed to go to Bombay hospital.i visited there but I was treated only for chronic malaria.
I was feeling better from there.but there is some intermittent fever sometimes also.please suggest what needs to be done here.thank you in advance for your advice
Regards XXXXX

Answered by Dr. Dr. BR Hudda (1 hour later)

Brief Answer:
Please provide more information for proper assessment of the condition

Detailed Answer:
Hello Mr XXXXXXX
I had gone through your question very diligently and i will try to help you out in best possible way.

It was in 2008 when you were diagnosed as hepatosplenomagely, here I would like further information for better assessment of the condition
How frequently you are having fever?
How's your appetite during an episode of fever or in between
Are you passing yellowish colored urine
Have you lost weight
Have you seen an doctor or ordered any investigation please upload me the reports

In my opinion we need to identify the underlying cause for long standing fever through detailed history and a battery of investigations like blood for hemoglobin, CBC, Liver and kidney function test, sputum test for tuberculosis and urine microscopy.
Meanwhile you should boost your immunity by having well balanced diet with all the essential nutrients and multivitamin or minerals supplements if need be.
Please write back to me with these details so that I will be able to tell you more accurately
Best wishes

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Dr. BR Hudda (22 hours later)

Hello Doctor,

Please see below reply for your questions

How frequently you are having fever? Mostly on the Weekend – (Temperature is around 101 to 102Farenite and sometimes the fever goes even if I do not take any tablet. But I normally take calpol tablet.
How's your appetite during an episode of fever or in between. When there is fever appetite is not good . But if there is no fever then appetite is good.
Are you passing yellowish colored urine. Urine is somewhat Orange in color
Have you lost weight . Weight is fluctuating between 48kg to 50 kg
Have you seen an doctor or ordered any investigation please upload me the reports. I have attached my old reports and discharge certificates.

Please advice what are the tests that I need to do ?
Also suggest how to boost my immunity please be specific of what I need to eat and also what are minerals supplements that I need to have.
Thanks

Answered by Dr. Dr. BR Hudda (5 hours later)

Brief Answer:
Please consider these guidelines

Detailed Answer:
Hello
Welcome again and thanks for the details
I have gone through all the reports you have uploaded
Splenomegaly with anaemia (low hemoglobin) is a matter of concern.
Since it was 2008, almost 7 years back, in which HRCT was suggestive of fibrotic lesion in lung areas with high ESR and history of weight loss(not so significant), I would advise you for battery of tests like blood for hemoglobin, CBC, PBS for cell morphology and type of anaemia, sputum test for tuberculosis and an HIV test with repeat ultrasound, for confirmation of diagnosis.

You need not to worry even anaemia can cause low grade fever due to fatigue
In my opinion you should consult a nearest doctor for above mentioned investigation, physical examination and to establish a diagnosis.
Immunity booster food are all the fruits and vegetables with meat and meat products, milk and diary products
you can take multivitamin especially B complex and vitamin C
Chayanprash you can take daily.
Minerals like Iron, calcium, manganese , zinc and copper is advisable.

Hoper this answers your question
Best wishes

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Above answer was peer-reviewed by : Dr. Neel Kudchadkar