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Suggest Treatment For Mild Fever And Chills

Posted on Thu, 11 Feb 2016

Question: Sirs, I have had a low grade fever and chills in the afternoons for 3 or more months. It will climax like about bedtime! Legs and chest chill then the fever or heat concentrates in my chest and limbs get weak. The past two days have been bad almost all day!

Answered by Dr. Rakesh Madhyastha (5 minutes later)

Brief Answer:
One should rule out tuberculosis

Detailed Answer:
Hello

Thanks for the query

Low grade fever associated with weakness is most often tuberculosis. Here is how you should go about it

1. Get a thermometer and check the temperature when you are feverish. Most often it is just a feeling but temperature will be normal
2. If the temperature is more than 99.6F then get the following blood tests done
Urine routine, chest x ray, complete blood count, ultasound abdomen and pelvis.
3. Please get these things done as soon as possible and get back to me

I hope I was of help, if you have any further queries please get back to me

Regards

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Rakesh Madhyastha (1 hour later)

Are you saying it might be tuberculosis yes or no? Have not had the tb test!!
I have had chest x ray 2 different times - lungs are clear no effusion or infiltrate - heart normal size - mild left scrotal of the aorta noted.
Urine always normal except for specific gravity being low every time 1.005
Red blood cell count high 5.51
White blood cell count 9.5
mchc low 30.4

Why does my blood pressure spike like 149/95 when I feel the fever and chills??

Thank you for starting to help me my local Dr. wants to send me to Internal Drs.

Answered by Dr. Rakesh Madhyastha (9 hours later)

Brief Answer:
Follow up

Detailed Answer:
Hello

Thanks for getting back.

At the outset I would like to clear it out to you that Tb is treatable and nothing to worry about. Here are the answers to your questions

1. I saying that it might be Tb. Yes
2. Tb need not always be in the lungs. Most often than not it is is the lymph nodes which wont be visible on an x ray
3. Please tell me lymphocyte count and ESR. You must get a Mantoux test for Tb
4. It is normal to have slightly higher blood pressure when there is an active infection or fever

It is a good idea to go to a internal medicine physician or a infectious disease specialist

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Rakesh Madhyastha (4 hours later)

Sir,1. ESR on Dec. 15 blood work was 3 Which lymph do you need lymph #1 was 2.5 on one report then # 1 was 3.3 later OR
lymph % 31.5 on one report then 35.2 ??

Thank you again

Answered by Dr. Rakesh Madhyastha (8 hours later)

Brief Answer:
High lymphocte

Detailed Answer:
Hello

Thanks for getting back. High % of lymphocyte is indicative of tuberculosis. Your ESR is within normal limits
Please get the tests I have asked you to get done.
Did you measure your temperature? What was the temperature

Regards

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

Follow up: Dr. Rakesh Madhyastha (4 hours later)

I am trying to understand which lympe test was high the 2.5 and 3.3 or the 31.5 and 35.2 did not say anything about either being high on my reports so thank you for finding it but what is normal %

I am calling tomorrow for a Mantoux test
My temperature is 99.1 and two hrs later 99.3
My temperature normally run about 96.7 to 97.4 when it gets even to 98 I start feeling like I have a flu even at 98.6 it's high for me

Please inform me what normal lymphocyte is
Thank you again

Answered by Dr. Rakesh Madhyastha (11 hours later)

Brief Answer:
Body temperature

Detailed Answer:
Hello

Thank you for following up with my suggestions. Normal body temperature ranges upto 99.6F but since you are symptomatic it has to be taken as positive.
In my lab 25% is the usual cut off for lymphocytes, 35% is a high normal reading and has to be investigated since you are symptomatic.

Regards

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

Follow up: Dr. Rakesh Madhyastha (2 hours later)

Thank you very much how does one hold on and stay up feeling so bad and and appointments are made for 2 weeks away? I have no strength left
Thank you for giving me some understanding.
Just looked at lymph % on my family DR. report and scale is 10.0 - 58.5 and you may be correct. Is that cut off too high 58.5???

Thank you and hope to hear from you

Answered by Dr. Rakesh Madhyastha (19 hours later)

Brief Answer:
Depends on age

Detailed Answer:
Hello

Thanks for getting back

58.5 is a high cut off for lymphocytosis. However based on your previous values your lymphocytes have increased which is an indication of an ongoing infection.

Are you saying that you wont be able to meet even a GP till third week of january?

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj