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What Causes Intermittent Fever And Nausea?

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Posted on Thu, 15 Oct 2015
Question: What can cause an intermittent fever (usually normal upon awaking and high by about 3 degrees at bedtime) plus intermittent nausea? Type 1 diabetic for 38 years, definitely experiencing diabetic gastroparesis, being treated with Xyfaxan and most recently taking Bactrim. No change in symptoms, in fact may be getting worse.
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Answered by Dr. Ashwini Kolur (2 hours later)
Brief Answer:
rule out malaria and tb

Detailed Answer:
Hi
Thanks for writing here.

I have gone through your query.
How long you have fever, is your blood work done.

I would have asked for complete blood picture with peripheral smear for malarial parasite, as v you have mentioned about the evening rise in temperature I would have asked for sputum examination for acid fast bacilli. Based on the result I would have considered the management.

Hope this helps.
Take care
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Above answer was peer-reviewed by : Dr. Neel Kudchadkar
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Answered by
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Dr. Ashwini Kolur

General & Family Physician

Practicing since :2008

Answered : 1014 Questions

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What Causes Intermittent Fever And Nausea?

Brief Answer: rule out malaria and tb Detailed Answer: Hi Thanks for writing here. I have gone through your query. How long you have fever, is your blood work done. I would have asked for complete blood picture with peripheral smear for malarial parasite, as v you have mentioned about the evening rise in temperature I would have asked for sputum examination for acid fast bacilli. Based on the result I would have considered the management. Hope this helps. Take care