Hello,
Thank you for your query at DoctorSpring.com
I understand your concern.
Your father is suffering from intermittent fever with chills and it's been there for the last 25-30 days. I can only typhoid has been ruled out and other blood tests has not been done.
Since, it's been there for a long time, I will advise a complete set of investigations for us to have a clue towards the diagnosis.
- CBC
- ESR
- LFT
- RFT with electrolytes
- Ultrasound Whole Abdomen
- Stool test.
- Malaria Antigen
This tests will give us a clue towards the diagnosis, you can go ahead irrespective of the diagnosis. I will advise you get the tests done at the earliest and share the reports with me. I will give you the diagnosis.
Hope this was helpful,
Regards.
Patient replied :
Thanks for your reply.
I will share the testing results ASAP.
Meanwhile doctors have told suggested a strong case of URINE INFECTION. For that they have asked for the injection course for 5 days (2 injection each day) named MONOCEF. First 3 days 2gm and next 2 days 1gm injection through the hand veins. Please suggest are we going in a right direction?
Also as you mentioned the above testings..can we start it right away? Because the doctors have said that because there is already a good amount of intake of ANTIBIOTICS in the body, it will be good if these testing could be done when these antibiotics move out of the body...for which they have asked to wait for 5 days until the body is fully out of ANTIBIOTICS. Please suggest!!
Regards,
Shobhit
Hello,
Can you share the urine test reports?
What are your urinary symptoms?
As I mentioned irrespective of the antibiotic usage, you should go ahead and get the tests done.
You said the urine reports are fine. What made the doctor suggest urine infection?
Regards.
Patient replied :
Hello Doctor,
Please can you check all the reports on the below site?
www.chandan.co.in
Username- IDC1-00159/15-16
Password- qdkomabu
Username- IDC1-00668/15-16
Password- lqilxlpf
Username- CALI-00676/15-16
Password- buutubio
Username- IDC1-00979/15-16
Password- igocvvix
One more Urine test was conducted yesterday for which the report will come day after tommorow (it takes 72 hours for that report). I will send that report as well as soon it will come to me.
Please check all the reports and let me know.
I will send you all th prescriptions also soon.
Regards,
Shobhit
Hello,
I have seen all the reports, and nothing is substantial except for his cholecystitis.
He has a calculus measuring 1.3 cms, and it mostly has to be removed.
I will request you to take him to a surgical gastroenterologist who can decide on whether it can be removed laparoscopically or can be manged medically. Since he has been having fever the doctor may decide to remove it laparoscopically.
Regards.
Patient replied :
Thanks a lot for your reply!!
I know that he is having a stone in his gallbladder. We asked the consulting doctors if this is the reason for his fever and they said that it is not the case.
But I personally thinks that this is because of the stone. 2 days back he had a severe stomach ache when this fever started.
He is currently getting the injections named MONOCEF. Shall we complete that course of 5 days first before going for Stone removal operation? Please suggest!!
Regards,
Shobhit
Hello,
There is no other explanation of his fever.
I also beg to differ with your doctor, that there is any urinary infection. In fact his urine is sterile, and there is no evidence of any UTI.
Please finish the course and I will advise you to consult a surgical gastro directly, who is best suited for your father.
Regards.