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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurrent Fever Despite Taking Ibuprofen And Acetaminophen?

My 75 year old mother has had a fever for 8 days now along with fatigue and achiness, She has been tested for the flu and strep, negative results. On the 4th day, she went to her doctor and he said she had high levels indicating a urinary tract infection and was given Cipro. This past Friday, she was given another urinalysis and he said it was clear. She had a normal temperature at that time, but she has been taking fever reducers every 4 hours alternating between ibuprofen and acetaminophen. Her fever went back up Friday evening when she didn't take a fever reducer. My question is this: If her urine was clear, could she still an infection causes the fever, or is it likely another cause.
posted on Wed, 10 May 2017
Twitter Thu, 25 May 2017 Answered on
Twitter Fri, 26 May 2017 Last reviewed on
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General & Family Physician,  's  Response
Hi,

Thanks for your question on Healthcare magic

I do understand your solicitousness

“As” per your clinical history your mother has pyrexia so I request you to make a record of her body temperature every 6 hours. As she has pyrexia so paracetamol is not the medication for it we have to go to root cause of it so I request you to do CBC with differential which will ruled out if any bacterial or viral infection present or not. Then do a malaria test to ruled out if it is not due to that. Then do a urine culture and sensitivity test to know if it is not due to UTI. So take treatment as per main pathological causes only and stop dispensable medications.

Hope that is ample to draw a conclusion in this regard.

Thanks
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What Causes Recurrent Fever Despite Taking Ibuprofen And Acetaminophen?

Hi, Thanks for your question on Healthcare magic I do understand your solicitousness “As” per your clinical history your mother has pyrexia so I request you to make a record of her body temperature every 6 hours. As she has pyrexia so paracetamol is not the medication for it we have to go to root cause of it so I request you to do CBC with differential which will ruled out if any bacterial or viral infection present or not. Then do a malaria test to ruled out if it is not due to that. Then do a urine culture and sensitivity test to know if it is not due to UTI. So take treatment as per main pathological causes only and stop dispensable medications. Hope that is ample to draw a conclusion in this regard. Thanks