Brief Answer:
you having infection dear.
Detailed Answer:
Hi,
Now you came out with the main thing - the
fever. If you had told this at the first time only, things would had been so much simple.
See, the pain you you have described till now is typically seen in sub-diphgramatic collection, which is seen in infection. And this also explains your hepato-spleenomegaly.
Now get the
blood test done, say in the lab that you need a 'complete blood count' and with that show it to a local doctor, as you need to be started on antibiotics, asap.
Also as your usg is not showing any collection, you need to get a
CT scan done. I dont kown how difficult it will be with your work visa to get it done; but I feel it is needed. Ask for a contrast enhanced ct scan of the abdomen. But for this they will need to know your
creatinine clearance. So along with the complete blood count, also get a 'renal profile test' done at the same time. Also if possible, and if its done there, get tested for 'malarial antigen', '
widal test' and 'HIV' in the same sitting.
Though your fever is not classical, but in India the most common infectious causes for hepatospleenomagaly with fever are malaria,
typhoid and HIV. So it will really help if these can be ruled out at the first go itself.
Please do get these blood tests done asap, as you need to be started on antibiotics.
You can take fruits and vegetables along with cornflakes twice a day.
Regards
Dr. Ashish Verma