Recurring bouts of high fever with no other symptoms.

[khlongtoey]

out of curiousity, what would it take or when have you gone to see doctors in the past? recurring fevers is not normal age-ing and its a big mistake to be your own doctor.

 

especially high grade fevers, > 101 F ; the coldness is typically when fevers break ofc

[how241]

2 minutes ago, khlongtoey said:

out of curiousity, what would it take or when have you gone to see doctors in the past?

In 2012, I had eyelid surgery(cosmedic) at PB Hospital.  In 2014 I had a colonoscopy that was very clean with no polyps seen or removed at Pattaya Bangkok Hospital.  Before that,  maybe around 2009 in the USA preparing for my Thailand adventure.

[geisha]

11 hours ago, how241 said:

I would do the same in my home country.  When the fever passes and I feel fine,  I just go about my life. The only reason I mention this now is I had a 3-4 day bout of fever 2 weeks ago and now it is starting again.  Sure, if my arm was broken I would immediately go to eh Bangkok Pattaya Hospital.   I am afraid of spending a lot of time with doctors doing trial and error test looking for info.  If you ever saw the TV series 'House'   they would do tests, one by one, so they could eliminate possible causes.  Yes, in the end they always found some rare illness and the patient was successfully treated. Not sure I want to be that guy as I have no other symptoms. 

You should do what advised by Sheryl and others. It is definitely not normal to get recurring high temperatures. The tablets you are taking are just masking the problem temporarily.

[Skipalongcassidy]

18 hours ago, Lorry said:

I don't know the tests LifeCare performs but STDs should show up in the urine (PCR)

No... as a general rule urine tests or for that matter any test does not automatically screen for STDs... they are specific tests that must be ordered specifically by a doctor.

[Skipalongcassidy]

On 6/28/2024 at 12:31 AM, how241 said:

I have been getting recurring high fevers with no other symptoms.  Usually last for 3-5 days and I have controlled it with Tylenol and ibuprofen. The fever has been in the 38.5--39.8 range and is lowered by taking those meds.  Other than feeling achy and sweating at times,  I have no other symptoms.  I am having this problem now and also had it for a few days about 2 weeks ago. I had a similar bout a few months ago.   A couple of days ago I had the best blood/urine test package I could buy at LifeCare and all was normal.  I am 70 years old, non smoker,  1-2 beers at night.  I am at a very normal weight and I try to go to  the gym regularly. I did not get tested for covid.  I do not have insurance so I would need to pay cash for all treatments which is not a problem.  Anyone had anything similar ?  I hope Sheryl with see this and offer some suggestions.  Thanks for any help.

Or it could be just "hot flashes" that most men get as they age... it isn't necessary or healthful to become a hypochondriac at your or my age... just keep monitoring how you feel... if you feel totally out of sorts then address that... but occasional hot flashes are normal.

 

[JBChiangRai]

1 hour ago, Skipalongcassidy said:

Or it could be just "hot flashes" that most men get as they age... it isn't necessary or healthful to become a hypochondriac at your or my age... just keep monitoring how you feel... if you feel totally out of sorts then address that... but occasional hot flashes are normal.

 

Useful post, stop him going to a doctor and find out what it really is.  On his tombstone “Skipalongcassidy said there was nothing wrong with me”

[save the frogs]

16 hours ago, how241 said:

Not a big fan of hospitals and all their tests.  It's not about the money.  I am a big believer in the body's ability to heal itself.  I have been fortunate and have been very healthy for 70 years.  I don't have a death wish.

The body's ability to heal itself depends on what the issue is.

Sometimes emergency rooms will save your life.

Not to bash this site, but this free medical advice can be a two-edged sword as people may rely on advice here instead of getting to an emergency room. 

At least go to the emergency and let them tell you serious it is before wasting time on here. 

 

Edited June 28 by save the frogs

[JBChiangRai]

1 hour ago, save the frogs said:

The body's ability to heal itself depends on what the issue is.

Sometimes emergency rooms will save your life.

Not to bash this site, but this free medical advice can be a two-edged sword as people may rely on advice here instead of getting to an emergency room. 

At least go to the emergency and let them tell you serious it is before wasting time on here. 

 

 

ER is probably not the best place, they deal with emergencies, unless he sees a "star", they will probably send him home with paracetamol.  He needs to see a specialist like Sheryl suggested.

 

I have a "star" in Chiang Rai Government Hospital that I see every 6 months. I had a kidney stone and my kidneys started crashing, I saw a urologist on her recommendation, he sent me away with tablets to dissolve the stone.  On the way back in the car she called me on LINE and told me to turn around and go back, the urologist had missed that my kidneys were crashing.  They operated the next day.

