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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Megaloblastic Anemia

I am 50 yrs, female,mother of one son 22 yrs old, thinly built. having low grade intermittent fever for last about six month- finally diagnosed with megaloblastic anemia. All other tests are normal; Urine, Blood C&S, Chest PA view, Hepatic profile, haemogram. I have about 1.5 inch enlarged soft-farm liver. I am on injectable methylecpbalamine and tablet also. Had one course of norfloxanine. I am still having low grade intermittent fever in the morning & hepatomegaly.
Wed, 23 Mar 2016
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General & Family Physician,  's  Response
Hi thanks for asking question.

Noted you have pyrexia since long duration.

Rule out tuberculosis if you have cough by sputum culture.

Typhoid also rule out by blood culture.

Investigate for HIV as it can lead prolong fever with diarrhea...

Sometime malaria and aleukemic leukemia might be cause that may not be detected in blood examination.Do bone marrow aspiration for it ..

If you have certain metabolic disease like gout that can lead prolong fever.

Thyrotoxicosis also can lead prolong fever.
So do thyroid profile for it.

If you have history of head injury or excess heat exposure then also fever can occur..

Meanwhile complete vitamin b 12 injection.

First rule out these causes and still fever present with your detailed physical examination and history further work up will done.

Take care..
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Suggest Treatment For Megaloblastic Anemia

Hi thanks for asking question. Noted you have pyrexia since long duration. Rule out tuberculosis if you have cough by sputum culture. Typhoid also rule out by blood culture. Investigate for HIV as it can lead prolong fever with diarrhea... Sometime malaria and aleukemic leukemia might be cause that may not be detected in blood examination.Do bone marrow aspiration for it .. If you have certain metabolic disease like gout that can lead prolong fever. Thyrotoxicosis also can lead prolong fever. So do thyroid profile for it. If you have history of head injury or excess heat exposure then also fever can occur.. Meanwhile complete vitamin b 12 injection. First rule out these causes and still fever present with your detailed physical examination and history further work up will done. Take care..