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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Weakness, Loss Of Appetite And Fever?

Hi My Father in law has been having fever for last 3 weeks or so, he is 67 years old and diabetic patient for last 30 years or so and on insulin. He has been detected of having typhoid cells in his blood but not in very large numbers at this stage as his doctor has sent his blood for further investigation to know the extent of disease settling in. He has a very low levels of energy, loss of appetite, 100 degree celcius fever everyday at least once. he has been incorporated with antibiotic medicines before the detection of typhoid. Please advise further course of action as very worried of his health condition. He is currently based in Hyderabad India. Thanks n Regards . Nav Dua
Thu, 20 Nov 2014
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General & Family Physician 's  Response
Hello
Your father in law is having low grade fever for last three weeks . He is an old diabetic and taking insulin .
Fever is still not under control , this type of fever particularly in an old diabetic patient may be due to these reasons , these include.
1 Typhoid , as your doctor is suspecting , so get in serology examination for diagnosis confirmation.
2 Tuberculosis , another most common cause of such low grade fever for lonf duration. Get in Xray chest with blood for cbc , esr ( if >100 mm of 1st hour strongly suggestive of tuberculosis or any chronic infectious disease ).
3 Jaundice , hepatitis is another reason of such symptoms as he is also having loss of appetite . Diagnosis can be confirmed by HBasg for hepatitis .
In my opinion consult another physician and get his opinion ( 2nd one )as physical examination with complete clinical history of illness is important.
Good luck.
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What Causes Weakness, Loss Of Appetite And Fever?

Hello Your father in law is having low grade fever for last three weeks . He is an old diabetic and taking insulin . Fever is still not under control , this type of fever particularly in an old diabetic patient may be due to these reasons , these include. 1 Typhoid , as your doctor is suspecting , so get in serology examination for diagnosis confirmation. 2 Tuberculosis , another most common cause of such low grade fever for lonf duration. Get in Xray chest with blood for cbc , esr ( if 100 mm of 1st hour strongly suggestive of tuberculosis or any chronic infectious disease ). 3 Jaundice , hepatitis is another reason of such symptoms as he is also having loss of appetite . Diagnosis can be confirmed by HBasg for hepatitis . In my opinion consult another physician and get his opinion ( 2nd one )as physical examination with complete clinical history of illness is important. Good luck.