How do I manage persistent fever and COVID-19 symptoms?

Question

Hi doctor,

I have had a fever for eight days. I have a highest temperature of 100.4 degrees Fahrenheit. I also have headaches, eye pain, and nasal congestion.

I suspect it to be COVID-19. But I do not have a cough or loss of taste and smell sensation.

I am taking Paracetamol for fever, and it drops for a few hours. I checked my throat, and I do not have any white patches.

Is it the flu?
I am worried about the fever since I have had it for eight days. Do flu symptoms last for more than a week?

Kindly suggest.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

It is really prudent to rule out COVID-19 (severe acute respiratory syndrome coronavirus 2) infection now. Based on your symptoms, you can have other conditions, such as acute bacterial rhinosinusitis, as you have nasal congestion.

Anyways, COVID or bacterial rhinosinusitis can be treated conservatively.

But if you have any other high-risk conditions like asthma, uncontrolled diabetes, pregnancy, or any other immunocompromised state, it is better to know your status, and it is necessary to have a face-to-face consultation if there is a need.

I suggest you get a few tests, like Covid-19 (severe acute respiratory syndrome coronavirus 2) is examined using the RT-PCR (reverse transcriptase chain reaction) test, and CBC (complete blood count) with platelets is examined.

You might be suffering from COVID-19, and another suspect is acute bacterial rhinosinusitis.

For now, I suggest you take medicine for acute bacterial rhinosinusitis. Ideally, COVID-19 is tested using an RT-PCR test (reverse transcriptase-polymerase chain reaction), and CBC (complete blood count) is examined.

You can take these medications:

Co-amoxiclav 625 mg (Amoxicillin with Clavulanic acid), one tablet two times a day for five days,
Tablet Alnix plus (Cetirizine with Phenylephrine) five by ten milligram, one tablet once at bedtime for seven days.
Paracetamol 500 mg one tablet every four to six hours, tablet vitamin C with Zinc one tablet once a day.

You can increase oral fluid intake, watch out for difficulty breathing, cold, clammy skin, and chest pain.

Have a follow-up after three days.

I hope this helps.

Thank you.