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Sudden fever , cold, and muscle pain
My friend has been experiencing sudden chills from last night before that a week ago he has been having fever dry cough and muscle ache . And after eating even normal diet he has been experiencing upset stomach and when asked about burning sensation while peeing he said it happens sometimes . What should be done
Answers (25)
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You should consult a General Physician in your area for a physical examination and further management. He will decide what investigations you need.
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URTI , UTI , Nephritic syndrome possible
Monitor BP, Temperature, pulse, spo2 ,RR
Take paracetamol 650 for fever (if not allergic)
Investigation -
CBC, CRP, chest Xray PA, MP, Urine complete examination
Consult me with reports and complete history
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From your above mentioned symptoms your friend is probably having combined upper respiratory tract infection with urinary tract infection.
Since the duration is 5 days and having muscle pain it may be due to viral cause
Next Steps
-need to do blood tests -CBC,RFT,urine analysis,chest xray,ESR,CRP and urine culture
-tab azithromycin twice a day for 5 days
-tab paracetamol 500 mg twice a day for 5 days
-tab pan 40mg before food twice a day for 5 days
- drink water about 1.5 to 2 litres per day- drink hot water
-salt water
Health Tips
Contact me anytime on practo for further consultation
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URTI N UTI
PLENTY OF WATER N LIQUID LEMONADE ELECTORAL BUTTERMILK TO INCREASE OUTPUT OF URINE SO INFECTION COMES OUT.
TAB ZERODOL SP THREE TIMES A DAY AFTER FOOD FOR FIVE DAYS. CEFEXIM O200 TWO TIMES A DAY AFTER FOOD FOR FIVE DAYS.
MONTEK LC ONE AT NIGHT AFTER DINNER FOR 5DAYS.
COUGH TYPE?????
DRY
GIRILINCTUS SYR
WET
AMBRODIL S
5 ML TWICE N 10ML AT NIGHT FOR 5DAYS.
LIGHT DIET HOME MADE.
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Dear Sir/ Maam,
The symptoms you have explained are clear but the progression of each symptom seem a little vague. You should state which symptom occurred first and what the last.
But from the preliminary data, I can see there’s a Urinary Tract infection in your friend. Though, the history of chills and rigor does appear like it’s a Proximal Urinary tract infection. Most probably Pyelonephritis or Proximal ureter intection.
Next Steps
I should recommend you to have some blood tests that I can only recommend with a consultation.
In between the wait for the test results to come I would start an Empirical Antibiotic with some other medications that will alleviate the symptoms for sure.
Health Tips
It will better if we go with the details on a verbal or video consultation for more extensive understanding of the real underlying issue. Looking forward to our consultation. Thank you. Have a good day.
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URTI with UTI infection.your friends needs to be evaluate first properly. Go for cbc and basic blood culture to ruled out any specific bacteria and viral infection.consult me on practo for further management and evaluation.
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It's looking like LRTI and UTI and need to rule tropical fever syndrome
Next Steps
visit opd
Health Tips
need to monitor fever spikes and urine output
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It's a mixed infection of the respiratory , gastric and urinary tract. He needs immediate care
Next Steps
I'll advise you to visit the doctor he needs an investigations and in person evaluation to be treated Right
Health Tips
The other thing is do not self treat it could be very dangerous in this condition
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Your friend may be having upper respiratory tract infection and Urinary tract infection as well..
Get cbc, urine microscopic examination done and share results.Give him tab augmentin 625mg one morning and one evening for 5 days.
Tab mondeslor one daily for 5 days, in evening.
Syp grilinctus dx, 5m.l. every 8hours for 5 days.
Syp citralka, 5m.l. every 8 hours for 5 to 7 days.
