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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Constant Fever?

my fiance has been having "flu" like symtoms for 2 days now and has been consistently running about a 99.4 temp. He does have hypertension, so I've also been watching his BP, only once today at 10:30am did it seem different at 126/84 Pulse 87. However, when he just came out to help me finish dishes (he has been lying or sitting almost all weekend) he thought he was going to throw up so I took 2 BP's - 5 min. apart. 1st read: 124/93 P: 130 2nd: 135/93 P:130 Can this be right?
Tue, 27 Jan 2015
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Internal Medicine Specialist,  's  Response
They could be right. The concern is not so much the blood pressure but the great increase in pulse. 99.4 is a borderline fever so also not so great a concern. If he has been having flu like symptoms and not eating or drinking enough fluids, he could be very dehydrated. This could cause him to get very nauseous if he stood up and would cause the pulse to go way up. A bleeding ulcer could also cause nausea and an increased pulse. If there is any possibility of this, it might be best he is seen by a doctor. You don't mention specifically what the flu-like symptoms are, and they could be indicative of several different conditions. If he has had a lot of diarrhea, this can also cause dehydration. This could be from an intestinal infection. In any case, if you are concerned, have him seen. At the least, if he is dehydrated, they can give him some IV fluids and he can feel better. Hope this helps.
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What Causes Constant Fever?

They could be right. The concern is not so much the blood pressure but the great increase in pulse. 99.4 is a borderline fever so also not so great a concern. If he has been having flu like symptoms and not eating or drinking enough fluids, he could be very dehydrated. This could cause him to get very nauseous if he stood up and would cause the pulse to go way up. A bleeding ulcer could also cause nausea and an increased pulse. If there is any possibility of this, it might be best he is seen by a doctor. You don t mention specifically what the flu-like symptoms are, and they could be indicative of several different conditions. If he has had a lot of diarrhea, this can also cause dehydration. This could be from an intestinal infection. In any case, if you are concerned, have him seen. At the least, if he is dehydrated, they can give him some IV fluids and he can feel better. Hope this helps.