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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fever, Pain In Lungs, Legs, High ESR. Normal Test Results. Treatment?

Dear Sir
Every mid of the day i feel fever approx 99.3F and evening it is automatically resolved and next morning i feed batter. after noon at 1.00Pm i again feel fevers and pain in my both lugs down the knee and i feel heat in my eye also.
I have done the following test Malaria
Typhoid
Dengue
PCR for TB
Blood culture
Mentos Test
X ray
all test having -ve results but My ESR is High 43.
Kindly guide me what to do for my health. My doctor suggest me you are fine but i am not feeling well .pain in my legs .

Kindly gude me

Regards
Hemant

Mon, 23 Sep 2013
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General & Family Physician,  's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Since you mentioned that there is negative tests for typhoid,malaria, T B , dengue.
E S R 43 mm of Hg, few doctor say that this is not specific ,but I don't agree .
As you are complaining that there is evening rise of temperature and pain in both legs ,including feeling of weakness.
In my opinion these type of symptoms may be due to ,
1 Hepatitis i.e. jaundice
2 Typhoid once again get in examination
3 Tuberculosis , although you are not complaining about cough , but evening rise of temperature is an indication of tuberculosis .
4 Tension fever I have seen in my many patients and call as ANXIETY FEVER.
In my opinion consult one more physician and get his opinion regarding above mentioned disease.
Good luck. D r. HET
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Fever, Pain In Lungs, Legs, High ESR. Normal Test Results. Treatment?

Hello, Thanks for the query to H.C.M. Forum. Since you mentioned that there is negative tests for typhoid,malaria, T B , dengue. E S R 43 mm of Hg, few doctor say that this is not specific ,but I don t agree . As you are complaining that there is evening rise of temperature and pain in both legs ,including feeling of weakness. In my opinion these type of symptoms may be due to , 1 Hepatitis i.e. jaundice 2 Typhoid once again get in examination 3 Tuberculosis , although you are not complaining about cough , but evening rise of temperature is an indication of tuberculosis . 4 Tension fever I have seen in my many patients and call as ANXIETY FEVER. In my opinion consult one more physician and get his opinion regarding above mentioned disease. Good luck. D r. HET