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Recurring fever every evening
I am a 32-year-old unmarried woman. For the past month, I have occasionally experienced feverish episodes in the evening. Initially, my haemoglobin was 6.8 due to heavy menstrual bleeding, so I thought the fever was related to anaemia. My haemoglobin has now improved to 12.7, but for the past week, I have been experiencing fever every evening. I previously had severe neck and shoulder pain, which has now subsided. Today, I noticed dark yellow urine and burning during urination. My previous urine test was normal. I also have hypothyroidism and insulin resistance.
What could be causing these recurring fever episodes, and what tests should I undergo?
Answers (14)
?UTI
BLOOD TEST CBC, ESR, CRP, BLOOD CULTURE.
LACK OF APPETITE??
MONTUK TEST.
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Recurrent evening fever for a month, particularly with persistent fever over the past week, warrants further evaluation.
Anaemia can cause fatigue, weakness and palpitations, but it does not usually cause recurrent fever.
Your recent burning urination and dark yellow urine raise the possibility of a urinary tract infection (UTI), although other causes must also be considered.
Recommended investigations:
1. CBC
2. Urine routine microscopy
3. Kidney function tests
4. Liver function tests.
Please consult on Practo, as fever with burning urination may indicate a urinary infection that requires prompt treatment.
Maintain adequate hydration unless medically restricted, and avoid self-medication with antibiotics.
If you develop high fever with chills, severe back/flank pain, vomiting, confusion or reduced urine output, seek emergency care.
.
Next Steps
consult for proper evaluation and treatment
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What's ur blood sugar ? It's UTI.. Kindly consult with me on 94 two six 86 seven eight 96 for proper guidance and treatment.
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Hello,
Your recurrent evening fever for one month, now occurring daily, along with burning urination requires medical evaluation.
The most immediate possibility is a urinary tract infection (UTI). However, other infections or inflammatory conditions may also cause prolonged fever.
Your previous normal urine test does not exclude a newly developed infection.
Importantly, anaemia does not usually cause true fever. Although your haemoglobin has improved from 6.8 to 12.7 g/dL, the persistent fever requires separate investigation.
Hypothyroidism and insulin resistance are also unlikely to directly explain recurring fever.
Next Steps
Consult a general physician for examination and assessment of the recurrent fever and urinary symptoms. Urine routine examination and urine culture with sensitivity are important, preferably before starting antibiotics. Consider CBC, CRP/ESR, kidney function tests, and blood glucose/HbA1c, depending on clinical findings. If fever persists, your doctor may recommend blood cultures, chest X-ray, or other targeted investigations, including tuberculosis screening when indicated. Review your thyroid function (TSH) and continue follow-up for heavy menstrual bleeding and previous anaemia. Record your temperature using a thermometer, including the timing and severity of fever episodes.
Health Tips
Maintain adequate hydration, avoid holding urine for prolonged periods, and rest appropriately. Avoid starting antibiotics without medical advice, as identifying the responsible organism helps guide effective treatment. Seek medical attention if you develop high fever with shaking chills, flank or back pain, vomiting, confusion, severe weakness, or reduced urine output. These may indicate a kidney infection or another serious condition. My recommendation: The combination of persistent fever and new urinary burning makes a urinary infection an important possibility to investigate promptly. Further evaluation is necessary if urine testing does not identify the cause. With appropriate diagnosis and treatment, most infectious causes can be managed effectively. Wishing you a speedy recovery!
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Now that your haemoglobin has recovered to 12.7, anaemia is unlikely to be behind the evening fever anymore. Burning urination with dark urine is a common sign of a urinary infection, which can also produce this kind of low evening fever. Your last urine test was done before these symptoms started, so it no longer reflects what's happening now.
Next Steps
Please get a fresh urine routine and culture done, along with a repeat CBC, and see a gynaecologist or physician this week. Mention your recent heavy bleeding, hypothyroidism and insulin resistance, since all three can shape how you're monitored.
Health Tips
Seek urgent care if the fever runs high, you get chills, or the pain shifts to your back or sides, since that can mean the infection has reached the kidney.
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