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High fever since 7 days
My husband admitted to hospital yesterday at 9:30pm before 5 days he shivers and told that feeling weak and next day fever comes. He visited doctor he given us dolo 650 and antibiotics still fever rises we test dengue ,typhoid,chickengunuia al reports are normal still temperature is not coming down now I noted one thing every 6 hours temperature increases to 101 at home temperature was 103 now how much time will take.. is there any serious problem?? I m very very tensed...rest he is normal. .he eating properly no joint pains nothing but why fever is not going... pls help me on urgent basis.. it will be helpful 🙏
Answers (53)
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If he is still having only fever with shivering then possibly he may be having malaria .
Next Steps
Go for complete blood count, peripheral smear for malaria parasite, urine routine/ microscopy, chest x ray
Drink plenty of water and maintain hydration.
Health Tips
Look for any rashes and if seen follow for platelet count.
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Hii don't worry it may be a viral fever if all reports are normal.. It stays for 7-10 days .
But still do some more tests to be sure .
Next Steps
repeat CBC, widal test
PS for MP*
chest xray PA view
urine cs and rm
Health Tips
keep him hydrated...shd drink plenty of water and juice
take rest as much as possible
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Dnt worry, the fever will gradually come down. If all reports are normal, its a viral fever and the trend of viral fever is lasting for 7-10 days. Opportunistic infections will come down with antibiotics. Keep him hydrated and light food. He will be ok.
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The first diagnosis is viral fever. It may last a week before the temperature starts coming down. The treatment is like for any fever.
Please share the CBC report if it has been done. Get his Dengue Antigen and Typhoid antibodies test done again. Get the urine culture done.
Some causes may be found now even though the tests were negative earlier.
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Some bacterial and viral infections take time to come down.
If he is shivering, he should undergo a malarial antigen test.
Even if the test is negative, he should get an anti malarial coverage.
For detailed evaluation of your case/further queries /guidance/management plan,whatsapp nine three seven zero two eight four three seven six or connect via Practo.
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**Opinion:**
I understand your anxiety regarding your husband's condition. Persistent fever despite normal test results and ongoing treatment can be concerning, especially when it recurs every 6 hours. The fact that he otherwise appears stable, with no joint pains or other significant symptoms, suggests that while his body is still fighting something, the underlying cause might need further investigation. This could be a less common infection, a reaction to medication, or another condition that hasn't yet been identified.
**Next Steps:**
1. **Comprehensive Evaluation:** It's important to conduct a more thorough examination and possibly run additional tests to identify the exact cause of the persistent fever. Advanced diagnostics, such as blood cultures, imaging studies, or specific viral panels, might be necessary.
2. **Medication Review and Adjustment:** The current treatment plan, including antibiotics, may need to be reviewed and adjusted. Sometimes, a change in medication can make a significant difference in how the body responds to treatment.
3. **Specialist Consultation:** In some cases, involving a specialist, such as an infectious disease expert, can provide new insights and lead to more targeted treatment.
4. **Ongoing Monitoring:** Continuous monitoring in the hospital is essential to ensure that any changes in his condition are promptly addressed. Staying hydrated and maintaining nutritional intake will support his recovery.
Given the complexity of the situation, I strongly encourage you to schedule a consultation with me. This will allow us to discuss your husband’s symptoms and treatment plan in detail, ensuring that every possible cause is thoroughly investigated and addressed. I am here to support you through this challenging time and to provide the best possible care for your husband. Please reach out to me directly so we can work together to resolve this issue as quickly as possible.
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After ruling out all kinds of fever, it's better to get blood culture done and urine culture based on that we can start the appropriate antibiotics instead of choosing some random antibiotics.
Through evaluation is needed.
Next Steps
fever profile
blood culture and sensitivity
urine culture and sensitivity
ESR and CRP
Health Tips
Adequate hydration
Avoid spicy, oily and sweets.
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Would like to know his hemogram report.
Is there complain of abdominal pain?
Since it's 5th of fever now, it is advisable to go for NS1 antigen for dengue (Elisa) now and Chest Xray if not done.
Next Steps
S Widal if fever do not resolve after seven days
Abdominal sonography if not done
Routine and microscopic examination of urine
Health Tips
plenty of water. use ORS.
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As per history your husband is suffering from either fever with rigour mostly with periodically you should admit one hospital first . Investigations again rule out. Smear study for malaria . Other routine investigations for fever evaluation.
Next Steps
Put him under strict monitoring and proper care
Health Tips
After obtaining all reports start suitable medication
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Drink plenty of fluids. Drinking fluids will improve heat loss from the skin and replace water lost through sweating. Water and clear broth are healthy choices. Infants under 6 months should only have breast milk or formula.
Rest. You need rest to recover, and activity can raise your body temperature.
Stay cool. If you aren't shivering, dress in light clothing, keep the room temperature cool, and sleep with only a sheet or light blanket.
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Looks like viral infection
Some viral infections will take 7-14 days to get completely cured
Just keep him well hydrated if he doesnt have any heart related issues give him 3-4L of fluids per day
Dont.worry he will be fine in few days
Next Steps
consult internal medicine specialist if you noticw worsening of symptoms
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According to your query and sign and know about the disease and cause and it's best Treatment as you have mentioned as above .
Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow any medicine or advise after consultation only from a good doctor.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
please keep positive attitude to fight any disease and any problem of your life
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