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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Low Grade Fever And Severe Fatigue?

I am having low grade fever , range from 99.0 F to 100 F ,oral, as against the usual limit of 98.6, on healthy days ,for me it was around 97.8 to 98.1.It means I have low grade fever for last 10 days. There are absolutely no other symptoms of bacterial if viral infection ,no sore throat etc... With this small fever ,I feel too tired.all my blood test incl CRP etc is absolutely normal.recent chest x Ray and whole abdomen ultrasound is normal, except that chest x Ray says, both lungs fields shows broncho vascular markings ...earlier my blood test report has low TLC of 3700 but blood test now says it is 4200.all other typhi test, malaria, dengu etc is normal.i took antibiotic cefaxime 400 mg twice for 4 days and Azee 500 Mg once daily for 5 days..
I am worried on my x Ray report as above
..also the x Ray of paranasal sinus says ,thickning of inferior turbinates is seen, impression Rhinitis.i don't have any lungs congestion or pain...also I don't have any nasal blockage or mucuous.
I request to kindly guide me , my reports are enclosed
Mon, 9 Apr 2018
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Ayurveda Specialist 's  Response
Hello,

Since, most of the investigations are normal, thus without being able to examine you directly, I can give you the following opinion:

- Most fevers encountered in general practice are viral, self-limiting and require only symptomatic treatment but since general measures and investigations are not giving desired results.

- Seek an opinion of Medicine specialist who will look [as a compulsory routine] for pallor, jaundice, abdomen for liver & spleen and auscultate the chest.

- If there is running epidemic, examples are malaria, influenza, viral hepatitis or typhoid in the locality, then that cause must be thought of first.

Though many of the fever in general practice are viral and harmless, one should always try to find the cause of the fever by evaluating the associated symptoms. If fever does not reduce within 3 to 4 days of empirical treatment, investigate in details or consult a physician.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Munish Sood
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What Causes Low Grade Fever And Severe Fatigue?

Hello, Since, most of the investigations are normal, thus without being able to examine you directly, I can give you the following opinion: - Most fevers encountered in general practice are viral, self-limiting and require only symptomatic treatment but since general measures and investigations are not giving desired results. - Seek an opinion of Medicine specialist who will look [as a compulsory routine] for pallor, jaundice, abdomen for liver & spleen and auscultate the chest. - If there is running epidemic, examples are malaria, influenza, viral hepatitis or typhoid in the locality, then that cause must be thought of first. Though many of the fever in general practice are viral and harmless, one should always try to find the cause of the fever by evaluating the associated symptoms. If fever does not reduce within 3 to 4 days of empirical treatment, investigate in details or consult a physician. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Munish Sood