[Lorry]

5 hours ago, Skipalongcassidy said:

No... as a general rule urine tests or for that matter any test does not automatically screen for STDs... they are specific tests that must be ordered specifically by a doctor.

Correct. 

[Sheryl]

12 hours ago, Skipalongcassidy said:

Or it could be just "hot flashes" that most men get as they age... it isn't necessary or healthful to become a hypochondriac at your or my age... just keep monitoring how you feel... if you feel totally out of sorts then address that... but occasional hot flashes are normal.

 

Hot flashes are vasomotor in nature and not accompanued by elevated temperatures. OP has actual fever...very high fever at that

 

He needs to see a doctor. Urgently.

[how241]

2 hours ago, Sheryl said:

Hot flashes are vadomotor in nature and not accompanued by elevated temperatures. OP has actual fever...very hihh fever at that

 

He needs to see a doctor. Urgently.

I am in the process of booking an appointment with :  https://bangkokpattayahospital.com/doctor/siriporn-srirojanakul-m/

-----------------------------------------------------------------------------

Some posters suggested chlamydia is a possibility.  Do you think I should go to LifeCare and get tested before I see the doctor ?  They also offered some type of covid test.  Should I just go to this doctor and explain my issues and let her order whatever tests are needed.  I am looking for easy,  not cost saving.

Thank you for your help.  I appreciate all the posters offering suggestions.

[scubascuba3]

11 minutes ago, how241 said:

I am in the process of booking an appointment with :  https://bangkokpattayahospital.com/doctor/siriporn-srirojanakul-m/

-----------------------------------------------------------------------------

Some posters suggested chlamydia is a possibility.  Do you think I should go to LifeCare and get tested before I see the doctor ?  They also offered some type of covid test.  Should I just go to this doctor and explain my issues and let her order whatever tests are needed.  I am looking for easy,  not cost saving.

Thank you for your help.  I appreciate all the posters offering suggestions.

cheap tests for Chlamydia and gonorrhoea at lifecare lab and results within a couple hours so yes do it first.

 

Unless there is zero chance you have an STI

[how241]

4 minutes ago, scubascuba3 said:

cheap tests for Chlamydia and gonorrhoea at lifecare lab and results within a couple hours so yes do it first.

 

Unless there is zero chance you have an STI

Thanks.   I think there is almost zero of an SDI.   After checking the major, most common Chlamydia symptom,  none of then apply to me. Same with gonorrhoea symptoms.  Just don't have any of them.  Thanks

[JBChiangRai]

7 minutes ago, scubascuba3 said:

cheap tests for Chlamydia and gonorrhoea at lifecare lab and results within a couple hours so yes do it first.

 

Unless there is zero chance you have an STI

 

It's never wrong to have a test for STI, include HIV & Syphilis in there too.  Unlikely that these are the cause.

 

When your immune system is fighting off an infection, you are at risk of other infections, especially STI's so always wear a raincoat.  Incidentally, a condom will not always protect you from an STI, but it does help and PrEP helps with HIV & Hepatitis.

[scubascuba3]

57 minutes ago, JBChiangRai said:

It's never wrong to have a test for STI, include HIV & Syphilis in there too.  Unlikely that these are the cause

Definitely could be an STI, don't always have the stereotypical symptoms. If he doesn't have sex then no need

[scubascuba3]

1 hour ago, how241 said:

Thanks.   I think there is almost zero of an SDI.   After checking the major, most common Chlamydia symptom,  none of then apply to me. Same with gonorrhoea symptoms.  Just don't have any of them.  Thanks

Chlamydia can have no stereotypical symptoms hence why a couple people have mentioned it, a temperature is definitely one symptom 

[Sheryl]

2 hours ago, how241 said:

I am in the process of booking an appointment with :  https://bangkokpattayahospital.com/doctor/siriporn-srirojanakul-m/

-----------------------------------------------------------------------------

Some posters suggested chlamydia is a possibility.  Do you think I should go to LifeCare and get tested before I see the doctor ?  They also offered some type of covid test.  Should I just go to this doctor and explain my issues and let her order whatever tests are needed.  I am looking for easy,  not cost saving.

Thank you for your help.  I appreciate all the posters offering suggestions.

No. Chlamydia does not cause intermittent high fevers.

 

A lot of well meant but uninformed suggestions in this thread. 

[JBChiangRai]

1 minute ago, Sheryl said:

No. Chlamydia does not cause intermittent high fevers.

 

A lot of well meant but uninformed suggestions in this thread. 

 

I'm not into gardening, but I'm sure my ex-wife planted Chlamydia in our garden back home.

[Sheryl]

Unhelpful posts removed

[In Full Agreement]

On 6/28/2024 at 3:50 PM, Sheryl said:

I tried to find her snd seems no longer listed. Are you sure she still works there?

