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Fever from the last 5 days.
Hello, I have been suffering from Fever for the past 5 days along with cough cold and body pain. I took a CBC test yesterday please help me understand the report. The medicine prescribed by my doctor does not seem to be helping me out. Thankyou
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CBC Report Findings
Hemoglobin: 13.8 g/dL (Normal)
RBC count: 4.10 M/cu mm (Normal)
WBC count (TLC): 5700 /cu mm (Normal, lower side)
Differential Count:
Neutrophils: 75% (upper normal, slightly high)
Lymphocytes: 21% (low-normal)
Eosinophils: 3% (normal)
Monocytes: 0% (low)
Platelets: 1.25 lakh/cu mm (↓ slightly low, normal = 1.5–4.5)
HCT: 41.1% (normal)
MCV: 101 fL (slightly ↑, macrocytosis)
MCH / MCHC: Normal
RDW: 15.2 (mild ↑, variation in RBC size)
MPV: 17.3 fL (↑, suggests large platelets, maybe consumption ongoing)
PCT: 0.107 (low, due to mild thrombocytopenia)
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🔎 Interpretation
Mild thrombocytopenia (platelets 1.25 lakh) → may happen in viral fevers (like dengue, flu, viral URTI).
Normal WBC with slight neutrophilia → suggests infection (probably viral → but early bacterial can also).
Macrocytosis (MCV 101) → Could be due to B12/folate deficiency, liver issues, or sometimes transient during illness.
Overall picture: Consistent with viral fever (likely viral URTI / flu-like illness). Since platelets are just slightly low, dengue needs monitoring but not alarming yet.
---
✅ Suggested Approach
1. Supportive care
Paracetamol 650 mg SOS (if fever >100°F)
Hydration: 2–3 L/day fluids, ORS/coconut water
Adequate rest
2. Monitoring
Repeat CBC in 2–3 days (to track platelets, WBC trend)
Watch for warning signs: bleeding gums, petechiae, severe abdominal pain, breathlessness
3. If bacterial suspected (persistent fever >5 days, worsening cough, sputum, chest findings) → Antibiotic (like cefixime/azithromycin) only if clinically indicated.
4. Avoid self-starting multiple antibiotics unless prescribed after re-exam.
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⚠️ When to seek urgent care
Platelets <80,000 or bleeding signs
Worsening shortness of breath, chest pain
High continuous fever not responding to paracetamol
---
👉 Summary for her: CBC is mostly okay except for slightly low platelets (likely viral). Needs hydration, paracetamol, repeat CBC after 2–3 days. Antibiotics only if bacterial infection suspected.
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It's normal.
Tab taxim o200 two times after food for five days.
Zerodol sp3 times a day after food for 3to 5days.
Montek lc one at night for five days.
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Need few more details for proper understanding do consult me on practo online or watsapp nine Four eight seven zero two double three zero seven
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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if you would like to know more details about this problem, you can reach me for a free detailed consultation on WhatsApp at nine one one nine two five five six nine nine
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Can help you,kindly consult and provide detailed history for proper diagnosis and further management
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You can consult me directly on Practo, or reach out via WhatsApp:
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Early consultation helps avoid complications — feel free to connect.
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Reports suggest low platelets and slight infection which can be due to multiple reasons. Add symptoms and all the difficulties you are facing along the reports.
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Consult for better understanding.
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Dr. Siddesh Venkatraman
General Physician
1 yrs exp
Mumbai
Hello, fever with cough, cold, and body pain for 5 days usually points to a viral infection, though a CBC can help check for bacterial infection or other issues. Since your current medicine isnât helping, itâs best to revisit your doctor for review and possible adjustment. Meanwhile, rest, stay hydrated, and watch for high fever, difficulty breathing, or worsening weakness, which need urgent attention.
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Dr. Firdose
Ayurvedic Endocrinologist & Internal Medicine Specialist
3 yrs exp
Hyderabad
Need few more details about any other symptoms and some more test have to be needed to done
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