What causes recurrent fever with chills and joint pain?

Hello,

Welcome to icliniq.com.

I can understand your concern. According to your statement, you have been suffering from chilled feverish pain for a few days.

According to your investigation reports (attachment removed to protect patient identity), platelet count 0.8 lakhs/cu mm (1.5-4.0), pus cells: 4-5/hpf, renal stones (3 mm), and IgM antibody for dengue fever were positive. So, you had a history of dengue fever. Your history of pus cell in urine was above normal with renal stones of 3 mm. May be your renal stone may increase in size now, which also may cause persistent urinary tract infections.

Again you can do repeat dengue for IgG and IgM, do widal test, antigen or antibody for COVID-19 or RT-PCR for COVID-19, urine R/M/E, etc., to detect the underlying causes and then treat them accordingly.

Hi,

Welcome back to icliniq.com.

Such type of symptoms like someone might feel hot but have no fever may result from various conditions such as dehydration, medications, environmental and lifestyle factors, age, hormones, spicy foods, stress, anxiety, etc.

You are usually taking medication like Levosiz M that contains both antihistamines such as Levocetirizine and Leukotriene receptor antagonist Montelukast which may cause dehydration. Thus makes you feel feverish.

Some investigations may help to diagnose the exact causes. But before doing any investigations, you can take some measures like lifestyle modifications, wearing loose fitting clothes, avoid taking caffeine enriched beverages like tea or coffee, spicy foods, alcohol etc, plenty of fluids intake which may replace electrolytes lost through sweat, take a cool shower etc.

You have history of taking different types of antibiotics and other medications that may cause such type of clinical features.