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High intermittent fever with severe sore throat and anaemia

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MY Wife {Age: 27 Wt:65kgs} is suffering with high fever 102-103degree Fahrenheit recurring every 05th hour, since last 2 days.. Physician recommemded Azithral-500 and DOLO-650 . She has a very severe throat infection and has difficulty in swallowing.

Category: Family Physician-GP

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Category: Sexually Transmitted Diseases(STD)Specialist
Dr. Deepu Sebin Sebastian is online now

Expert:  Dr. Deepu Sebin Sebastian replied 4 Days.


Thank you for asking your query at DoctorSpring.

Your wife seems to have acute bacterial Tonsillitis/tonsillopharyngitis. High intermittent fever is typical of it. This is caused by the bacterial infection of the tonsils. Azithral – 500mg is a good antibiotic targeting the bacteria causing it. Remember to take the medicine at same time everyday. You can take Dolo – 650 upto four times a day for the fever. If the fever is not coming down or the symptoms are increasing even after 36-48 hours from now, she might need stronger antibiotics as injection. Any abscess also needs to ruled out. A Betadine gargle (dilute and use in warm water) can be used twice daily for gargling. This is will help in reducing the symptoms (Do not swallow).

The blood tests show infection. She also appears to be bit anaemia due to low Iron (unrelated). I recommend an Iron tablet like Livogen for 1 month. (This can be taken once the infection is settles.)

Hope this helps
Please feel free to ask followup questions.
Thank you

Dr. Deepu Sebin Sebastian
Category: Sexually Transmitted Diseases(STD)Specialist
MD, Internal Medicine - Stanley Medical School
Medical School - MBBS - Govt. Medical College, Kottyaam

Diagnostic Prediction - Stanford School of Medicine
Received Specialty training in Critical Care, Cardiology, Neurology, Gastroenterology, Nephrology from Stanley Medical College and in Endocrinology, Rheumatology.

Hematology and Geriatrics from Madras Medical College.
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