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Hepatitis a
In July, diagnosed with leptospirosis (false diagnosis) and had jaundice. Doctor gave doxycycline and other meds to treat it. Later on aug 21, went for gym as lft was near normal only slightly raised. From 22, have fever, went to doctor and was given dolo 650 with udiliv and all other tests of dengue, malaria, typhoid, were negative. Fever reached to 104. Today is day 6, fever intensity is low and max is 102.8. lft is near normal. Doctor has again advised for dengue, cbc, lft with ldh.
I am not understanding the reason for fever. Please tell me why i am getting fever with no cough and cold. There is fatigue.
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Even your Doctor is not understanding the cause of your fever. That's why he has asked for the blood tests to be repeated.
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Viral Fever (Non-specific viral infection)
Most common, especially post-monsoon.
May cause fever, fatigue, but no cough/cold.
Usually self-limiting 7–10 days.
2. Hepatitis A or E (post-jaundice phase)
Could still cause intermittent fever and fatigue, even with near-normal LFT.
Needs repeat HAV IgM / HEV IgM if not done earlier.
3. Post-infectious Fever / Inflammatory Reaction
After leptospirosis/jaundice, some patients have prolonged low-grade fever due to immune response, even if infection has cleared.
4. Other Infections (to rule out):
Dengue (sometimes first test negative, needs repeat on day 5–7).
Scrub typhus (very common in India, test: IgM or Weil-Felix OX-K).
Brucellosis, enteric fever (sometimes early tests negative, blood culture may help).
Tuberculosis (if fever persists >2 weeks).
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✅ Next Steps (Diagnostic Work-up)
1. Repeat CBC → Look for WBC count, platelets (low in dengue, viral fevers).
2. LFT, RFT, LDH, CRP/ESR → to check for inflammation or organ stress.
3. Dengue NS1/IgM, Scrub typhus IgM, malaria antigen/blood smear (if not done recently).
4. Chest X-ray (rule out hidden pneumonia/TB even without cough).
5. Blood culture (if fever persists despite no diagnosis).
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✅ Supportive Care
Adequate hydration (ORS, water, coconut water).
Light diet, avoid gym/strenuous activity until diagnosis is clear.
Continue paracetamol (Dolo 650) for fever, avoid unnecessary antibiotics unless confirmed bacterial cause.
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🚨 Red Flag Signs (Need urgent evaluation)
Persistent fever >7–10 days without cause.
Worsening jaundice, abdominal pain, bleeding, breathlessness.
Very low platelets, severe weakness, confusion.
You can consult me directly on Practo, or reach out via WhatsApp number:
Seven Zero Four Eight One Eight Seven Seven Seven Six ( 704818777six )
I’ll guide you step-by-step with easy-to-follow treatment and lifestyle plans.
---
👉 In summary: This looks like viral fever or an undetected tropical infection (like dengue/scrub typhus). Since common tests were negative, repeating them and adding scrub typhus IgM + blood culture is important. Most likely benign, but persistent fever beyond 10 days must
Next Steps
You can consult me directly on Practo, or reach out via WhatsApp number:
Seven Zero Four Eight One Eight Seven Seven Seven Six ( 704818777six )
I’ll guide you step-by-step with easy-to-follow treatment and lifestyle plans.
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Hello,
For Medical Diagnosis and Treatment please pay and consult at practo or pay and consult at WhatsApp.
My WhatsApp number is same as my mobile number . My WhatsApp number is +91959508739nine.
Take a glass of milk daily.
Thanks.
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Dr Praful Mahamuni,
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MBBS , DM .
Jai hind. 🇮🇳
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It's hard to come to diagnosis with just this history please attach lab reports if u have any.
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You can consult me directly on Practo, or reach out via WhatsApp:
Eight Seven Six Two Seven Four Nine Nine Seven Four
I’ll guide you step-by-step with easy-to-follow treatment plans.
Early consultation helps avoid complications — feel free to connect.
Only whatsapp message no calls
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if you would like to know more details about this problem, you can reach me for a free detailed consultation on WhatsApp at nine one one nine two five five six nine nine
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Blood for cbc esr crp
Widal, pf pv for material
Dengue serology with ns1
Till u can
Zerodol sp three times a day after food for 3to5 days.
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Get cbp with Esr, tests done for malaria, dengue, chikenguniya, typhoid, liver function tests and urine microscopic, done. Share detailed history and Test results then I can help you.
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Share all your reports
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Kindly share your recent blood reports.
It no blood reports done by you then do Blood check-up.
Do CBC , LFT , RFT , CRP, ESR.
If you feel fever with rash or joint pain then do rapid test for dengue and malaria and typhoid.
Only if you feel fever then do CBC and share your reports. And take medicine for fever.
Drink plenty of water and eat fruits like kiwi, dragon fruit, papaya, peru. (This will help to boost your immunity).
Next Steps
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Dr. Vinod Kumar Verma
General Physician
9 yrs exp
Gurgaon
-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
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
• keep positive attitude to fight any disease and any problem of your life . ....
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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Dr. Siddesh Venkatraman
General Physician
1 yrs exp
Mumbai
Persistent fever with fatigue, no cough or cold, can happen due to a viral infection or post-infectious inflammation, especially after a recent liver illness. Repeating tests like CBC, LFT, LDH, and dengue is standard to monitor recovery and rule out complications. Stay hydrated, rest, and follow your doctorâs advice, and seek urgent care if fever worsens or new symptoms appear.
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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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