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Recurring fever every evening
I am a 32-year-old unmarried woman. For the past month, I have occasionally experienced feverish episodes in the evening. Initially, my haemoglobin was 6.8 due to heavy menstrual bleeding, so I thought the fever was related to anaemia. My haemoglobin has now improved to 12.7, but for the past week, I have been experiencing fever every evening. I previously had severe neck and shoulder pain, which has now subsided. Today, I noticed dark yellow urine and burning during urination. My previous urine test was normal. I also have hypothyroidism and insulin resistance.
What could be causing these recurring fever episodes, and what tests should I undergo?
Answers (8)
Recurrent evening fever for a month, particularly with persistent fever over the past week, warrants further evaluation.
Anaemia can cause fatigue, weakness and palpitations, but it does not usually cause recurrent fever.
Your recent burning urination and dark yellow urine raise the possibility of a urinary tract infection (UTI), although other causes must also be considered.
Recommended investigations:
1. CBC
2. Urine routine microscopy
3. Kidney function tests
4. Liver function tests.
Please consult on Practo, as fever with burning urination may indicate a urinary infection that requires prompt treatment.
Maintain adequate hydration unless medically restricted, and avoid self-medication with antibiotics.
If you develop high fever with chills, severe back/flank pain, vomiting, confusion or reduced urine output, seek emergency care.
.
Next Steps
consult for proper evaluation and treatment
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needs in person evaluation
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What's ur blood sugar ? It's UTI.. Kindly consult with me on 94 two six 86 seven eight 96 for proper guidance and treatment.
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Proper investigations and management with follow up needed.
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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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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
Get cbc, urine microscopic and culture done and share results.
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Now that your haemoglobin has recovered to 12.7, anaemia is unlikely to be behind the evening fever anymore. Burning urination with dark urine is a common sign of a urinary infection, which can also produce this kind of low evening fever. Your last urine test was done before these symptoms started, so it no longer reflects what's happening now.
Next Steps
Please get a fresh urine routine and culture done, along with a repeat CBC, and see a gynaecologist or physician this week. Mention your recent heavy bleeding, hypothyroidism and insulin resistance, since all three can shape how you're monitored.
Health Tips
Seek urgent care if the fever runs high, you get chills, or the pain shifts to your back or sides, since that can mean the infection has reached the kidney.
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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.