Need more history to evaluate. Do connect for further treatment plan

Kindly do connect and consult with me for better treatment plan and advice on practo app

Recurrent fever every 2–3 months for several years can have many causes. In a diabetic person working in a hospital setting, repeated viral infections, occult bacterial infections, tuberculosis exposure, sinus/dental infections, urinary infections, poor glycemic control, autoimmune conditions, or less commonly hematological disorders should be considered. Normal CBC, CRP, and chest X-ray between episodes are reassuring, but further evaluation during the fever episode is more useful. Avoid taking antibiotics without proper indication, as this may mask the diagnosis and lead to resistance.

You have low immunity, frequent exposure to microbes in hospital environment Antibiotics treat current infection, but have no protection towards future infections. Improve immunity by healthy life style, good control of diabetes. While working in hospital,  adopt  due preventive measures to avoid infections.  For current febrile episode, get cbc done, tests for dengue, malaria,  chickenguniya, take complete course of relevant antibiotic.  To avoid future illness, keep strong immunity.

Hospital infection Uti as u r diabetic. Rest go for whole body check up n test to find out cause

Recurrent fever every 2 months in a hospital worker with diabetes is common but definitely needs proper evaluation. Normal reports so far are a good sign, but we should find the exact trigger.  Book a quick consultation with me. I’ll review your history in detail and make a clear plan to stop these repeated episodes.  We’ll sort this out.

Based on your history,it may be hospital acquired infection, Do consult for detailed history and management.

Please consult

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

Hospital acquired

Take vaccination

Pls connect for further discussion and solution.

Your Opinion Recurrent fever every 2-3 months for 4 years needs a proper workup — and the reason your CBC, CRP, and chest X-ray came back normal is most likely because they were done between episodes rather than during one. Tests done when you’re well usually look well. That’s the single biggest gap in how recurrent fevers typically get evaluated. Given your profile — hospital work, diabetic, age 28 — the main possibilities are: 1. A hidden focal infection that keeps flaring: urinary tract (very common in diabetics), chronic sinusitis, a dental focus, or a small perianal/skin source 2. Latent or extrapulmonary TB: healthcare workers in India have higher exposure, and a normal chest X-ray doesn’t rule out TB outside the lungs 3. Other chronic infections: typhoid carrier state, brucellosis (any animal contact?), and HIV must be screened given occupational exposure 4. Less likely but worth considering: autoimmune/inflammatory or periodic fever syndromes — only after infections are ruled out Next Steps The most important rule: get tests done during the next febrile episode, not after it settles. Bookmark this list. During the next fever (within 24-48 hours of onset): • CBC with differential, ESR, CRP, procalcitonin • Urine routine + culture (highest yield in diabetics) • Blood culture × 2 • LFT, KFT, HbA1c • Typhoid IgM, malaria antigen, dengue NS1 if seasonal Independent of episodes (do these soon): • HIV ELISA, HBsAg, Anti-HCV — occupational exposure • IGRA (TB-Gold) or Mantoux — important given hospital work • Ultrasound abdomen — for hidden abscess, gallbladder, kidney pathology • ENT + dental check-up — sinus or tooth focus gets missed often • HbA1c + fasting/PP glucose — recurrent infections in diabetics often resolve once sugars are tightly controlled This is the kind of problem that benefits from a proper consultation — the pattern of your fevers (duration, symptoms, response to medicines) matters as much as the tests, and one doctor owning the workup is far better than chasing tests episode by episode. Helpful Tips / Word of Caution • Stop self-prescribing antibiotics between episodes — this is critical. They suppress the infection temporarily and destroy the diagnostic yield when you actually need it • Tighten diabetic control first — aim for HbA1c under 7. A lot of recurrent infection problems quietly disappear when sugars are properly controlled • Keep a simple fever diary: date, peak temperature, duration, associated symptoms (cough, urinary, sore throat, etc.), what helped. Bring this to the next consultation. • As a hospital worker, get your TB and HIV status checked annually — it’s standard occupational health practice • Don’t ignore: fever above 102°F for more than 3 days, shaking chills, breathlessness, confusion, or chest pain — same-day consultation • A proper sit-down consultation will help me build a structured plan rather than firefight episode by episode. After 4 years, you deserve a proper diagnosis, not just symptom relief.

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

Need more history Any weight loss? How much is the fever ? Consult a physician immediately

Low immunity

I may be mostly hospital acquired. So please wear protective devices.Also check if your sugars are normal.

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

I need proper history What is the value of FBS PPBS AND HBA1C YOU HAVE ANY INJURY Send me a CBC report