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What Causes Low Grade Fever?

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Posted on Wed, 19 Nov 2014
Question: hi sir
i have low grade fever for last 6 month
Dear sir last six month i m running with low grade fever around98.6 to XXXXXXX 99.2 and i m felling tired all the time and pain in my XXXXXXX calfwanted to know the temprature which im running is that the fever me fe
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (1 hour later)
Brief Answer:
This is not fever

Detailed Answer:
Dear XXXXXXX
Thanks for using healthcaremagic.

The normal temperature of the humans is 98.6-+0.7 which means temperature from 97.9 to 99.3 degree falls within normal limits..

One of the most commonly referenced text book mentions that "According to studies of healthy individuals 18–40 years of age, the mean oral temperature is 36.8° ± 0.4°C (98.2° ± 0.7°F), with low levels at 6 a.m. and higher levels at 4–6 p.m.
The maximum normal oral temperature is 37.2°C (98.9°F) at 6 a.m. and 37.7°C (99.9°F) at 4 p.m. In light of these studies, an a.m. temperature of >37.2°C (>98.9°F) or a p.m. temperature of >37.7°C (>99.9°F) defines a fever. "

I mean to say that your temperature range falls within normal limits and it is not a fever.

Regarding your other symptoms it appears to me that you are having some nutritional deficiency which can cause similar symptoms and run a chronic course.
I advise you to take multivitamins for a duration of four weeks. I am hopeful that following multivitamins your symptoms will improve.
I also advice you to get "complete blood count with ESR" report from your nearby laboratory. This will help us in identifying most common abnormalities in your blood.

Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
Thanks and regards
Dr Ashok Kumar
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (17 minutes later)
sir i had been the Esr test it was just 16 and my wbc-27200 rbc also in normal catgory and and i tasred periperial blodd simer it shows that acute infection what thus it mean can u suggest me do i need to consult the doctor and particulary my tempartue in morning 6 am is 98.5 and evening 9 o clocing it is 99.1 plese suggest me what do do
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (6 minutes later)
Brief Answer:
Your WBC is too high and indicates infection

Detailed Answer:
Dear XXXXXXX
Thanks for revering back to me.

27200 WBC is definitely normal and need further evaluation.

I request you to attach the complete report with follow up query so I can see and give my opinion about reports.

Thanks and regards
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (11 minutes later)
sir right now report are not with me with upload in tommrow in mean while what is acute infection in periferial bllod seamer may i have he idea plese sir
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (6 minutes later)
Brief Answer:
It means recent infection and not for a long time

Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.

The acute infection means that it is recent one and not present in body for months or years. For exmple infection of tuberculosis is chronic infection as it remains in the body for years.

On the other hand conditions like malaria, typhoid, viral fever are acute infection as they remain in the body for short period.

In the peripheral blood smear it is identified by the no, of lymphocytes ar neutrophils present. If nutropphils (a type of blood cell) are increased that indicates acute infection and if lymphocytes (a type of blood cell) are increase that point towards chronic infection.

Your blood report clearly indicative that you need antibiotic treatment to control the infection. As the antibiotics are prescription only medications, I request you to see a doctor in your city with your reports.
He may ask for another test for confirmation of infection or to find out the exact cause of infection in your body.

Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
Thanks and regards
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (3 minutes later)
sorry sir i have worngly enter that my wbc is-27200 is not actuly that the actuly wbc-7200 neutrophils-72, lymphocytes-27, monocytes-02, eosinophils-10 and basophils-0. this what the differential
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (6 minutes later)
Brief Answer:
This is almost normal report with slight infection

Detailed Answer:
Dear XXXXXXX
Welcome back.

The current report is almost normal and do not indicate much infection. There is possibility that you are having mild infection but the possibility is very remote.

In my view it is better to take second report from a standard laboratory as this report does not indicate anything related to your symptoms of six months.

Once you get the another report feel free to write back to me. I will be glad to assist you.
Mean time have a course of Multivitamins and stop worrying about any thing as there is nothing serious.

Thanks and regards
Note: In case of any other concern or query related to prevention, evaluation, diagnosis, treatment, or the recovery of persons with the any type of addiction or substance use, follow up with our Addiction Medicine Specialist. Click here to book a consultation now.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3350 Questions

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What Causes Low Grade Fever?

Brief Answer: This is not fever Detailed Answer: Dear XXXXXXX Thanks for using healthcaremagic. The normal temperature of the humans is 98.6-+0.7 which means temperature from 97.9 to 99.3 degree falls within normal limits.. One of the most commonly referenced text book mentions that "According to studies of healthy individuals 18–40 years of age, the mean oral temperature is 36.8° ± 0.4°C (98.2° ± 0.7°F), with low levels at 6 a.m. and higher levels at 4–6 p.m. The maximum normal oral temperature is 37.2°C (98.9°F) at 6 a.m. and 37.7°C (99.9°F) at 4 p.m. In light of these studies, an a.m. temperature of >37.2°C (>98.9°F) or a p.m. temperature of >37.7°C (>99.9°F) defines a fever. " I mean to say that your temperature range falls within normal limits and it is not a fever. Regarding your other symptoms it appears to me that you are having some nutritional deficiency which can cause similar symptoms and run a chronic course. I advise you to take multivitamins for a duration of four weeks. I am hopeful that following multivitamins your symptoms will improve. I also advice you to get "complete blood count with ESR" report from your nearby laboratory. This will help us in identifying most common abnormalities in your blood. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback. Thanks and regards Dr Ashok Kumar