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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Treatment For Fever, Weakness, Shortness Of Breath, Instability?

yes my dad is 76 yrs old he first started out with shortness of breath and weak and unstable in his walking .and weight loss, about one month ago .since then is running a fever, weaker, .and talking out of his head when temperature reaches 100--103 degrees
the test that have been done over the past three hospital stays have been ,inconclusive . they have done multiple blood testing , urinary, ct scan mri ,TEE, scan, nothing showing infection.
posted on Sat, 22 Feb 2014
Twitter Sat, 22 Feb 2014 Answered on
Twitter Sat, 22 Feb 2014 Last reviewed on
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General Surgeon,  's  Response
Hi ! Good morning. I am Dr Shareef answering your query.

I am not aware to which part of the globe you belong to. In case you are in an area where tuberculosis is seen not infrequently, he has to be investigated accordingly to rule this out. In case he is diabetic, some kind of occult infection may give rise to such un explained fever and weight loss. I am sure this must have been excluded in his blood tests as you have mentioned. One of the other possibility is an occult malignancy which did not show it up till now. This has to be further investigated into and management be done accordingly. If nothing comes to be positive, in case of I being your treating doctor, would go for a broad spectrum antibiotics after sending samples of blood and urine for culture sensitivity report. Also his hydration and electrolytes status has to be monitored.

I hope this information would help you in discussing with your family physician/treating doctor in solving this problem. Thanks for using the healthcare magic forum for your health query. Wishing you an early recovery. Dr Shareef.
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Treatment For Fever, Weakness, Shortness Of Breath, Instability?

Hi ! Good morning. I am Dr Shareef answering your query. I am not aware to which part of the globe you belong to. In case you are in an area where tuberculosis is seen not infrequently, he has to be investigated accordingly to rule this out. In case he is diabetic, some kind of occult infection may give rise to such un explained fever and weight loss. I am sure this must have been excluded in his blood tests as you have mentioned. One of the other possibility is an occult malignancy which did not show it up till now. This has to be further investigated into and management be done accordingly. If nothing comes to be positive, in case of I being your treating doctor, would go for a broad spectrum antibiotics after sending samples of blood and urine for culture sensitivity report. Also his hydration and electrolytes status has to be monitored. I hope this information would help you in discussing with your family physician/treating doctor in solving this problem. Thanks for using the healthcare magic forum for your health query. Wishing you an early recovery. Dr Shareef.