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Evening High Fever and Loss of Apetite
My mother is bed ridden and has been having loss of apetite for the last 5 days. Yesterday evening, she had a high fever of more than 102 °F coupled with shivering and darkened lips.
She had liquid meal at night and coudn't take any solids. After that she took Dolo 500 tablet, subsequently her fever subsided and her lips returned to her normal colour. But she is still having loss of apetite. Kindly suggest what I need to do to help her get rid of this problem?
Thank You.
Answers (24)
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I’m available to discuss your problems in detail. Please feel free to message me on WhatsApp at 9133 seven seven 996 seven (@ ₹95)
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Do consult nearby hospital
Need evaluation
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Your mother’s symptoms suggest an underlying infection — likely urinary tract infection, pneumonia, or viral illness, which is common in bedridden elderly patients. The persistent loss of appetite could be due to weakness, dehydration, or an ongoing low-grade infection.
Here’s what you should do immediately:
1. Ensure she’s well hydrated — give plenty of fluids like coconut water, soups, or ORS.
2. Start light, easy-to-digest meals (khichdi, dal water, curd rice).
3. Monitor temperature, urine output, and sensorium closely.
4. If fever or weakness persists beyond 24 hours, get basic tests done — CBC, urine routine, renal function, electrolytes.
5. You can also consider a vitamin-B complex syrup to help improve appetite once infection is ruled out.
Elderly patients can deteriorate quickly, so it’s best to review her case in detail before deciding the next steps.
You can message me personally on WhatsApp at eight-zero-zero-nine-eight-two-one-three-three-two for a full consultation and tailored treatment plan.
Take care of her and don’t delay getting her examined.
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Need a detailed history. Consult me through Practo
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Good evening ma'am 🙏🏻
Hope your doing well🍀
Maam we need to take detailed history
1.what made to prone bed ridden
2fever on and off or continuous
3.dark lips from how many days
4.loss of appetite are you sure that is from 5 days maam
5.any reason like depression or any health issues(difficulty in swallowing,tonsillotis,schizophrenia etc)
6.maam could you please say if ur using any medicayions for joint pains
Bcz maam b12 deficiency causes dark lips too and hyperpigmentation if knuckle
Fever might be due to bed soours infection , inadequate hygiene
Is the pigmentation of lips subsidiary after fever ma'am?
Maam oxygen saturation?
Maam any history of pneumonia or respiratory diseases
Any history of hypothyroidism
Is orientation good?
Maam any history of sudden weight loss
Bloody stools
Diarrhea
Stomach pain
Gad bloating
Breathlessness
Sweating
Previous tb history
Any surgery history
Any blood transfusion
Maam kindly dont panic.please do a detailed examination tooo ..bcz in rare cases intestinal adenocarcinoma of intestine also has purple lips
But i dont knkw complete history and i cant examine
Thanks for reaching out Ma'am
I wish her a good health
Next Steps
clean bed sour ulcer with betadine and apply placental amnion gel tid
take bcomplex
get a record of bp charting 4th hrly(to ruleout pulmonary artery hypertension)
observe stool colour (any blood discharge)
i suggest to consult a medical gastroenterologist maam
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Need proper history and investigation
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You need a proper investagion charting done like vit B 12 cbc and all test done
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Do fever profile. Atleast start on liquid diet and then gradually give dal khichadi and fruits
Kindly, consult me on Practo
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Go for fever profile and reach out me on video call consultation.
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Rx.
Tab .ultracet 500 mg BD
Tab . pantop dsr 40 mg OD
T. Dicyclomine 20mg bd
Syrup . Livogen 10 ml Mb
Tab mecobal plus 1 OD
Ta. Calcimax forte 1 OD .
For two days ..
If not relief.. contact me
Need some Investigation as she is Elderly mother 85 yera old .
Wishing to get her well soon
CBC
X ray chest.
ECG
Serum Electrolyte
Sgot /sgpt
KFT
CRP
Serum Creatinine
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If more than 5 days of fever u have to do blood routine
Please connect me throgh practo or wattsap nine zero seven two two zero seven zero nine three
I will give detail explanation and blood check up details
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Need more history and symtomatology to properly understand your problem
Connect online
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Hi. What are the other medications she is on? Any blood investigation or other symptoms? Kindly consult with me on 94 two six eight six 78 nine six.
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Dear Patient,
For your convenience, you can now consult me online from the comfort of your home. Feel free to book an appointment with me for any medical concerns, follow-ups, or health advice. I’ll be available to guide you with the same care as in-person.
– Dr. Akash Singh
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Please book consultation for details of medical history and examination
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Check for cbc esr and consult on vc
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Consult online
Need proper history and evaluation for further treatment
Bed ridden take a proper consultation
Start ors
Complete blood test
Contact will guide you
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Drink plenty of water
Hydrate yourself
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Dr. Ishwa Vaderia
General Physician
1 yrs exp
Rajkot
Have to consult
Contact on 9three28010077
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Valli Ponsing
General Physician
11 yrs exp
Chennai
Give her soft solid diet
Next Steps
Tab. Vitazyme twice daily for three weeks.
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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