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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fever, Cough And Headache

I am sore all over,slight féver ,have been treated for neuro-endocrine carcinome,3 major surguries small intestines,after first operation,one week and I had bowel busted apart,my second operation,thenhad to have a stomie(bagfor smallintest.)have been sickly.Its been 5 days and I also have bit fever,cough,aches,headache,,very tired,pain(not extreme )above reconnected stomie.Nothing extreme but should I worry?Almost a year since last surgery,thé 3rd.All 3surgerys in 6months.Take 2 or 3 Tylonels a day,but 15 hrs. at least a day in bed.Daniel
Mon, 6 Oct 2014
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  User's Response
Hi, thanks for posting your concern in the HCM.
Fever, cough, generalized weakness, body ache and head ache and increased fatigue suggest that you have got some recent infection or there may be some ongoing inflammatory activity from your known carcinoma. The presence of chest symptoms along with them particularly suggest evaluation for any chest infection or pneumonia.
Alogwith that considering your past history, and the fact that you have been having Tylenol for long, I think you should have a detailed clinical examination by your treating physician and several investigations.
You may need the following investigations-
Complete blood count, urea, creatinine, electrolytes, LFT, Malaria dual antigen, NS1 antigen, CRP, blood culture
Urine for routine examination
Stool for routine examination and OBT
USG whole abdomen
Chest Xray PA
Sputum for gram stain and AFB
Please don't delay in consulting your local physician. The medical history of yours suggest that you may have compromised immune status and any infection would disseminate fast if prompt actions are not taken.
Please maintain good hydration and healthy diet and avoid any form of stress. You had the ability to fight cancer. Now, you can fight an infection too. So, please don't be anxious.
For any further information, please write back to me directly.
Regards.
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Suggest Treatment For Fever, Cough And Headache

Hi, thanks for posting your concern in the HCM. Fever, cough, generalized weakness, body ache and head ache and increased fatigue suggest that you have got some recent infection or there may be some ongoing inflammatory activity from your known carcinoma. The presence of chest symptoms along with them particularly suggest evaluation for any chest infection or pneumonia. Alogwith that considering your past history, and the fact that you have been having Tylenol for long, I think you should have a detailed clinical examination by your treating physician and several investigations. You may need the following investigations- Complete blood count, urea, creatinine, electrolytes, LFT, Malaria dual antigen, NS1 antigen, CRP, blood culture Urine for routine examination Stool for routine examination and OBT USG whole abdomen Chest Xray PA Sputum for gram stain and AFB Please don t delay in consulting your local physician. The medical history of yours suggest that you may have compromised immune status and any infection would disseminate fast if prompt actions are not taken. Please maintain good hydration and healthy diet and avoid any form of stress. You had the ability to fight cancer. Now, you can fight an infection too. So, please don t be anxious. For any further information, please write back to me directly. Regards.