Q. What causes persistent fever, vomiting, and coughing in older women?

Answered by
Dr. C. Elanchezhian
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 07, 2022


My mother has a fever of around 104 degrees celsius. She is also having vomiting and coughing. I am sure it is not malaria, dengue, typhoid, UTI, or COVID infection. She had a history of typhoid a few years back. Her current medications include Tazloc-H, Glador, and Paracetamol. We got her urine culture done from a lab. What could the problem be? Please help.



Welcome to

I read your query and understand your concern.

The symptoms suggest that it is a viral fever.

I suggest you try the following medications for three days-

1. Capsule Pan-D (Domperidone and Pantoprazole) two times daily before food.

2. Tablet Doxy (doxycycline) 100 mg twice daily.

3. Tablet Dolo (Paracetamol and Mefenamic acid) 650 mg twice daily.

4. Tablet Montair FX (Montelukast and Fexofenadine) two times daily after food.

As soon as urine test results come, please inform.

Thank you.

Thank you, doctor,

Her fever did not get controlled by oral medicine, so we had to admit her to a hospital. The tests that were taken during and before the admission have been uploaded. She had shivers, and her sugar level increased drastically after taking certain medications. The fever is controlled now, and we were not satisfied with the treatment and diagnosis, so we discharged her after two days. The report before admission shows that she had an ESR of 22 mm/hr, and after it increased to 42 mm/hr. The earlier report showed typhoid negative, but now It shows positive. Her sugar level is 180 mg/dL now. Is there any other test we have to take? And is the diagnosis correct? Could you please tell me? And she has pain in her left lower abdomen and coughs sometimes. No other symptoms. No fever now. Please help.



Welcome back to

I understand your concern.

SGOT (serum glutamic-oxaloacetic transaminase) and SGPT (serum glutamic pyruvic transaminase) are raised, so fever may be due to scrub typhus.

For this already, we have given tablet Doxy (doxycycline) 100 mg twice daily.

I suggest you add the following medications-

1. Tablet Taxim O (Cefixime) 200 mg twice daily for seven days.

2. Tablet Dolo (Paracetamol and Mefenamic acid) 650 mg once if fever persists.

3. You must try to keep sugar under control.

4. You can do a blood culture test.

Thank you.

Thank you, doctor,

The doctor we consulted said that she has non-specific urethritis, PVOD, and SHTN. Does she have all these? And the scrub typhus is showing non-reactive on reports, so does she have it? What is increased BVM marking in chest x-ray?



Welcome back to

I understand your concern.

I consulted with my fellow pulmonologist regarding the x-ray chest. Bronchovascular marking increased suggests bronchitis.

I have already suggested antibiotics for her.

I changed her antibiotics due to increased levels of liver enzymes.

I hope everything will be fine soon.

Thank you.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
I have severe fever and body pain but I have taste and smell sensation. Please help.

I took tablet Paracetamol 650 mg one time after that, I got relief now I have headache and fever coming back, and my mouth is also dry, but I have taste and smell sensation ...   Read full

My father is diagnosed with viral fever and had delirium after consultation. Please advice.

.. has a fever and is delirious, it is not something that should be managed at home. Delirium can be due to toxic reasons (toxins can be substances released by microorganisms during an infection, prescription medicines or illegal drugs) or metabolic ...   Read full

Chikungunya, a Re-emerging Viral Fever

.. chikungunya and how to protect ourselves from being infected with this disease .. ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Coronavirus Variant Arcturus: | Omicron XBB.1.16 Variant
Arcturus is an emerging variant of the Omicron virus that causes various symptoms and spreads rapidly across the world. ...  Read more»
Adrenaline Rush - Symptoms, Causes, Effects, and How to Control
Adrenaline is a hormone responsible for fight or flight response. It is also a neurotransmitter and medicine. It is also...  Read more»
Fatty Liver - Types, Symptoms, Stages, and Treatment
The liver is the largest gland in the body. Its primary function is to process the food and drinks we consume. and filte...  Read more»

Ask your health query to a doctor online?

Ask a General Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.