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Low grade fevers every evening
Demographics: 29M, Indian | 180 cm, 76 kg | Ex-smoker (5 yrs) | No chronic conditions
Current Meds: Azithromycin and cefixime (recently prescribed)
History of Present Illness:
Symptoms began in August following an acute diarrheal episode:
* Cyclic Fever: Low-grade fevers spiking primarily at night (~100°F rectal).
* Heat Intolerance: Rapid overheating and severe "burning body" sensation with sun exposure or mild exertion.
* Fatigue & Malaise: Persistent, profound exhaustion since onset.
* Sleep & Endocrine: Severe insomnia (unable to sleep until morning); sudden, steep decline in libido.
Investigations to Date:
* CBC: Normal
* LFT: Normal
* Widal Test: Inconclusive(1:80)but treated by doctor as typhoid .
Normal neck ultrasound for persistent pain in neck stiffness feeling .
* Chest X-ray: attached . No clear explanation.
What could I be dealing with .
Answers (9)
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need in person evaluation to confirm the cause rather than assuming typhoid please consult a physician for examination and appropriate tests.
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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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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Due to recent infection, you feel fatigue .its resolved by own .
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Persistent evening fever with fatigue, heat intolerance, insomnia and reduced libido needs a fresh physician review; these symptoms should not be labelled typhoid from a single Widal result alone. A Widal titre of 1:80 is not diagnostic by itself.
Record the temperature with a reliable thermometer and carry your CBC/LFT reports, chest X-ray and all antibiotic details. Do not extend or repeat antibiotics without examination.
You may need a focused examination and targeted tests based on findings, including review of thyroid and other causes of prolonged fever.
Seek urgent care for breathing difficulty, confusion, severe weakness, dehydration or a high/persistent fever. Book a Practo consultation with me or visit Synergy Multispeciality Hospital, Miraj.
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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. M Mukesh Kannan
General Physician
1 yrs exp
Coimbatore
Heat Intolerance, Fatigue , Low Grade fever , Acute Diarrhoea possibilities of elevated Thyroid Hormones. Kindly get an TFT for the conclusion.
Next Steps
TFT
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Mr. 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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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.