HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Causes Fever With Appetite Loss And Heaviness In Stomach?

Posted on Tue, 22 Jul 2014

Question: I m diabetic, for last 15 days suffering from fever , loss o appetite, heavy XXXXXXX in stomach weakness, plz guide! Used Ceftas 10 tab!

Answered by Dr. Anshul Varshney (11 minutes later)

Brief Answer:
I need further details.

Detailed Answer:
Dear Friend.
Welcome to HCM.
Diabetics are prone to infection specially Urinary Tract infection.
They are at risk of developing diabetic ketoacidosis which is a life threatening condition.
I would like to know following:
1. How high is the fever?
2. Any burning in urine?
3. Any cough expectoration?
4. Any loose stools?
5. How much is your blood sugar at present ?
6. What medicines are you taking for diabetes?

Revert with these details for a better help.
Stay Healthy.
Dr Anshul Varshney.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anshul Varshney (14 hours later)

I m using Gly kind M daily 2 and Galavas 50 one daily , fever 99-100 daily comes in the afternoon. No loose motions, no burning while urination , only uneasy feeling, as if bladder is filled. Blood sugar fasting is 130-140, post lunch is 180-190 ( without Galvas50) now I started Galavas 50 for last 3 days.no cough but when I gargling flem coming out from stomach in the morning!

Answered by Dr. Anshul Varshney (3 hours later)

Brief Answer:
Get Investigated

Detailed Answer:
Dear friend.
At this blood sugar levels, there are minimal chances of Diabetic Ketoacidosis.
Only matter of concern is your persistent fever.
The flem coming out from stomach might be due to acidity and reflux. For this purpose, you can take a combination of Pantoprazole and Domperidone once a day.
For fever, you should get evaluated. Get following investigations:
1. Chest Xray
2. Hemogram
3. KFT and LFT
4. Urine R/E
5. Widal test
Till the reports are available, you can take Paracetamol as on when required basis.
I would suggest you to start on Pantoprazole and Domperidone combination and to review with the reports.
If you have any further query, please ask me.
Stay Healthy

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anshul Varshney (33 hours later)

Dear Dr..thank you, now fever not there, got CBP tested( Normal), RBS (103),urinegot examined (Normal) urine culture report awaited, but in Abdomine Scane it found Ascites..report enclosed. Except this all appeared normal..plz guide.

Answered by Dr. Anshul Varshney (18 minutes later)

Brief Answer:
Detail Follows.

Detailed Answer:
Dear Friend.
So this is a new finding, that is Ascites.
Invariably, this would required evaluation. I would now advice you following:
1. To get an ultrasound guided ascitic tap done and send it for Sugar, Protein, Cell Count, ADA.

2. Get an Echocardiography done to see for status of heart.

Don't take any antibiotics without discussing with your doctor because in case you take an antibiotic which is also an anti tubercular drug, TB would be masked. Since you are a diabetic so there are chances that the abdominal ascites might be Tubercular Ascites.
If you have any further query feel free to ask me.
Stay Healthy.

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj