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recurring fever

My adult daughter runs a normal temperature of 96.7 and has had frequent, recurrent, fevers since childhood.  She has always had achy knees. She gets headaches and fatigue with the fevers. She often gets a 'gurgly belly' with the fever. She recently had a severe fever and fatigue response to a steriod treatment she received (4 days in bed and/or the shower).  I dont know how to help her.  She hasnt had a 'family doctor' to watch and diagnose any issues (she goes to Kaiser).  How do we find what's up?
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Avatar universal
i have the same problem and have for several years, i was diagnosed with progesterone defiecency and was completely unaware that progesterone treatments can cause fever, are there any resources where i can find out more? thanks
-Casey
Helpful - 0
Avatar universal
Hi,

How much fever is she having - that is how much is it on the thermometer? Is she having it throughout the day? Do you have any other asociated symptoms of cough, breathlesnes, weaknes, joint pains, stomach aches, burng while urination etc? Since when is she having the fever?
When trying to reduce a fever:
• Do NOT bundle up someone who has the chills.
• Remove excess clothing or blankets. The environment should be comfortably cool. For example, one layer of lightweight clothing, and one lightweight blanket to sleep. If the room is hot or stuffy, a fan may help.
• A lukewarm bath or sponge bath may help cool someone with a fever. This is especially effective after medication is given -- otherwise the temperature might bounce right back up.
• Do NOT use cold baths or alcohol rubs. These cool the skin, but often make the situation worse by causing shivering, which raises the core body temperature.
• Drink cool liquids, as tolerated.
Here are some guidelines for taking medicine:
• Acetaminophen and ibuprofen help reduce fever in children and adults.
• Take acetaminophen every 4 - 6 hours. It works by turning down the brain's thermostat. Take ibuprofen every 6 - 8 hours. Like aspirin, it helps fight inflammation at the source of the fever.
• Aspirin is very effective for treating fever in adults. Do NOT give aspirin to children unless specifically directed by your doctor.
• Fever medicines come in different concentrations, so always check the instructions on the package.
• Don't use any medicine to reduce fever in children under 3 months of age without first contacting a health care provider.
If someone has heat exhaustion or heat stroke, remove the person from the warm area. Sponge the person with tepid water. Place ice packs in the armpits, behind the neck, and in the groin. Give fluids if the person is alert. Seek medical attention. If heat illness is causing the fever, medicines may not lower the body temperature and may even be harmful.

The best way to prevent fevers is to reduce your exposure to infectious diseases. One of the most effective ways to do that is also one of the simplest — frequent hand washing.

Fever is a common symptom of many medical conditions:

* Infectious disease, e.g. influenza, common cold, HIV, malaria, infectious mononucleosis, or gastroenteritis
* Various skin inflammations, e.g. boils, pimples, acne, or abscess
* Immunological diseases, e.g. lupus erythematosus, sarcoidosis, inflammatory bowel diseases
* Tissue destruction, which can occur in hemolysis, surgery, infarction, crush syndrome, rhabdomyolysis, cerebral hemorrhage, etc.
* Drug fever
o directly caused by the drug, e.g. lamictal, progesterone, or chemotherapeutics causing tumor necrosis
o as an adverse reaction to drugs, e.g. antibiotics or sulfa drugs.
o after drug discontinuation, e.g. heroin or fentanyl withdrawal
* Cancers, most commonly renal cancer and leukemia and lymphomas
* Metabolic disorders, e.g. gout or porphyria
* Thrombo-embolic processes, e.g. pulmonary embolism or deep venous thrombosis

Has a chest xray, urine examination been done? Let us know about any other information that you might need and post us about how she is doing.

Regards.
Helpful - 0
Avatar universal
Read about Wilson's syndrome, which is a subclinical thyroid problem that causes low body temperature, with "normal" lab levels for TSH, or thyroid stimulating hormone.


Thyroid problems, knee pain, and "fever of unknown origin" are suggestive of tick borne infections.
See the symptoms list at the Canadian Lyme Foundation.
http://www.canlyme.com/patsymptoms.html
Steroids suppress inflammation and can hide an infection.  In the case of people with tick borne infections, it can make them sicker.

Wishing you the best,
Carol
Helpful - 0
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