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Regarding increased CRP and RBS
Namasthe sir/madam,
I'm 28 years old, I'm from vizag.
Just 4 days back I was affected by cold. After 1 day fever and severe body pains also started. Then I went for tests and it came as dengue and malaria negative but typhoid with 1/80 and low tlc count of 2800 and high CRP of 19.3. so my doctor started DNS with amikacin injection and rantidine mng and night through iv . Cefpodoxime 200 twice a day, montec lc once a day and methylprednisolone 8mg twice a day. The matter is Iam non diabetic and I regularly moniter my BP and blood sugars out of my anxiety . My rbs never crossed 120. But today after checking my rbs it spiked up to 180 mg/dl. I'm very much tensed. I'm attaching my reports. Kindly respond and help me in this regard respected doctors . I can't attach my dengue report as only two pics can be attached in this. Kindly consider.
Thanks in advance
Fever is due to an acute infective cause. Since total leucocyte count is low, it could be suggestive of some viral or malarial etiology, or it could also be due to some bacterial infection associated with leucopenia or neutropenia. Dengue test may not be positive on the next day of fever, so it should be repeated ideally. Antibiotics prescribed are only on empiric basis and in my opinion, higher antibiotics should be given after taking blood culture samples. As far as blood sugar is concerned, it is high because of steroid methyl prednisolone.
Next Steps
1. Blood and urine culture sensitivity testing.
2. Higher antibiotics to be given, in the light of leucopenia.
3. Methyl-prednisolone should be stopped.
4. Paracetamol to be given on SOS basis, if temperature is more than 100F.
Health Tips
Methylprednisolone could be risky and it should be stopped.
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Steroids are known to raise the blood sugar levels tremendously. You were getting Methylprednisolone 8 mg twice a day which is a heavy dose.
CRP is a non specific test. So there was no need to give heavy antibiotics. Your Typhoid test was also negative.
I suppose if you stop all your treatment except paracetamol and H2 receptor blockers you will become all right.
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your raised blood sugar is becoz of ongoing inflammatory process
it will resolve don't worry.take proper consultation
Next Steps
consultation
Health Tips
take plenty of water and fluids
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Specific diagnosis has not been confirmed.Your widal test titre is insufficient to conclude you have typhoid .Needed follow up to observe raising/falling titre. Your doctor has given empirical therapy of antibiotics.
Your symptoms giving suspicion of viral infection.And dengue serology is mostly negative on 4-6th day( both antibody and antigen may come negative)of fever even if you are positive.
Your CRP is raised,in acute infection blood sugar may rise.You have not mention if it was fasting blood sugar or 1hr after breakfast/Lunch.
Next Steps
serial blood tests has to be done for better evaluation.
Health Tips
Kindly take consultation for further evaluation
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Don't worry , it seems like drug induced hyperglycemia . Continue the doctor prescribed drugs . Do ppbs , rbs , hba1c and repeat widel test after course completion
Next Steps
take more amount of fluids , iron rich green leafy vegitables since your blood hb is close to lower limit
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Don’t worry it’s bcz of drug induced hyperglycaemia
Steroid (MPS) is catabolic drug ,mean its increase sugar ,fatty acid ,amino acids
To befikar rahiye ,CRP count inflammatory marker is s severity of disease ka pata lagta h
Pher b jayda lgta h HB1AC karwa lena tretment pura lene k baad
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Sugar has spiked because of steroids.
Its temporary, don’t worry.
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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You are a case dengue, your blood sugar is normal only so no worry . Platelets also adequate only with this condition you will get well soon do not worry . Follow dr instructions .
Next Steps
Take rest , take lot of fluids , juice and good food not spicy
Health Tips
Complete rest for some more days . Have a nice day
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it may be due to steriod, better to check ur HBA1C level once
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Methylprednisolone has caused a high rbs.
And because of an inflammatory process going on, it has spiked. Nothing to worry about. You will get well soon. Optimum treatment has been provided to you
Next Steps
Repeat cbc and fbs after 2weeks
Health Tips
Drink plenty of fluids
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RBS rise could be due to Tab Methylprednisolone , Stress and Viral fever .
Next Steps
Need not to be panicked. After recovery get HBA1C done and consult Doctor in person or online to evaluate the risk factors for DM or history of Diabetes in your family .
Health Tips
Take plenty of fluids , rest , good sleep.
Stop checking frequently RBS .
After recovery, Exercise regularly 5 days a week and strength training twice a week , along with healthy food habits.
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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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