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Fever- since 2 days
Hello Doctor,
My friend has fever since 2 days and it is coming and going. His whole day is so weak and he has body-ache also he sometimes works in night shift and he is not able to sleep in daytime having lots sleep issues.
Answers (29)
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I am Dr. Shamoon. Two things are going on with your friend and it helps to separate them. The fever itself - two days, coming and going, with marked weakness and body ache - is most likely an acute viral febrile illness, and in India at this time of year dengue, chikungunya, malaria and typhoid all need to be considered before calling it "just viral". The pattern you describe, fever that rises and falls with severe body ache and profound weakness out of proportion to the fever, is quite typical of dengue in its early days; that matters because dengue is most dangerous not on day 1-2 but around day 4-6, when the fever starts settling and the platelet count falls. So this is the window in which testing is genuinely useful, not something to wait out. The second problem is the night shift. Working nights and being unable to sleep in the daytime is shift-work sleep disorder, and chronic sleep debt lowers immunity, prolongs recovery and by itself produces daytime weakness and body ache that can be mistaken for the illness dragging on. That part will not improve with any tablet - it needs the sleep environment fixed. One important caution for your friend, since fever plus body ache tempts everyone towards painkillers: he should take only paracetamol. Ibuprofen, diclofenac, aspirin and combination "body ache" tablets must be avoided until dengue is ruled out, because they increase bleeding risk when platelets fall. Antibiotics have no role in a viral fever and should not be started without a diagnosis.
Next Steps
1) Get blood tests today, since the fever has crossed 48 hours: CBC with platelet count, dengue NS1 antigen with IgM, malaria rapid test or peripheral smear, urine routine, and CRP. If the fever continues past day 5, add typhoid tests (blood culture is far more reliable than the Widal test). 2) Repeat the CBC every 48 hours while the fever lasts - a falling platelet count or a rising haematocrit is what actually decides whether he needs admission. 3) For symptoms: paracetamol 500-650 mg up to four times a day for fever above 100 F, tepid sponging, and 3-3.5 litres of fluid a day - ORS, coconut water, soups, buttermilk. Adequate fluid intake is the single most useful home measure in dengue. 4) Complete rest, no gym, no night duty until he has been fever-free for at least 3 days. 5) See a physician in person if the fever has not settled in 3 more days, or immediately if any warning sign appears. 6) For the shift-work sleep problem, once the fever settles: keep a fixed daytime sleep block of 7 hours, use blackout curtains and an eye mask, wear dark glasses on the ride home so morning light does not reset his clock, avoid caffeine in the last 4 hours of the shift, and keep the phone out of the bedroom. If it still does not improve, that deserves its own consultation. 7) If you would like me to look at his reports as they come and decide whether he can be managed at home, he can book a consult with me on Practo, or come to Synergy Multispeciality Hospital, Miraj.
Health Tips
Go to a hospital immediately, at any hour, if he develops severe abdominal pain, persistent vomiting, bleeding from the gums or nose, black stools, red spots on the skin, extreme restlessness or lethargy, cold clammy hands, breathlessness, or passes very little urine - these are dengue warning signs and they typically appear as the fever starts coming down. Strictly avoid ibuprofen, diclofenac and aspirin, and do not take antibiotics or steroids on your own.
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Kindly consult for appropriate treatment
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Adv-blood test
-CBC
-Dengue NS1
After That consult with a Doctor
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Don't worry
Contact me as soon as possible 🙂
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For a detailed discussion regarding your concern, please feel free to contact me on WhatsApp at
nine zero four four five one one two nine nine.
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Zerodol sp three times a day after food for 3to5 days.
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Probably a viral illness, take paracetamol for fever, consult on Practo for detailed history
Next Steps
Do a complete blood count
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Hello
Do CBC blood test and consult a doctor if not relived within 3 days.
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Most likely a viral fever.
Next Steps
Blood for CBC
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Fever since 2 days on & off weakness and Body weakness is most likely is VIRAL FEVER... same time my recommendation is please go for investigation to rule out DENGUE....
INVESTIGATIONS...
CBC- complete Blood Count
NS1Antigen
IgM & IgG Antibodies
Advice....
TAB -Paracetamol 500 mg 6 hourly if fever continues
Keep Hydrated
Plenty of fluid
Avoid Antibiotics..
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Get fever profile done which includes dengue profile typhoid, malaria,cbp and crp. Don't use painkillers till the further test results. Use tab.dolo650 sos until then.for sleep issues I'd recommend chamomile tea before bed until the further consultation and symptoms need to be re assessed thoroughly
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Please share details of his symptoms, meds taken if any, then I can guide him/her further.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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It may be viral fever but to differentiate it do CBC,CRP
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Requires a proper assessment to understand the underlying cause and guide you.
Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
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Need to evaluate
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It may be viral fever but differentiate from dengue ,malaria you go for blood test .
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For a detailed discussion regarding your concern, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine
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Intermittent fever with body ache and weakness for 2 days could be viral fever, dengue, or malaria â especially with disrupted sleep and possible mosquito exposure. Night shift work also weakens immunity and can worsen recovery.
Next Steps
Get CBC, dengue NS1 antigen, and malaria test done. Take paracetamol 500mg for fever, stay well hydrated, and rest as much as possible. Avoid ibuprofen until dengue is ruled out. If fever continues beyond 3 days or worsens, visit a doctor in person. Consult me on Practo for further guidance.
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Dr. Rohan Gumber
General Physician
1 yrs exp
Sri Ganganagar
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
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Dr. Saurav Maitra
General Physician
12 yrs exp
Kolkata
Paracetamol 650 mg for fever (max 4 times a day)
Rest, plenty of fluids
Multivitamin- like zincovit one tablet once a day x 10 days
Next Steps
Monitor progression of symptoms- like cough, bodyaches, rash
Health Tips
Hot ginger tea with honey or green tea can be refreshing
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Mr. Meezan Siddiqui
General Physician
3 yrs exp
Lucknow
Most likely viral pyrexia but can be other causes which include dengue malaria (common in monsoon season) along with typhoid
Next Steps
Just take dolo 650 for now before any investigation
Health Tips
Do malaria profile dengue profile and typhoid profile
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Dr. Sachin Bhiwaji Sanap
General Practitioner
8 yrs exp
Hingoli
Kindly consult for this issue
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you , kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Reesha Varshney
General Physician
1 yrs exp
Bareilly
Did you measure temperature?
Are there any other symptoms cough cold burning micturition nausea stomach ache ?
As in this there are many cases of flu
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help u
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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