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Hi, My Wife Age 23 Years Old, Got Fever 2

Posted on Mon, 22 Jul 2019

Question: hi, my wife age 23 years old, got fever 2 days back. she is taking paracetamol dolo 650 1-0-1 for 2days, the fever reside when the tablet is in effect but again start after 5 hours. she feels chilness during fever and there is no cold or cough please suggest tablets

Answered by Dr. Dr. Prasad J (39 minutes later)

Brief Answer:
Need some more information...

Detailed Answer:
Hi,

I would like to know if she has:
- body ache, weakness, joint pain, easy tiredness?
- rashes?
- nausea, vomiting, loose stool?
- burning sensation while passing urine?

Awaiting your response...

Regards

Above answer was peer-reviewed by : Dr. Prasad

Answered by Dr. Dr. Prasad J (12 minutes later)

Brief Answer:
most likely a viral illness...

Detailed Answer:
I assume there is no burning sensation while passing urine.

In this context the symptoms related to a viral infection. It is a self limiting infection and will settle down in a few days (3-5 days). She can continue taking paracetamol (dolo 650mg) 3-4 times a day instead of twice a day. In addition I will encourage to drink plenty of fluids. Fruits and vegetables will benefit her.

There is no need to add any more medications as viral infection resolves spontaneously. However if she has persistent vomiting / diarrhea or has severe joint pains or if the fever persists beyond 5 days, she should get a few blood test done.

Hope this helps. Let me know if you need any other information.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Prasad J (4 minutes later)

she has weakness bodyache and tiresness nausea but no vomit

Follow up: Dr. Dr. Prasad J (2 days later)

Hi, My wife has still not recovered from illnesses. The doctor had suggested for cbc test. i will attach the report for your reference. she feels tiredness all the time. after eating or drinking something, she feels like to vomit. fever has reduced, only in evening she will have bit fever Please suggest any antibiotics.

Follow up: Dr. Dr. Prasad J (1 hour later)

please suggest

Answered by Dr. Dr. Prasad J (2 days later)

Brief Answer:
Blood report is normal...

Detailed Answer:
Apologies for the late reply....

I went through the report attached. CBC report doesn't reveal any alarming abnormality. The eosinophil differential count is above average; but the rest are within limits. This type of picture is not typical of a bacterial infection. However if she persists to have high grade fever in the evening, she will need further tests such as a urine routine / microscopy; Widal; Typhidot and dengue serology (if deemed appropriate). A blood culture may also be necessary based on physician's discretion.

That being said, some times residual weakness, tiredness and nausea remains for a few days after a viral infection. It would gradually get better in the next few days. I hope she is alright now. If she isn't yet, let me know.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Prasad J (37 hours later)

hi, i did dengue test, and also the blood culture, both the reports come as negative. now her fever has recided completely, but the doctor has suggested antibiotics for her, which she is continuing for 5 days

Follow up: Dr. Dr. Prasad J (7 minutes later)

on Saturday i also got high fever 101.7, i went to doctor he gave antibiotics cepodem 200 1-0-1, omez 1-0-1 and dolo 650 1-1-1, since i have a history of gastritis Gerd, if i take the antibiotic, i feel like vomiting and i have vomited 3 times. so i have stopped the antibiotic from today morning the fever has reduced and continuing dolo. please suggest

Answered by Dr. Dr. Prasad J (12 hours later)

Brief Answer:
if you feel better without antibiotics, then you need not take it....

Detailed Answer:
Hi,

Antibiotic is not absolutely necessary for a viral infection. But if there are features of bacterial superinfection then it should be taken. From what I understand your wife is on recovery now. She should complete the antibiotic course as recommended by the doctor.

In your case though, if you are feeling ok (no nausea or vomiting) without antibiotic you may stop it. However it is advisable to let your treating doctor know about it. He/she will suggest an alternative if it is essential.

Hope this helped. Let me know if you need clarifications.

Regards

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