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Your friend has:
• Fever + chills
• Dry cough + body ache
• Upset stomach
• Sometimes burning while passing urine
This could be:
• Viral infection (like flu)
• Urine infection (UTI)
• Or both together
What should be done:
• Check temperature regularly
• Get urine routine test
• Get CBC and basic blood test
• Drink plenty of fluids
• Take paracetamol for fever
If chills are severe, fever is high, or burning urine increases — doctor visit is needed soon.
Based on your symptoms, this may require proper clinical assessment and prescription. You may book an online consultation with me for detailed evaluation and personalised treatment plan.
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Kindly done all the routines with urine :r/m urine: c/s
For burning sensation in urine drink plenty of water/fluids
Is the patient experiencing any other symptoms like lower abdominal pain ,urgency ,hesitancy if yes then it could due to uti
For that you can give Disodium hydrogen citrate alkalizer mixed 3 tbs in water drink three times a day
For upset stomach avoid triggering foods
Tab pantop 40 mg od before breakfast
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1 week of fever and having chills now is worth investigating.
Please ask him to visit a Doctor or Emergency department of a hospital to get evaluated properly.
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Your friend’s symptoms suggest an active infection that has not fully resolved.
Timeline:
• 1 week of fever, dry cough, body ache → likely viral infection (flu-like illness)
• Now sudden chills → could indicate ongoing or secondary infection
• Upset stomach after eating → infection-related gastritis / viral effect
• Burning during urination (even occasionally) → possible urinary tract infection (UTI)
Sudden chills (rigors) after several days of fever are important — they can indicate:
• Secondary bacterial infection
• Urinary tract infection
• Kidney infection (if associated with back pain)
• Post-viral complications
This should not be ignored, especially if chills are strong.
Next Steps
Your friend should:
✔ Check temperature regularly
✔ Get blood tests:
• CBC
• CRP
• Urine routine & culture
✔ COVID/Flu test if not already done
✔ Kidney function test if urine symptoms persist
Seek urgent care if:
• High fever (>101°F)
• Severe shivering chills
• Lower back pain
• Vomiting
• Reduced urine
• Breathlessness
Do NOT start antibiotics blindly — tests should guide treatment.
Health Tips
✔ Drink plenty of fluids
✔ Oral rehydration if loose motions
✔ Light diet
✔ Rest properly
✔ Monitor urine color and frequency
Combination of fever history + chills + urinary burning suggests possible UTI or systemic infection and should be evaluated within 24 hours.
If you can share temperature readings and whether there is lower back pain, I can help risk-stratify further. Booking an online consultation would allow structured evaluation and help decide whether urgent antibiotics or hospital visit is needed.
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Its infection
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Please consult.
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Take tab pcm 500 mg bd and kindly go for further workup of cbc and urine r/m
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I would recommend you to do an complete blood check up and urine analysis,
Next Steps
give him an paracetamol for the chills till the blood and urine work comes back
Health Tips
do not restrain from seeing an physician
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Could be UTI, UPPER respiratory infection or malaria or dengue. Kindly consult with me on 94 two six eight six 78 nine six.
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Dr. Anmol Kudal
General Physician
5 yrs exp
Nashik
Hello do routine test like cbc , urine routine microscopy and consult me on whatsapp eight eight three zero zero zero six nine eight two
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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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
Urti
Steam inhalation
Salt water gargling
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Dear Patient,
Based on the history of fever, dry cough, and myalgia followed by sudden chills, post-meal gastric upset, and intermittent burning micturition, an active or secondary infection needs to be ruled out. Possibilities include viral illness with secondary bacterial infection or urinary tract infection.
Advice:
• Monitor temperature regularly
• Maintain adequate oral hydration
• Get investigations: CBC, CRP, Urine routine & culture
• Chest X-ray if cough persists
• Avoid self-medication or empirical antibiotics without evaluation
Urgent consultation is required if there is high-grade fever with rigors, breathlessness, persistent vomiting, reduced urine output, or marked weakness.
For detailed assessment, personalized treatment plan, and report review, kindly text me over Practo for full advice and management.
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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