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What Does This Blood Report For Recurrent Fever Indicate?

Posted on Sat, 3 Dec 2016

Question: hi there

my wife had in her blood test

white cell : 9
CRP : 12
VSH : 65
Fibrinogen : 720

they said she have inflamation due to virus infection
like flu

they presccribe her anti -anflamation medecine
piroxicam

what she need in her case is that a suitable treatment ?

she is giving milk to our daughter 1 year 7 monthes .
can she take this medecine while she giving milk . if she give milk to the baby and then she take the medecine and after 8 hours she give milk again ?

Answered by Dr. Naval Mendiratta (31 minutes later)

Brief Answer:
Flu treatment

Detailed Answer:
good evening

Well reports are not too alarming. But I would like. to know her symptoms for which medicine has been prescribed...

The safest medicine is to take paracetamol... Incase the need for stronger anti inflammatory arises, the drug of choice In breast feeding mothers is ipubrufen.. it is short acting. lasts for 4 hours and she can take it after feeding the baby

But let me know her symptoms and will let u know if the drug is needed or not

regards
Dr naval

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

Follow up: Dr. Naval Mendiratta (19 minutes later)

well she have irritable cough . and slight fever 37.8 and she feel pain in her muscles and some chills .

3 days ago she took only paracetamol she had fever 38.5 - 39 after 3 days of fever she woke up morning with red hitchy all over her body we took her to emergency they made her the test and it went out like i sent u . they made her perfusion and immediatly the allergy disapear and felt better . they prescribed her piroxicam .

but she didnt take it she s afraid about affecting our babies she felt better for 2 days
now she have fever again 37.7 i am afraid she will feel bad again like before.
any more information u need i will be glad to provide

what do u think the cause and suitable treatment
thank u

Answered by Dr. Naval Mendiratta (13 hours later)

Brief Answer:
Viral Fever

Detailed Answer:
good evening

Well, it does look like an infection only. Probably started as Viral and which went away, but the recurrent fever does seem like a bacterial infection has superimposed on it.. The CRP and ESR levels are quite high, which does go against the Viral infection...

I would suggest she start a course of antibiotics as well...Paracetemol/Piroxicam are only for symptom relief, not for the cure of the flu..Maximum you can wait for a couple of days, but since you say fever is persisting antibiotics would be needed...

As for her, safest is Brufen 400 mg to be taken after feeding. it wont harm the baby as the effect wears off within 4 hours

hope the information was useful

Do let me know for more queries

Regards
Dr naval

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

Follow up: Dr. Naval Mendiratta (23 minutes later)

thank u dr for ur help ..what antibiotic she can take , dosage and for how long . thank u

Answered by Dr. Naval Mendiratta (8 hours later)

Brief Answer:
Antibiotic

Detailed Answer:
GOod evening

Well, the safest for her will be Augmentin Duo twice daily, provided she has no allergy to any other medicines before. But I would still suggest, you get an opinion from your GP as he can physically examine the patient before starting the medicine

Regards
Dr Naval

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

Follow up: Dr. Naval Mendiratta (1 hour later)

for how long to take it u suggest ?

Answered by Dr. Naval Mendiratta (8 hours later)

Brief Answer:
Antibiotic course

Detailed Answer:
good evening

Well. the duration is for 5 days. that would. complete the course of it

Regards
Dr naval

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

Follow up: Dr. Naval Mendiratta (42 hours later)

dear dr
how long can i keep taking ibuprofen 200 mg per day ? to treat my throat inflamation

Answered by Dr. Naval Mendiratta (8 hours later)

Brief Answer:
Throat inflammation

Detailed Answer:
Good evening

Well throat infection doesnt last more than 2-3 days.. If it is still persisting you should get checked from inside, if anything else can be there. Also do some gargles with warm water to help lower the inflammation... moreoever antibiotics you should start if it is still persisting

Do let me know for more queries

Regards
Dr naval

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Naval Mendiratta (8 minutes later)

i been to many ENT dr s all said its throat inflamation nothing else but its not curing.
i took ibuprofen 200 mg twice per day for 2 weeks . i stopped it today .it helped me alot it is harmfull ? i read that its bad for stomac and kidney
200 mg of ibuprofen twice per day for 2 weeks the course i took is it safe or its bad what i did

thank u

Answered by Dr. Naval Mendiratta (10 hours later)

Brief Answer:
Ibuprofen dose

Detailed Answer:
Good evening

Well, there has to be something wrong if the throat inflammation is going on for 2 weeks... Ibuprofen is helpful in relieving the pain and inflammation but not treating the cause for it.

For that, if it is not improving, ask the ENT if a swab from the throat will be helpful in determining which is the bacteria causing it...? So you can take adequate treatment for it...

But dont worry about side effects. You were on a very minimum dose( MAximum permitted dose is 2400 mg) and short period. These sort of doses are not harmful ...Obviously if you keep taking then we have to expect more side effects

But your throat thing needs to be sorted out

Hope the information was useful

Do let me know for more queries

REgards
Dr naval

Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

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