Fever With Tense Abdomen. Why?

Posted on Mon, 14 Oct 2013

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 14 Oct 2013 Answered on

Thu, 7 Nov 2013 Last reviewed on

Question : My father Have fever since past 4 days, its not go beyond 99, stomach is very tight. Feeling cold

Answered by Dr. Ram Choudhary (2 hours later)

Brief Answer:
needs investigations and clinical exam

Detailed Answer:
Hi XXXX,
Welcome to healthcare Magic!
Fever with tense abdomen is a bad combination and often indicates serious underlying condition.
The possibilities are of gall stones with infection, a complicated gastric ulcer, gut infection, urinary tract infection etc.
Sometimes these patients deteriorate very rapidly.
He should be examined by a local physician and a Complete blood count, Liver and Kidney function tests, an ultrasound of whole abdomen and Urine culture and routine examination will be helpful to start with in making a working diagnosis.
I hope the advise would be informative and useful for you.
Take Care!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ram Choudhary (7 minutes later)

Thanks for the Answer. We have consulated with local doctor and few medical chekups already done like, Malaria, Dengu etc etc all reports are normal. But there is some indication of Fatty lever. He suggested to give 1GM monoceff iv with pantocid IV. There are some reliff in issue but fever up and down is still going on. If we ask in first glance than what do you think what could be the issue

Answered by Dr. Ram Choudhary (4 days later)

Brief Answer:
continue current treatment and do investigations

Detailed Answer:
Hello XXXX,
Welcome back.
The antibiotic ceftriaxone and pantocid is good initial approach from your clinician for a broad coverage. He should continue the treatment and should also get investigation of Liver function test, complete blood count and typhoid serology and also get an ultrasound of whole abdomen.
Blood culture and urine culture reporting is also worthwhile.
I hope the advice will be helpful for you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar