I'm really worried because I've been having this fever that just won't go away. I had it originally on February 10th, took some medicine, and felt okay, but then it came back on the 19th, and even after seeing a doctor and taking the prescribed meds, the fever's still hovering around 100F or 101F. I even had some tests done like the Typhidot Igm and blood cultures which came back negative, and my CBC was normal, but the fever didn't stop. I was put on TaximO and Calpol 500, which seemed to help for a bit, but after three days, the fever returned. Now, with my regular doctor unavailable, I switched to another one who ran more tests like the thyroid panel and CRP, and turned out the CRP is positive. They also found my bilirubin to be a bit high and ALT levels at 79. The new doctor's prescribed Dolo 650 and Pantocid, and I'm noticing that the fever goes down after taking paracetamol, but it just comes back after a few hours. What's going on with me? Is there something serious causing the fever to keep coming back?

Dr Dr Khaleel Ur Rahim

General Practitioner

• MBBS
• 1+ Yrs

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Hormonal Influence

1. Hormonal fluctuations: Changes in estrogen and progesterone levels during the menstrual cycle can exacerbate acidity.
2. Prostaglandins: Increased prostaglandin levels during menstruation can cause stomach contractions, leading to acidity.

Dietary Modifications

1. Avoid trigger foods: Identify and avoid foods that trigger acidity, such as citrus fruits, tomatoes, chocolate, and spicy or fatty foods.
2. Ginger and aloe vera: Consume ginger tea, ginger ale, or aloe vera juice to help alleviate acidity.
3. Small, frequent meals: Eat smaller, more frequent meals to reduce symptoms.

Over-the-Counter (OTC) Medications

1. Antacids: Take antacids like Tums, Rolaids, or Mylanta to neutralize stomach acid.
2. Acid reducers: Use medications like ranitidine (Zantac) or famotidine (Pepcid) to reduce acid production.
3. Proton pump inhibitors (PPIs): Consider taking PPIs like omeprazole (Prilosec) or lansoprazole (Prevacid) to reduce acid production.

Natural Remedies

1. Yoga and relaxation techniques: Practice stress-reducing techniques like yoga, meditation, or deep breathing to help manage symptoms.
2. Heat or cold therapy: Apply heat or cold packs to the abdomen to help alleviate discomfort.

Menstrual-Specific Relief

1. Over-the-counter pain relievers: Take OTC pain relievers like ibuprofen (Advil) or naproxen (Aleve) to help manage menstrual cramps and acidity.
2. Hormonal treatments: Consult your healthcare provider about hormonal treatments like birth control pills to help regulate menstrual cycles and alleviate symptoms.

Answered 04/07/2025