 

 

As a part of my inpatient care at BPH I was seen regularly by a female  infectious  disease doctor who was monitoring  a possible e coli condition.

 

That was just over 2 months ago.

 

[Skipalongcassidy]

23 hours ago, JBChiangRai said:

Useful post, stop him going to a doctor and find out what it really is.  On his tombstone “Skipalongcassidy said there was nothing wrong with me”

More people die in hospitals than anywhere else...

[Sheryl]

14 hours ago, Skipalongcassidy said:

More people die in hospitals than anywhere else...

Of course they do. Everyone in a hospital is sick, many of them seriously so. 

 

The population of people not in hospitals is by definition much healthier than those in. So naturally fewer of them die.

 

As a percentage of population, death rate is highest in hospices. Because only terminally ill people are admitted to them. 

 

You may well as say "more people drown in oceans, lakes and rivers than anywhere else" (also true). 

[how241]

I was speaking to a lifelong friend,  not a doctor but generally a   Very smart man.  He observed  That I may be Googling too much and looking for problems that might not even be there. He commented that while I had fever a few weeks ago,  my body did fight it off and I was OK  for a few weeks after that. Nothing unusual there and I never covid tested.  Now to have fever again 2 weeks later ,  that is unusual.  I should have tested for covid but didn't. At least,  that would be eliminated.  He calls me a 'professional shopper' as I go out everyday and go to many places.  I am in crowded Thai markets 4X a week.  I am always going to 7/11, Lotus,  Big-C, big Tessco, Makro, and the gym.  I like to get out and see people. He suggested that I may of just had a bit of 'Bad Luck' by catching a 'bug'  2 times in  one month.  He reminded me that when we were young with kids,   we put them in the pre-K schools.  They would be sick often and sometimes be on antibiotics 1x-2x a month.

He suggested that I get better now and if it happens again to immediately get the covid  test.  He said that I could wear a mask in those crowded Thai markets. I never wore any mask even during covid times.   To comply with covid store rules I would wear a mask very loosely,  which I know offers no protection.  When I mentioned going to Pattaya Bangkok Hospital, his comments were varied.  He agreed that is it the best Pattaya hospital but being a private hospital they tend to order up a lot of tests and medications. It's hard or impossible to know if the tests/meds are truly necessary or they want to get your bill up. He told me that if I come there with No other symptoms,  I am giving them carte blanche to order anything they want.  I am not concerned about the money but I don't want to be told to get scans, x rays and more without the doctor giving me some concrete reasons for why they feel these tests are necessary. Not a big fan of the trial and error method testing and diagnostics. I understand that many time this is the only way

To sum things up : Getting Old  Sucks !!!  Strongly recommend that you avoid it.. lol 

[fredwiggy]

I was thinking Dengue because fevers are sometimes recurring, but follow Sheryl's advice and go to a doctor, and don't take medicine without knowing as some are dangerous with Dengue, including Ibuprofen.

[fredwiggy]

9 hours ago, Skipalongcassidy said:

More people die in hospitals than anywhere else...

I always heard most people die at home.

[Sheryl]

4 hours ago, how241 said:

I was speaking to a lifelong friend,  not a doctor but generally a   Very smart man.  He observed  That I may be Googling too much and looking for problems that might not even be there. He commented that while I had fever a few weeks ago,  my body did fight it off and I was OK  for a few weeks after that. Nothing unusual there and I never covid tested.  Now to have fever again 2 weeks later ,  that is unusual.  I should have tested for covid but didn't. At least,  that would be eliminated.  He calls me a 'professional shopper' as I go out everyday and go to many places.  I am in crowded Thai markets 4X a week.  I am always going to 7/11, Lotus,  Big-C, big Tessco, Makro, and the gym.  I like to get out and see people. He suggested that I may of just had a bit of 'Bad Luck' by catching a 'bug'  2 times in  one month.  He reminded me that when we were young with kids,   we put them in the pre-K schools.  They would be sick often and sometimes be on antibiotics 1x-2x a month.

He suggested that I get better now and if it happens again to immediately get the covid  test.  He said that I could wear a mask in those crowded Thai markets. I never wore any mask even during covid times.   To comply with covid store rules I would wear a mask very loosely,  which I know offers no protection.  When I mentioned going to Pattaya Bangkok Hospital, his comments were varied.  He agreed that is it the best Pattaya hospital but being a private hospital they tend to order up a lot of tests and medications. It's hard or impossible to know if the tests/meds are truly necessary or they want to get your bill up. He told me that if I come there with No other symptoms,  I am giving them carte blanche to order anything they want.  I am not concerned about the money but I don't want to be told to get scans, x rays and more without the doctor giving me some concrete reasons for why they feel these tests are necessary. Not a big fan of the trial and error method testing and diagnostics. I understand that many time this is the only way

To sum things up : Getting Old  Sucks !!!  Strongly recommend that you avoid it.. lol 

 

Your original post stated;

"The fever has been in the 38.5--39.8 range and is lowered by taking those meds.  Other than feeling achy and sweating at times,  I have no other symptoms.  I am having this problem now and also had it for a few days about 2 weeks ago. I had a similar bout a few months ago.  "

 

So that is 3 episodes of unexplained high fever within a few months.

