Hello,
Thank you for sharing your detailed concerns. I understand how challenging this ongoing cycle of fever, changes in your voice, hair loss, and poor sleep can be, especially alongside work stress.
Hereâs what I suggest:
Random fever recurring every 2â3 days, mainly at night, requires thorough evaluation to rule out underlying infections, inflammatory conditions, or other systemic issues. Some causes include:
Chronic infections (like tuberculosis or malaria in some regions)
Autoimmune or inflammatory disorders
Endocrine or hormonal imbalances
Voice changes and hair loss over several years may be linked to
thyroid dysfunction or nutritional deficiencies, especially given your smoking history and diet.
Heavy smoking and poor diet contribute significantly to systemic inflammation, impaired immunity, and disturbed sleep cycles.
Sleep disturbances and exhaustion despite yoga and exercise indicate the need for a comprehensive health check and possibly sleep studies.
Recommended next steps:
Complete blood work including CBC, thyroid profile, inflammatory markers, and nutritional panels (
vitamin D,
B12, iron)
Chest X-ray and other relevant investigations based on clinical exam
Evaluation by an ENT specialist for voice changes
Counseling or support to reduce smoking gradually
Consider consultation with a sleep specialist if sleep problems persist
Lifestyle advice:
Maintain a balanced, nutritious diet rich in vitamins and minerals
Practice stress management techniques alongside yoga, such as mindfulness or meditation
Prioritize sleep hygiene: consistent sleep schedule, limiting screen time before bed, and avoiding stimulants in the evening
You are welcome to consult with me for a detailed review and personalized plan. Early intervention can help you regain your health and vitality.
Wishing you strength and wellness,
Dr. Romain Rajan