Talk to General Physician on Fever And High Pulse Rate
Asking for Other, Male, 14 years old, Punjab
Doctor my 15 year son have low grade fever from one month 99to 100 at evening .and he has already taken cefixime 400mg for 7days .and azithromicine 250mg 7 days.but temperature is not going to settlte.and he is also taking inderal 10mg thrice daily for palpation.his heart beat goes to 170 .when he stands and goes 100 when he sits.all other test cbc ,throid profile,echo all tests are normal but today his typhi dot igm is positive.someone said this test is not reliable for typhoid .i m worried about his temperature,headache and pulse,please help me what i do now?
Dr. Rais Burni - General Physician
MBBS | Karachi
There as so many other causes,may b u concentrate on one of them.take an appoin...or online appoin..
Dr. Irfana Amir - General Physician
MBBS, MMCH | Lahore
Can you plz share all the tests results done so far. Has any x-ray chest done??Is there any history of cough or diarrhea ?? Positive IgM in Typidot test indicates Typhoid fever for which quinolone antibiotic like ciprofloxacin should be started for 14 days course. But fluctuating heart rate is still unexplainable , get him seen by cardiologist for holter monitoring. BEST ADVICE IS TO GET HIM HOSPITALIZED FOR FURTHER INVESTIGATIONS AND MANAGEMENT.
Member
His holter monitoring test is done. Which reports sinus techicardia, also echo is done which states trace tr and trace mr which is normal is some children. Chest x-rays was done 15 days ago which was normal. No cough or diarrhea is reported in last 15 days.
1 month ago
If you think he is stable enough to be treated at home ,Then start ciprofloxacin 500mg twice daily for 14 days and for fever paracetamol 1 gm when needed.
Inderal should be given regularly and plz don’t stop it on your own without the advice of the doctor who has started it,
For low grade fever for a month , to rule out any suspected TB , serum Quantiferon test should be done. I would like to see his CBC, ESR and CRP results reports if you can provide. Thanks
1 month ago
Also if he has been tested for malaria?? Or anyone has given malaria prophylaxis or no ?
1 month ago
Member
I also performed his blood culture .initial report is gram positive cocci.what ia this
1 month ago
But you wrote before that all the tests were normal.Now telling blood culture was positive ..... Please continue with the same doctor who was involved in the initial management of your son. May Allah bless him with complete recovery. Thanks
1 month ago
Dr. Muhammad Aleem - Endocrinologist
MBBS, FCPS Medicine, MRCP (UK), FCPS Endocrinology | Lahore
25 Positive Reviews
Blood pressure?
He needs detailed evaluation in clinic setting
Thnx
Get Appointment with General Physician
- Best General Physician in Lahore
- Best General Physician in Karachi
- Best General Physician in Islamabad
- Best General Physician in Rawalpindi
- Best General Physician in Faisalabad
- Best General Physician in Peshawar
- Best General Physician in Multan
- Best General Physician in Quetta
- Best General Physician in Gujranwala
- Best General Physician in Sargodha
- View All
Diseases releated to General Physician
Services releated to General Physician
Find the Questions asked in Other Categories
- Questions asked from Gynecologist
- Questions asked from Dermatologist
- Questions asked from General Physician
- Questions asked from Gastroenterologist
- Questions asked from Urologist
- Questions asked from Psychiatry
- Questions asked from Pediatrician
- Questions asked from Orthopedic Surgeon
- Questions asked from Ent Specialist
- Questions asked from Dentist
131 Positive Reviews