How to reduce fever event though I took paracetamol ?

Question #19176

110 days ago

221

How to reduce fever event though I took paracetamol ? - #19176

Daniela

Hello. I have a persistent fever that does not clearly go down after taking 500 mg of paracetamol, along with dizziness, palpitations, and unstable blood pressure (going up and down), in the context of hormonal fluctuations after a recent change in my thyroid treatment. I have a history of pyelonephritis, recently treated in hospital for 5 days with Xifia (cefixime), with only partial improvement. I also have kidney stones (renal lithiasis), so I am concerned about a recurrence of the infection. Recently, I had mild, intermittent lower back (lumbar) pain (2–3 short episodes), currently absent. My urine is clear, without unusual odor. I do not have nausea, but I am very dizzy. The only antibiotic I currently have available is Augmentin. Please advise whether it is appropriate to start it now, whether it would be effective for a possible kidney infection, or what other treatment/antibiotic you would recommend and at what dosage, considering my kidney history. Please also let me know if you believe I should go to the emergency department.

Age: 29

Chronic illnesses: I have no more thyroid. Got treatment of euthyrox to 75

300 INR (~3.53 USD)

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Doctors' responses

Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

109 days ago

You need to visit hospital.
URGENT INVESTIGATIONS
Urine routine + culture & sensitivity
Blood cultures
CBC, CRP, Procalcitonin
Renal function tests (Creatinine, Urea)
Electrolytes
Ultrasound / CT KUB (stones + obstruction check)
Thyroid profile (TSH, FT4)
This is NOT safe for home treatment.
Your symptoms + kidney history = high risk situation.
Augmentin is not appropriate, and delaying care could be dangerous.

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

109 days ago

Hello,
Do NOT start Augmentin on your own
it is not reliable for kidney infections and may delay proper treatment.
Your symptoms are concerning
Go to the Emergency Department today
🛑Do
Blood tests (CBC, CRP, electrolytes)
Kidney function tests
Urine analysis + urine culture
Paracetamol Lowers symptoms, but does not treat the cause.
I trust this helps
Thank you

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Dr. Bheruram Netar

I am working in general medicine opd from 3 years now and that gave me wide exposure to all kind of patients walking in with different complain, sometimes mild, sometimes really serious. Most common I handle are seasonal allergies, gestational issues during pregnancy, diabetes and hypertension, but I also see cases of infections like dengue or malaria that need quick attention. In OPD you never know what the next case will be, one moment its a child with fever and next a adult with uncontrolled blood sugar, and I learnt to switch fast and think clear. I focus on proper diagnosis first, using detailed history and examination rather than rushing, cause many conditions overlap and can confuse. For example a viral fever might look like dengue in early days, or hypertension can stay hidden till it shows as headache or dizziness. I try to explain to patients in simple words what is happening with their health, as many come with fear and half information. Making them comfortable and giving them trust matters more than only prescribing medicines. Over these years I also developed a flexible approach in management, not every patient need same treatment plan. Like gestational diabetes require a very diff care compared to a young person with type 1 diabetes. Lifestyle counselling became important part of my practice, talking about diet, exercise, sleep routine and follow-up. Even with allergies or seasonal flu, guiding them on prevention and hygiene reduce re-occurence a lot. In opd practice volume is high and decision making has to be quick but safe. Sometimes you only have a few minutes, still I try to balance efficiency with personal care. Seeing patients recover and come back with gratitude motivate me everyday. Working across such diverse case made me more confident, but also humble because medicine is never fully predictable. There are times I doubt, recheck, ask for labs before final call, and I think that caution is also strength.

109 days ago

Hello daniela
It’s pyelonephritis then
It’s lethal condition
Go for cect scan
And urine culture
CBC and crp
Don’t take Augumentin it’s more side effects now
Take cefixime and oflox combination twice a day
It’s cover pyelonephritis good stay hydrated if blood pressure low then go for emergency if might be lethal
Thanks

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

109 days ago

Hello dear
See pyelonephritis is an infection associated with septicaemia and infection.
The consistent fever is also due to excess microbial load.
Iam suggesting some tests
Please get them done
Kidney USG
Urine analysis
Lft
Rft
Serum ferritin
Serum troponin
Culture if recommended by urologist
Please share the result with urologist in person for better clarity.
Please donot take any medication without consulting the concerned physician as it may cause side-effects and incomplete elemination of previous infection
Regards

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

109 days ago

Hello Daniela
Thank you for explaining your situation in detail. Given your history of recent pyelonephritis (kidney infection), kidney stones, persistent fever not responding to paracetamol, dizziness, palpitations, and unstable blood pressure—this is a potentially serious situation.
Key points:
- Persistent fever and dizziness after a recent kidney infection can mean the infection is not fully treated or has returned.
- Kidney stones can block urine flow and make infections worse.
- Hormonal changes and thyroid treatment can affect your symptoms, but the main concern here is infection.
- Self-starting antibiotics (like Augmentin) without a doctor’s advice is not recommended, especially with your complex history.
Why you should not start Augmentin on your own:
- Augmentin may not be the best choice for kidney infections, especially if you were recently on cefixime and only partially improved.
- The bacteria may be resistant, or you may need a different antibiotic or even IV treatment.
- You need a doctor to check your urine, possibly do blood tests, and decide the right treatment.
What you should do:
- Please see a doctor or go to the hospital as soon as possible for evaluation.
- Bring your recent medical records and explain your symptoms and treatment history.
- Do not start any new antibiotics without medical supervision.
If you develop:

- Severe back pain, vomiting, confusion, chest pain, difficulty breathing, or your blood pressure drops very low—seek emergency care immediately.
Thank you

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

108 days ago

Given your symptoms and medical history, it’s important to consider several potential factors. While the persistent fever and recent history of pyelonephritis are concerning, your current symptoms—dizziness, palpitations, and fluctuating blood pressure—might be linked to the recent change in thyroid treatment. Thyroid imbalances can definitely cause symptoms like these, so adjusting or closely monitoring your thyroid medication might be necessary. Nonetheless, the possibility of a kidney-related issue like a recurrent infection shouldn’t be ignored, especially given your history.
The use of Augmentin (amoxicillin/clavulanate) can be effective against various bacterial infections, including some urinary tract infections, but whether it would be right for you depends on the specific bacteria involved which isn’t easy to determine without a culture. It’s crucial to have a proper investigation, usually starting with a urine test, to check if there’s indeed an ongoing kidney infection. Your previous partial response to Xifia suggests that the bacteria may be resistant or that there’s another issue at play.
Given your dizziness, the instability in your blood pressure, and the persistence of fever despite paracetamol, I would recommend seeking immediate medical evaluation. Your symptoms raise the possibility of an underlying complication or a need for different treatment like intravenous antibiotics especially if the infection is resistant or complicated by your renal lithiasis. Additionally, managing your thyroid levels precisely will be key to reducing the non-infectious symptoms
Make sure to go to the emergency department to ensure you receive comprehensive care, possibly including blood tests, urine analysis, and imaging if necessary. Starting Augmentin without medical consultation could mask symptoms without solving the underlying issue or contribute to resistance. It’s best to have a structured assessment to handle these complexities effectively.

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