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मेरे बार-बार बुखार, ठंड लगना, और पेशाब के दौरान जलन का कारण क्या हो सकता है जो पिछले 3 महीनों से हो रहा है?
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Kidney & Urinary Health
Question #29285
136 days ago
298

मेरे बार-बार बुखार, ठंड लगना, और पेशाब के दौरान जलन का कारण क्या हो सकता है जो पिछले 3 महीनों से हो रहा है?

Client_a2bbe7

मैं 45 साल का पुरुष हूँ। मुझे बुखार के साथ ठंड लगना (गर्म और ठंडा महसूस होना) और पेशाब के दौरान जलन हो रही है। ये लक्षण लगभग 3 महीने से आ-जा रहे हैं। कभी-कभी मुझे कमजोरी और असहजता भी महसूस होती है। कृपया बताएं कि यह स्थिति क्या हो सकती है और मुझे कौन सा इलाज या दवा लेनी चाहिए।

How often do you experience fever with chills?:

- A few times a week

How would you rate the intensity of the burning sensation during urination?:

- Extreme — unbearable

Have you noticed any other symptoms accompanying the fever?:

- Nausea or vomiting

How is your energy level during these episodes?:

- Severely weak

Have you had any recent infections or illnesses?:

- Yes, a cold or flu

Have you experienced any changes in your urinary habits?:

- Decreased frequency

Do you have any history of urinary tract issues or kidney problems?:

- Yes, kidney stones
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Doctors' responses

Your symptoms (recurrent fever with chills + severe burning urination + weakness) strongly suggest a urinary tract infection (UTI), and given the duration (3 months) and your history of kidney stones, it could be a complicated UTI or even prostatitis (prostate infection). This is not something to treat at home, because it usually requires urine tests, possibly ultrasound, and proper antibiotics—wrong or delayed treatment can worsen the infection.

Please consult a urologist or general physician as soon as possible for urine routine/culture and targeted treatment.

If you develop high fever, vomiting, severe back pain, or inability to pass urine, go to emergency immediately, as this could indicate kidney involvement.

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Chronic symptoms like recurring fever, chills, and burning sensation during urination over a period of 3 months could indicate a persistent infection or another underlying condition. The symptoms you’re describing align closely with a urinary tract infection (UTI) or possibly a more prolonged, less easily resolved infection such as prostatitis or interstitial cystitis. Given the duration and recurrence, it’s important to get a clear diagnosis to manage appropriately. For an adult male, UTIs are less common but can occur, and might sometimes suggest an obstruction or anatomical issue if recurrent. Prostatitis, which involves inflammation of the prostate, can also exhibit similar symptoms including fever, discomfort, and urinary issues. You should start by consulting a healthcare provider who can perform necessary diagnostic tests including urine analysis and possibly a urine culture to identify bacteria or other markers. Sometimes, blood tests or imaging studies like an ultrasound or a CT scan of the urinary tract may be warranted, especially if there’s suspicion of complications or an anatomical issue. Treatment will vary based on the underlying cause; antibiotics are the mainstay for UTIs if confirmed, but chronic prostatitis might require a more extended-duration antibiotic regimen or other interventions. Until you can see a doctor, you can facilitate relief with non-steroidal anti-inflammatory drugs like ibuprofen to manage pain and fever, but be cautious and avoid self-treatment with antibiotics without prescription, as misuse can complicate or mask the underlying condition. Ensuring adequate hydration can help flush the urinary system, but avoid irritants such as caffeine or alcohol. Prompt attention from a medical professional is crucial to manage these symptoms effectively and prevent potential complications.

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Hello

Your symptoms—recurrent fever with chills, severe burning during urination, weakness, and a history of kidney stones for 3 months—most commonly suggest a persistent urinary infection that may be deeper than the bladder.

The leading possibilities include Urinary tract infection, especially one that keeps returning because of stones or incomplete treatment. Another important condition to consider is Prostatitis, which in men can cause repeated fever, chills, and severe burning with urination over weeks to months. Given your history of stones and decreased urine frequency, a blocked or infected stone is also a significant concern.

Because this has lasted 3 months with fever and chills, it should be evaluated promptly rather than treated with home remedies alone. Persistent infection can spread to the kidneys or bloodstream if not addressed.

The usual next steps are a urine routine and culture test to identify the exact bacteria, blood tests, and imaging such as an ultrasound or CT scan to look for stones or blockage. Treatment typically involves targeted antibiotics for a longer duration, and if a stone is causing obstruction, a urology procedure may be needed.

You should seek urgent medical care (same day or emergency) if you develop high fever, shaking chills, vomiting, severe back or side pain, confusion, or very little urine, as these can indicate a serious kidney infection or obstruction.

