Dr. Sugreev Singh
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I would like to know some details of my reports. Please advise.
Hi,
Welcome to icliniq.com.
I have gone through the reports (attachment removed to protect patient identity). It seems to be normal but there are some mild changes. There is a slight decrease in PCV (packed cell volume) and elevation in ESR (erythrocyte sedimentation rate). But the other values are not too low or high to cause serious problems. There are some mild changes and this occurs due to fever. ESR usually gets increased due to allergies. So, you can take tablet Cetirizine 10 mg for three days. Please mention the duration of fever and the medications taken for fever. Please mention whether you have a runny nose or difficulty in breathing.
The Probable causes
Investigations to be done
Differential diagnosis
Probable diagnosis
Treatment plan
Preventive measures
Patient's Query
Thank you doctor,
My son had a fever for eight days. He had a cold and cough. But now, he has a cough and his temperature is normal. He took Azithrol once a day, Allegra, and Dolo for cough. He was also taking Aerodil.
Hi,
Welcome back to icliniq.com.
Continue giving the same medication to your son. His blood reports are normal and there is nothing to be worried about.
Patient's Query
Thank you doctor,
My son is having a fever of 99 degrees after 8 PM. He is absolutely fine during the whole day. He is not taking medications now.
Hi,
Welcome back to icliniq.com.
For fever, he can take tablet Dolo 650 mg once after taking meals for three days. He can also take tablet Pantop (Pantoprazole) once a day before meals for three days, and tablet Zincovit 500 mg once after taking meals for seven days. If he has any other symptoms such as a runny nose or sore throat, then he needs to take antibiotics.
Patient's Query
Thank you doctor,
He does not have a runny nose. But he has a dry cough while vomiting.
Hi,
Welcome back to icliniq.com.
He can take tablet Azithromycin 500 mg once a day for three days. Have a follow-up after three days.
Patient's Query
Thank you doctor,
Still, he has a fever of 99 degrees even after taking antibiotics. What to do?
Hi,
Welcome back to icliniq.com.
I understand your concern. If there are no other symptoms other than fever, then he can continue taking the same medications for another five days. Please do a VDRL (venereal disease research laboratory test) to rule out typhoid. Please mention whether he has a fever throughout the day or only in the evening. Please mention the medications taken now.
Patient's Query
Thank you doctor,
He gets a fever only in the evening after 6 PM. He coughs and vomits with phlegm. He is not having any other symptoms. I was giving him antibiotics only with Dolo 650 on an SOS basis.
Hi,
Welcome back to icliniq.com.
I have gone through the reports. Everything seems to be up to the mark. There is nothing serious. It takes time to get resolved. You can give Pantop and Zincovit. For cough syrup, he can take Xenkuff-AM (Ambroxol hydrochloride with Chlorpheniramine maleate) 3 ml twice a day. Please do not give water after taking the syrup.
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Internal Medicine
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