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Internal fever
My wife is complaining of internal fever. She is a working professional . She has weakness , fatigue , headache and body pain specially in lower back . Feeling cold all the time .
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Hello. I have reviewed the symptoms your wife is experiencing.
The term "internal fever" is often used by patients to describe a sensation of heat or malaise when a thermometer does not show a raised body temperature. Given her symptoms of weakness, body aches, and feeling cold, there are several common underlying conditions that should be investigated.
1. Potential Clinical Considerations
Anemia: A low hemoglobin level is a very common cause of feeling cold, fatigue, and headaches in working professionals.
Thyroid Dysfunction: An underactive thyroid (hypothyroidism) can lower the body's metabolic rate, leading to persistent cold intolerance, fatigue, and body aches.
Nutritional Deficiencies: Severe deficiencies in Vitamin B12 or Vitamin D3 can cause significant muscle pain, weakness, and a general sense of being unwell.
Chronic Stress or Burnout: In working professionals, chronic exhaustion can sometimes manifest as physical symptoms like "internal fever" and generalized body pain.
2. Recommended Diagnostic Tests
To identify the exact cause, the following baseline blood tests are necessary:
Complete Blood Count (CBC): To check for anemia or underlying low-grade infection.
Thyroid Function Test (TFT): To evaluate TSH, T3, and T4 levels.
Vitamin Profile: Specifically checking Serum B12 and Vitamin D3 levels.
Inflammatory Markers: A CRP or ESR test can help determine if there is actual internal inflammation.
3. Immediate Management
Hydration and Rest: Ensure she is getting adequate sleep and staying hydrated.
Temperature Monitoring: Keep a log of her actual oral temperature twice a day to see if there is a true low-grade fever or if it is purely a sensation of heat.
Summary Advice:
Please arrange for the blood tests mentioned above. Once the results are available, they will provide a clear direction for treatment, whether it requires iron supplementation, thyroid management, or vitamin therapy.
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Please measure with thermometer whenever she feels feverish and keep an chart.
Please measure her weight and note any recent changes?
Any history of prolonged fever in family?
Do these routine blood tests for initial assessment-
Cbc , FreeT4, tsh, LFT, RFT, VitD , ESR,CRP.
After these blood reports, we will proceed further based on its interpretation.
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LISTEN IN ALLOPATHY NO TERM LIKE INTERNAL FEVER. ITS FOR AYURVEDA. U NEED BLOOD TEST FOR CBC ESR CRP
X RAY LOWER BACK SP N LATERAL VIEW DIGITAL WITH REPORTING.
ASSESSMENT OF VITAMIN D3 B12 T3T4TSH MG
TAB ETEROCOXIB THYOCHOLCHICIDE TWO TIMES AFTER FOOD FOR LO
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This could be due to an infection, nutritional deficiency, or thyroid imbalance.
I recommend a few basic tests CBC, ESR ,CRP ,Thyroid profile CUE, Vitamin B12 & D levels
For now, stay well hydrated, take adequate rest.
You can book a consultation and share the reports with me once done I’ll guide you further.
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Kindly do connect and consult
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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. 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. Chaithra H
General Physician
5 yrs exp
Bangalore
Get vit d and b12 levels done
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