Take care

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Your symptoms of recurrent fever with chills, severe burning during urination, weakness, and a history of kidney stones strongly suggest a chronic or recurrent urinary tract infection (UTI), possibly involving the kidneys (pyelonephritis) or prostate (prostatitis) rather than a simple infection. The fact that this has been ongoing for 3 months with episodes of severe pain and systemic symptoms like fever and nausea is concerning and needs proper medical evaluation rather than self-medication. Kidney stones can also predispose you to repeated infections by blocking urine flow. You should urgently get tests such as a urine routine and culture, blood tests, and an ultrasound or CT scan to identify infection and any obstruction, and treatment will likely require targeted antibiotics based on culture results, not random antibiotics. Drink plenty of fluids and avoid delaying urination, but most importantly, consult a physician or urologist as soon as possible because untreated infections can lead to serious kidney complications.

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Hello Thanks for sharing your symptoms. Fever with chills, burning sensation during urination, and weakness/discomfort that have been coming and going for 3 months suggest a possible chronic urinary tract infection (UTI) or a prostate infection (chronic prostatitis). These conditions are more common in men over 40 and can cause the symptoms you describe.

### What This Might Be - Chronic UTI: Repeated or persistent infection in the urinary tract. - Chronic Prostatitis: Inflammation or infection of the prostate gland, which can cause urinary symptoms, fever, and general discomfort. - Other Possibilities: Kidney infection, bladder stones, or other urinary tract issues.

### Why You Need a Doctor’s Evaluation - Since your symptoms have lasted for months, it’s important to get a proper diagnosis. Chronic infections can lead to complications if not treated correctly. - You will likely need a urine test (urine routine and culture), and possibly a prostate exam or ultrasound, to find the exact cause.

### What You Can Do Now - Stay Hydrated: Drink plenty of water to help flush out bacteria. - Avoid Irritants: Limit caffeine, alcohol, and spicy foods, which can irritate the bladder. - Do Not Self-Medicate: Avoid starting antibiotics or other medicines on your own, as improper treatment can make infections harder to cure.

### Next Steps 1. See a Urologist or Physician: They will examine you and order the right tests. 2. Bring a List of Symptoms: Note when symptoms are worse, any changes in urine color, smell, or flow, and if you have any pain in the lower abdomen or back. 3. Follow Prescribed Treatment: If an infection is found, your doctor will prescribe the right antibiotics and may suggest further tests if needed.

### Indian Home Remedies (Supportive Only) - Drinking barley water or coconut water may help soothe the urinary tract, but these are not substitutes for medical treatment.

Summary:
Your symptoms need a proper medical evaluation—please see a doctor soon for urine tests and further management. Early treatment can prevent complications and help you feel better faster.

Thank you

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Hi. These symptoms persisting for 3 months are not a simple flu. The combination of high fever with chills and extreme burning urine points to a deep-seated infection. Here is the critical breakdown:

· ⚠️ Likely Diagnosis: Chronic Bacterial Prostatitis or Kidney Infection (Pyelonephritis). Given your history of kidney stones, an infected stone is a top suspect. · 🔥 Why It Keeps Coming Back: Short courses of random antibiotics will suppress the fever for a few days, but the bacteria are hiding inside the prostate or behind a stone. They will re-emerge every week. · 🚫 Do NOT Self-Medicate: Taking random antibiotics like Norfloxacin or Ofloxacin right now will ruin the urine test. We need a clean catch to find the exact bacteria and the exact antibiotic that kills it. · ✅ Immediate Next Steps (Before Taking Any Pill): 1. Urine Routine & Culture/Sensitivity (First morning urine sample). 2. Ultrasound KUB (to check if the old kidney stone has moved or is causing blockage). 3. Complete Blood Count (CBC) (to measure severity of infection). · 🏥 Red Flag Sign: If you develop shaking chills where you cannot stop shivering or have difficulty passing urine, this is an Emergency. Go to the hospital immediately. · 💊 Treatment Outlook: This will likely require 4 to 6 weeks of targeted antibiotics, not the usual 5-day course.

— Dr. Nikhil Chauhan, Urologist

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Hello dear I think it is presence of stone causing pain Iam suggesting some tests for confirmation Please share the result with urologist for better clarity Please donot take any medication without consulting the concerned physician Cbc Esr Serum ferritin Serum tsh Serum hb Rft Lft Gfr Serum creatinine Serum bilirubin Hemogram Kidney USG Hopefully you recover soon Regards

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Hello, thank you for sharing your concern. You are having a Urinary Tract Infection probably due to the kidney stones. Get these tests done before starting any treatment - CBC, ESR, CRP, Urine - routine microscopy culture sensitivity, Ultrasound of whole Abdomen+KUB, RFT, RBS and review with the reports. Meanwhile start this treatment, but start only after giving the urine samples for tests, otherwise they’ll skew the results-

Tab. Nitrofurantoin 100mg twice daily × 7 days. Tab. Rabeprazole + DSR before breakfast daily × 7 days. Syp. Urine Alkalinizer 2 table spoon + 1/2 glass water thrice daily × 7 days.

If new symptoms develop or current symptoms worsen, kindly re-consult or urgently visit your nearest hospital.

Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine

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