Malaria

Malaria is a parasitic blood disease, where the parasites are transmitted to human through bites of infected mosquitoes. The symptoms are fever, chills, headache, muscle pain, sweating, and abdominal pain. The first line drugs used to treat malaria are Artemether-Lumefantrine and Artesunate-Amodiaquine (ACTs).

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Does my father have a high-grade fever with shivering and headache due to malaria?

Query: Hi doctor,My father is 61 years old suffering from shivering and a high-grade fever of 102.5 degrees Fahrenheit. He is diabetic and having high blood pressure. Can I give him Lumerax 80 for the suspected malaria?  Read Full »


Dr. Suneetha B S

Diabetologist, Family Physician, Microbiologist, Nutritionist

Answer: Hi, Welcome to icliniq.com. Please mention whether he has any intermittent sweating. If yes, then mention the hours of having sweating episodes. Fever with chills and sweating can occur in both malaria and typhoid. Fever with chills can also occur due to urinary tract infections. Please mentio...  Read Full »

How to get cured from malarial fever?

Query: Hi doctor, My mother is suffering from malaria for a week. Before five days, she got a positive result for malaria after having weakness, increased temperature, coughing, and loss of appetite. After taking tablet Metakelfin, her weakness and tiredness got increased. She was not able to eat and drin...  Read Full »


Dr. S D Sinha

Family Physician, Infectious Diseases Specialist

Answer: Hi, Welcome to icliniq.com. Plasmodium falciparum accounts for ninety-six percent of malaria. But plasmodium malariae and plasmodium ovale account for the remaining four percent. For Plasmodium falciparum, Metakelfin (Pyrimethamine with Sulfadoxine) of two tablets should be taken as a single dose....  Read Full »

My son has fever and vomited his malaria medicine. What to do?

Query: Hi doctor, My son (2 years 8 months) was hospitalized due to fever along with a sand paper kind of rashes in the body for four days. He was suspected of dengue and the initial blood test showed IgG positive. Herewith I am attaching the discharge summary and all other reports. After getting discharge...  Read Full »


Dr. Faisal Abdul Karim Malim

Child Health Specialist, Paediatrician

Answer: Hello, Welcome to icliniq.com. Children vomit after giving malaria medication (Chloroquine). If the child has vomited the medicine immediately after consumption that dose is missed. Hence, it should be repeated. I suggest syrup Emeset (Ondansetron) half an hour before giving the medication....  Read Full »

Why do I feel cold all the time?

Query: Hello doctor, I am feeling extremely cold all the time, except for when I am sleeping. It feels like the thermometer in my body is broken, and it cannot regulate my body temperature. I cannot think of any triggering factors. I have been to my primary doctor, endocrinologist, and rheumatologist and...  Read Full »


Dr. Zubayeralam

Family Physician, General Medicine Physician, General Practitioner, Pulmonologist, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from extreme cold feel all the time except during sleeping. Feeling cold may have resulted from fever, long time exposure to a cold environment. Without fever and cold climate, it...  Read Full »

Can malaria elevate CPK value?

Query: Hi doctor, My father, who is 70 years old, was admitted in a hospital for severe weakness, high fever (105 degrees Fahrenheit), shivering and lack of appetite. Blood tests revealed that he had malaria (Vivax) and a platelet count of 44,000, which is below normal. But, there was no dengue or typhoid....  Read Full »


Dr. Manish N Garg

Cardiologist, Cardiothoracic Surgeon

Answer: Hi, Welcome to icliniq.com. CPK enzyme (creatine phosphokinase) is specific to the heart. It gets elevated only in cardiac disease and not in malaria. However, a more specific test would be troponin enzyme levels. Also, age does not cause CPK enzymes to increase. Low platelet is due to malaria and n...  Read Full »

Why does my platelet count decrease consistently?

Query: Hi doctor, I just wanted to ask a question. My platelets count is consistently low when examined. What is the cause for the decrease in platelet count? I am not sure what are the tests checked? I am taking tablet Zoloft.  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. According to the history, you are having low platelet count. The various causes are dengue, malaria, hemolytic anemia, ITP (idiopathic thrombocytopenic purpura), hypersplenism, a viral infection like hepatitis, EBV (Epstein Barr virus), HIV (human immunodeficiency virus...  Read Full »

Why do I have fever, body pain, and rashes on the face?

Query: Hi doctor, I am a 57 year old male. I was down with fever since yesterday. My fever is ranging between 101 to 103 degrees Fahrenheit. Along with fever, I have body ache and some rashes on my face. Yesterday, my platelet count was 1 lakh. Today, in CBC the platelets 1.25 lakhs, RBC 4.47 and lymphocy...  Read Full »


Dr. Pooja Pardhi

General Medicine Physician, General Practitioner, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. I have gone through your query and can understand your health concern. As you develop rash along with high fever, I would like to suggest you consult a physician as early as possible. There are many causes of fever with rash and low platelet counts like dengue ...  Read Full »

Will low neutrophil count be the cause for low-grade fever and joint pain?

Query: Hello doctor, I am a 24-year-old female. I have done my blood work and the neutrophil count is very low 0.6 from normal in a matter of weeks and I do not understand why. Other symptoms, I am having are low-grade fever, joint pain (knees, hips, and shoulders), extreme fatigue, and spasms in my leg. ...  Read Full »


Dr. Vandana Andrews

Family Physician, General Practitioner, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. Your concerns are valid. The symptoms could be due to a condition called neutropenia (low neutrophil counts). It is generally seen in conditions like infections viral, bacterial, or parasitic infections. Examples include HIV (human immunodeficiency virus), tuberculosis...  Read Full »

I get chills and feel frozen even with a slight cold breeze. What is my problem?

Query: Hi doctor, I am a 23-year-old female. I have severe chills that I needed to wear thick sweaters and jackets at home without AC or fan. I do not feel the heat. And just cold water or slight cold breeze in the morning makes my head frozen or close to shutting down and it is getting worse. It always s...  Read Full »


Dr. Zubayeralam

Family Physician, General Medicine Physician, General Practitioner, Pulmonologist, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from severe chills that you needed to wear thick warm clothes at home without AC or fan in summer now. Chills are the sensation of feeling cold. Chills are caused by rapid muscle con...  Read Full »

What medications should I take to prevent malaria?

Query: Hello doctor, I am traveling to the Solomon Islands next week (assuming planes still flying). I am seeking malaria prevention medication. I will be there for two weeks (longer if the return flights are canceled). I am in good health. I am 77 years old, and I exercise daily. I take no medications ex...  Read Full »


Dr. Arul Amuthan

Ayurveda Specialist, Naturopathy Specialist, Pharmacologist, Siddha Medicine Specialist, Toxicologist

Answer: Hello, Welcome to icliniq.com. You are doing a great job to preserve nature. It is better to take malaria prophylaxis while traveling to an endemic area. Among many regimens, I suggest you the following effective regimen: Mefloquine 250 mg tablet to be taken weekly once. Start two weeks prior to...  Read Full »

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