Question 1

The patient has been suffering from fever for 6 days, along with body aches, especially in the legs, weakness, chills, loss of appetite, and vomiting. Dengue NS1 and Dengue IgM/IgG tests are non reactive. The latest CBC and dengue test reports are attached. Urine analysis shows pus cells 10 to 12/hpf and epithelial cells 8 to 10/hpf. Previous test results were: TLC 8,000/cumm, neutrophils 85 percent, lymphocytes 8 percent, and ESR 26 mm/hr.

Question 2

I recently had some tests done. My main symptoms are feeling feverish (slightly warm body), weakness/loss of energy, and slight giddiness. My reports show: ESR is 27 (normal 0 to 19), increased RBC (erythrocytosis), increased platelets (thrombocytosis), and very low Vitamin D3 (7.54). What could be the cause of increased RBC, platelets, and ESR? Does this indicate an active infection in the body?

Question 3

My father has been suffering from fever for the past 14 days. Two days ago, his blood test confirmed typhoid fever, and the doctor advised continuing the same medication. However, his fever persists continuously at 102 to 104F. I am very worried and tense about his condition. Please advise what should be done now, what he should eat, and how to take care of him during this fever.

I have had a fever for more than 24 hours along with a runny nose. After taking paracetamol, the fever went down, but it returned this morning. I am attaching my blood test report for your reference.

Recurrent fever with cold symptoms may suggest viral infection. Monitor for 2 to 3 more days. If persistent, repeat CBC and consider COVID/flu test.

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