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Fever and pain in feet for around 2 week
My wife has been experiencing a low-grade fever of about 100 degrees for the last three weeks. We saw a doctor who discovered she had a UTI, and that infection is nearly gone now after treatment for 1 week. However, for the past week, she has been feeling a lot of pain in her hands and feet, which gets worse in the afternoon along with the fever. Tests for arthritis, dengue, and malaria all came back negative. I'm really worried about what could be causing this pain and fever.
Answers (23)
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T bcomplex 1 od for 1 mnth
Enough food and water
T ca 1 od for 2 week
Ct brain if needed
Bld culture pcr rft lft bre ure electrolyte cbnaat chest xray..complement factor rh factor..immune complex...any allergy or arteritis...
Mostly it will due to arthritis..
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Routine investigations need to be done to r/o other causes
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consult directly
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3 weeks fever, needs to be tested, if not done yet
Blood cultures
Chest x ray ans USG abdomen
Also, repeat CBC and CRP is must.
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Give her combiflam one every 8hours for 4 days, after meals.
Tab shelcal d one morning and one evening for 15 days.
She should drink more water.
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Convalescence fatigability
Kindly consult
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It could be due to post infectious reactive arthritis , which usually takes a few weeks or more,to settle.At this time you can give her paracetamol on as needed basis
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Hi,
It can be due to post infectious inflammation.
A follow up with a physician for further evaluation would help identify the cause.
Feel free to consult for further guidance. 👍
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Thank you for the question.I understand how worrying it is to see your wife dealing with a persistent fever and daily pain, especially when the initial tests don't give you a clear answer. It is exhausting to manage symptoms that worsen every afternoon, but finding the root cause is a step-by-step process
The fact that her fever and pain consistently worsen in the afternoon is a vital clue. This distinct daily pattern usually points to an active immune or systemic inflammatory response, rather than a localized infection, as our body's natural anti-inflammatory hormones naturally drop later in the day.
Given your location in Kolkata and her recent medical history, we must look beyond standard tests:
*Chikungunya is another common regional virus that characteristically attacks the small joints of the hands and feet, causing severe pain that can linger for weeks
*Reactive Arthritis: Her recent urinary tract infection may have triggered an overactivation of her immune system which can temporarily cause joint inflammation.
*Early stages of certain autoimmune conditions can present with afternoon fevers and joint pain
Few important questions to reach diagnosis -
Is there any visible swelling, redness, or warmth in the small joints of her hands and feet, or is it strictly pain?
Does she experience stiffness in her fingers and toes when she first wakes up in the morning?
Given your age , Is there any possibility that your wife could be pregnant right now or she currently breastfeeding?
Next Steps
order secondary workup :
CBC,Quantitative CRP (C-Reactive Protein) and ESR , IgM blood test for Chikungunya.
ANA (Antinuclear Antibody) ,Scrub Typhus IgM
ALSO, Repeat Urine routine microscopy and Culture to verify that the initial UTI has been entirely eradicated
Consider initiating a scheduled, short-term course of an anti-inflammatory medication
Tab. Etoricoxib 30 mg once daily for five days after breakfast , rather than taking painkillers only when the pain becomes severe. This can help stabilize the afternoon inflammatory spikes while you await her secondary blood results.However this medicine is strictly contraindicated during pregnancy and breastfeeding.
Tab. PANTOPRAZOLE 40 mg once daily in the morning, 30 minutes before breakfast is a must with painkillers
Tab. PARACETAMOL 650 mg 1 tablet SOS if her fever spikes above 100F.Keep a minimum 6-hour gap between doses upto up to 3–4 times a day maximum and only if temperature is significantly high.
If the patient confirms or suspects pregnancy, you must never ever give Etoricoxib. Then, take Tab. Paracetamol 650 mg scheduled every 6 to 8 hours. maximum upto 4 times .
Review in 5 days with the laboratory test reports, or sooner if symptoms fail to improve with me personally on the Practo app.
Wishing your wife a speedy recovery!
Health Tips
For now, keep a daily written log of her exact temperature readings and the times her joint pain peaks.
Maintain an intake of at least 2.5 to 3 liters of water daily to support kidney function following her recent UTI and concurrent NSAID use.
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Kindly do connect and consult with me for better treatment plan and advice on your case
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The pattern of low-grade fever with joint and extremity pain in hands and feet, worsening in the afternoon, even after UTI treatment, raises the possibility of a reactive arthritis (post-infectious joint inflammation), viral polyarthritis, or an early autoimmune condition. The fact that dengue, malaria, and basic arthritis tests are negative does not rule these out â a more specific set of tests is needed.
Next Steps
Please consult me directly on Practo for a detailed evaluation â I can guide you on which specific tests are needed next to narrow down the cause.
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Hello , Kindly consider having a Tele-Consultation with me on PRACTO App since adequate patient history is required for proper treatment and further follow up . Thank You
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VIRAL?
TAB ZERODOL SP THREE TIMES A DAY AFTER FOOD FOR 3TO5 DAYS..
FOR FEVER.
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Kindly share the following
CBC
Urine Complete and microscopic
Blood sugar fasting and PP
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When the body fights an acute bacterial infection like a Urinary Tract Infection (UTI), the immune system can sometimes become temporarily hyper-reactive. Even after the primary infection is treated, this immune response can cause inflammatory pain and stiffness in the small joints of the hands and feet.
Next Steps
To clinically review your wife's previous UTI medications, evaluate her complete symptom timeline, and map out a precise diagnostic path based on her new blood reports, please book a full consultation session via my Practo profile."
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation please consult
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Dr. Jenny Koshy
Internal Medicine
6 yrs exp
Pune
Need more details on the history and investigations done.Also need to examine her clinically to see for other possible diagnosis.
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Dr. Marini Vanitha
General Physician
12 yrs exp
Kakinada
Inflammatory pain
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Viral
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Viral
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more Fiber meal
Inform
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.