Hello. Having recurring feverish sensations for 3–4 years, especially without relief after a 7-day course of Cefixime and Paracetamol, indicates that this is unlikely to be a simple bacterial infection.
The symptoms you describe—warm palms/soles, fatigue, burning eyes, and neck heaviness—can often be linked to chronic low-grade inflammation,
thyroid dysfunction, anemia, chronic stress/anxiety (with somatization/autonomic dysfunction due to exam pressure), or atypical chronic infections
.
Medical Guidance & Important Instructions:
Stop Unprescribed Antibiotics: Do not continue taking Cefixime 200 mg unless specifically advised by a doctor after fresh blood reports. Overusing antibiotics without a diagnosed bacterial strain can lead to resistance and gut flora imbalance.
Symptomatic Relief Only: Use Tab. Paracetamol 650 mg strictly SOS (as needed, maximum 2–3 times a day) if your measured body temperature exceeds 99.5°F or if you have severe body aches.
Multivitamin & Electrolyte Support: A basic antioxidant/multivitamin supplement (containing B-complex,
Vitamin C, and Zinc) can help reduce chronic fatigue and eye strain during your study period.
Next Steps
Targeted Lab Investigation (Minimal Time Required): Since you have an upcoming exam and cannot spend hours at hospitals, arrange a home-collection blood test for the following basic panel:
Complete Blood Count (CBC) & ESR /
CRPThyroid Profile (
TSH, Free T3, Free T4)
Urine Routine & Microscopic Examination
Peripheral Blood Smear / Typhoid / Dengue screening (if acute fever spikes occur)
Tele-Consultation with Reports: Once the reports are available within 24 hours, schedule an online tele-consultation with me
Health Tips
Monitor with a Thermometer: Record your actual body temperature with a digital thermometer twice daily (morning and evening). Many times, feeling "feverish" with warm palms/feet can be a subjective sensation caused by stress or autonomic arousal rather than an actual spike in core body temperature.
Hydration & Eye Care: Drink at least 2.5–3 liters of water daily. Take short 5-minute breaks every hour during your study sessions to rest your eyes and stretch your neck/shoulders to relieve neck tension and heaviness.
Sleep Hygiene: Ensure at least 6 to 7 hours of continuous sleep. Exhaustion and sleep deprivation severely worsen body temperature regulation and cause eye burning/head heaviness.
Avoid Self-Medication: Steer clear of over-the-counter painkillers or extra antibiotics right before your exams.