You need to see a doctor as previously advised.

 

Going in to see the doctor does not give them "carte blanche" for anything. You will be told what tests are recommended and why, and you can ask the cost and  agree or not.  You will not be "told to get scans, x rays and more without the doctor giving me some concrete reasons for why they feel these tests are necessary".   At least I have never experienced or heard of that happening, and should it (highly unlikely with the doctor recommended), all you have to do is ask the doctor why before agreeing to each  test.

 

The normal process is that, after having heard the history and perhaps done a physical examination, the doctor tells you the differential diagnosis (possible things it might be) and proposed diagnostic tests. You can at that point ask the cost/question the necessity of particular tests if you feel it necessary.

 

 

[Gaccha]

I'm in disbelief. You obviously did not read the link that I provided to the gold standard of medical care.

 

"People who have any warning signs should see a doctor right away. Such people typically need immediate testing and often admission to a hospital.

 

People without warning signs should call the doctor if the fever lasts more than 24 to 48 hours."

 

You have long surpassed 48 hours so you should already have seen the doctor. 

 

One warning sign is a fever of 40° C. You were 0.2° C short of that. You should treat your case as urgent.

 

The fact that you are old complicates matters, and there is a special section in the link I've provided to tell you more. 

[MrJ2U]

On 6/28/2024 at 3:59 AM, degrub said:

I would get screened for malaria and similar parasites as part of any evaluation.

I was thinking Dengue.  

[Robert Paulson]

5 hours ago, how241 said:

I was speaking to a lifelong friend,  not a doctor but generally a   Very smart man.  He observed  That I may be Googling too much and looking for problems that might not even be there. He commented that while I had fever a few weeks ago,  my body did fight it off and I was OK  for a few weeks after that. Nothing unusual there and I never covid tested.  Now to have fever again 2 weeks later ,  that is unusual.  I should have tested for covid but didn't. At least,  that would be eliminated.  He calls me a 'professional shopper' as I go out everyday and go to many places.  I am in crowded Thai markets 4X a week.  I am always going to 7/11, Lotus,  Big-C, big Tessco, Makro, and the gym.  I like to get out and see people. He suggested that I may of just had a bit of 'Bad Luck' by catching a 'bug'  2 times in  one month.  He reminded me that when we were young with kids,   we put them in the pre-K schools.  They would be sick often and sometimes be on antibiotics 1x-2x a month.

He suggested that I get better now and if it happens again to immediately get the covid  test.  He said that I could wear a mask in those crowded Thai markets. I never wore any mask even during covid times.   To comply with covid store rules I would wear a mask very loosely,  which I know offers no protection.  When I mentioned going to Pattaya Bangkok Hospital, his comments were varied.  He agreed that is it the best Pattaya hospital but being a private hospital they tend to order up a lot of tests and medications. It's hard or impossible to know if the tests/meds are truly necessary or they want to get your bill up. He told me that if I come there with No other symptoms,  I am giving them carte blanche to order anything they want.  I am not concerned about the money but I don't want to be told to get scans, x rays and more without the doctor giving me some concrete reasons for why they feel these tests are necessary. Not a big fan of the trial and error method testing and diagnostics. I understand that many time this is the only way

To sum things up : Getting Old  Sucks !!!  Strongly recommend that you avoid it.. lol 

Yep. Exactly what doctors tend to do. Shotgun approach, big surprise it’s a business, and then make sure you come back to see them again. Forced repeat customer. Has anyone ever left  a hospital without being given an appointment to come back? 
 

People… listen, if you open a restaurant you need customers to come back. It’s like the thing. Hospitals are no different. People need to understand that, but they don’t. They think hospitals are these divine places where all they do is good healing. No, it’s not the case unfortunately. I wish it was. 

[khlongtoey]

On 6/28/2024 at 7:41 PM, how241 said:

In 2012, I had eyelid surgery(cosmedic) at PB Hospital.  In 2014 I had a colonoscopy that was very clean with no polyps seen or removed at Pattaya Bangkok Hospital.  Before that,  maybe around 2009 in the USA preparing for my Thailand adventure.

soo, in 12 years, you have been to see doctors, only 3 times total?

 

and what is your age ? did you say?  any family history of particular diseases?