I am Dr Shamoon. A fever that stays fixed in the 101-103 F range for over 48 hours and barely responds to Dolo 650 three times a day needs testing now, not another change of medicine. At 31, in Delhi, and with no other illness or regular medication, the likely causes in this pattern are dengue, chikungunya or another viral fever, typhoid (enteric fever), a urinary tract infection, malaria, or less often scrub typhus or a hidden throat/chest focus. Two things in your history concern me specifically. First, you started azithromycin 500 mg twice daily on your own - that is a higher-than-usual dose, it does not cover most of the causes above, and if this turns out to be typhoid or scrub typhus, a partially treated infection becomes much harder to diagnose and to treat correctly. Second, in dengue the fever often persists exactly like this for 4-6 days and the danger window begins as the fever starts to settle, so blood counts and platelet monitoring matter more than the height of the temperature. Also remember paracetamol only brings the temperature down for 4-6 hours; it does not treat the cause, so incomplete response is expected and is not a sign of treatment failure. Please stop self-medicating with antibiotics and get basic blood tests done today - the results will decide whether you need a specific antibiotic, supportive care only, or admission.

Any associated complian like chills, sore throat, ?? Kindly contact me for the best treatment 😊

It could be a viral fever.Dolo 650  may not be adequate, you may need additional analgesic.Azithromycin is not taken twice daily

Most Likely It's Of Bacterial Origin.If You Share Other Symptoms Associated With Fever,It Will Be Helpful.Just Taking Azithromycin Will Not Slove Any Disease Like Magic.You Have To Appropriate Antibiotic For Specific Disease.For That You Must Share Detailed History. Thank You.

Stop dolo ADD ZERODOL SP3 TIMES A DAY AFTER FOOD FOR 3TO5 DAYS. AZITHRO DOSE 500 ONCE A DAY.

For a detailed discussion regarding your concern, please feel free to contact me on WhatsApp at nine zero  four four five one one  two  nine nine.

If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation

Fever with high grade intensity..... Most likely possibilities is viral fever But it has been since more than 48 hours..if need to be evaluated..... Investigation 1) Complete Blood Count 2) NS1  Antigen 3) IgM & IgG Antibodies 4) PS Malaria Parasite 5) WDAL 6) Blood culture Treatment Plenty of fluids ORS  ( orally Rehydration salt) Keep dehydrated Tab Dolo 625 mg 6 hourly  if needed Tab Azithromycin 500 mg already Taken But not Twice a day it should be once a day...

Tab dolo 650 is not sufficient for fever at 101-103 consistent. You need to be inj.pcm 1gm iv for fever control and tab dolo 650 sos and cold sponging over body. Get the dengue ,typhoid,malaria,cbp with platelet count tests done. And don't use antibiotics unnecessarily coz tab azax 500 once daily is sufficient. It causes unnecessary load on kidneys and liver. Get tests done. Stay hydrated. Dont use pain killers

Instead of dolo650, you can take paracetamol 500mg every 4 to 6 hours, do tepid water sponging, drink more water. Get cbc, typhidot,  tests for malaria, dengue, done and share results.

kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

Go for blood test now first to ruled out infection.

Need further evaluation Please connect for guidance Will try our best to help you

Please do a blood test cbc crp and dengue virus test

Requires a proper assessment to understand the underlying cause and guide you. Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.

If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation

Need a few more details please consult for further evaluation and treatment

Need few more details for further evaluation. Please consult

Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Do connect and consult Will help you

Can help you , kindly consult and provide detailed history for proper diagnosis and further management