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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Low Grade Fever, Neck Pain. Taking Aleve For Back Pain

I m a 41 year old, Caucasian female with no significant medical problems and I have not traveled internationally. I have been experiencing a low grade fever for the past month and a half that fluctuates over a 24 hour period. I graphed it over time and as long as I m lying down, my temperature is normal (at night or if relaxing for more than an hour) but then quickly increases when I m on my feet (e.g., goes from 96.6 to 99.8 within the first hour of the day). During the day it ranges from 99.5-100.5 (taken with a digital ear thermometer ) and does not return to normal until I lie down again for at least an hour. I take Aleve for back pain twice daily but antipyretics (neither Aleve nor Ibuprofen ) do not impact the fever (I ve tried taking it and not taking any for a few days). The only other symptom I ve experienced is some minor neck pain . I have not felt fatigued any more than normal. I work from home and was hoping to avoid going to the doctor because I don t want to get exposed to more viruses etc. since I haven t had a flu shot yet. I have been waiting to get one until I can go 48 hours without a fever but it hasn t happened in the past six weeks.
Wed, 12 Jun 2013
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Internal Medicine Specialist 's  Response
You need to check your pulse rate along with the temperature. and also it would be helpful if someone can check your sleeping pulse rate. All these is to check on any possibility of hyperthyroidism. I would suggest you some lab tests to confirm the same or rule out any infectious etiology i.e; complete hemogram, urine routine, RBS, Thyroid function test
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Low Grade Fever, Neck Pain. Taking Aleve For Back Pain

You need to check your pulse rate along with the temperature. and also it would be helpful if someone can check your sleeping pulse rate. All these is to check on any possibility of hyperthyroidism. I would suggest you some lab tests to confirm the same or rule out any infectious etiology i.e; complete hemogram, urine routine, RBS, Thyroid function test