Question 1

I was recently told I have a low vitamin B12 level, something like 179 pgml, and my cholesterol is kind of borderline too. Lately, I've been feeling really tired, can't focus, and sometimes I get confused or even have trouble keeping my balance. Do you think I should start taking B12 supplements? If so, could you recommend a good one? I'm kind of worried about these symptoms.

Accepted Answer

take B12 tabletCarbamide Forte Vitamin D3 K2 B12

Question 2

I've been dealing with a cold and body ache for about a week now. When I got some blood tests done, they showed I have both Typhoid and Malaria. It's been tough, and I've been taking medication for the past three days, but I'm still not feeling much better. Another thing that's bothering me is this really dark yellow urine I've noticed since yesterday. Could this be because of the medicines I'm taking? Is this something I should be worried about?

Accepted Answer

Persistent Fever, Muscle Pain, and Headache

_Possible Causes_

1. _Viral infections_: Influenza, respiratory syncytial virus (RSV), or other viral infections can cause persistent fever, muscle pain, and headache.
2. _Bacterial infections_: Prolonged use of Augmentin (amoxicillin-clavulanate) without improvement suggests the infection might be resistant to the antibiotic or not bacterial in nature.
3. _Other conditions_: Autoimmune disorders, such as rheumatoid arthritis or lupus, can cause persistent fever, muscle pain, and headache.

_Recommendations_

1. _Consult a doctor_: Schedule an appointment with your primary care physician or an infectious disease specialist to reassess your symptoms and adjust treatment.
2. _Blood tests and imaging studies_: Your doctor may order blood tests (e.g., complete blood count, inflammatory markers) and imaging studies (e.g., chest X-ray, ultrasound) to rule out underlying conditions.
3. _Antiviral medication or alternative antibiotics_: Depending on the diagnosis, your doctor may prescribe antiviral medication or alternative antibiotics.
4. _Pain management_: Continue taking Paracetamol (acetaminophen) as directed for pain relief.
5. _Rest and hydration_: Ensure you're getting plenty of rest and staying hydrated to help your body recover.

Question 3

I've been experiencing a mild fever every evening for the past week, usually staying under 100, mostly around 99. But then it seems to return to normal by the next morning. I've also had occasional headaches, though my stomach feels okay. I had a CBC and urine ESR done, and everything came back fine. What could possibly be causing this?

Accepted Answer

Sounds like you may be experiencing a low-grade fever in the evenings, along with occasional headaches. Since your CBC, urine, and ESR tests are normal, it is less likely to be due to an infection. One possible reason for your symptoms could be a viral infection. I recommend taking Acetaminophen (Tylenol) 500mg every evening when you have a fever. Make sure to stay hydrated and get plenty of rest. If your symptoms persist or worsen, please follow up with your healthcare provider for further evaluation.

Given the severity of your symptoms, including fever, body ache, weakness, inability to walk, and running nose, despite taking Paracetamol, it's essential to consult a doctor immediately to rule out underlying conditions

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