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How to reduce fever event though I took paracetamol ?
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Kidney & Urinary Health
Question #19176
253 days ago
509

How to reduce fever event though I took paracetamol ?

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
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Doctors' responses

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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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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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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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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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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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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