Fever resembling a cold?
Measure palm temperature every 1 to 3 hours, which ranges from 39.3 to 39.5 degrees Celsius; forehead temperature is between 37.3 and 37.9 degrees Celsius; temple temperature ranges from 37.2 to 38.4 degrees Celsius.
Rapid test for COVID-19 is negative.
Received four COVID-19 vaccinations and a flu vaccine a few days before the Lunar New Year.
Symptoms include headache, sore throat, mild cough, runny nose, and phlegm.
Having trouble sleeping and only taking pain relievers and antipyretics.
Is this acceptable?
Yun Yun, 50~59 year old female. Ask Date: 2023/03/26
Dr. Xiao Yongxun reply Family Medicine
Dear Ms.
Yun: If you are experiencing persistent fever, headache, sore throat, runny nose, and cough, it is important to consider the possibility of infections from pathogens other than COVID-19 and influenza, as well as rare causes.
Additionally, rapid testing for COVID-19 can yield false negatives, and the effectiveness of the influenza vaccine is not 100%.
It is advisable for you to seek medical attention from an infectious disease specialist at a regional hospital or higher.
Reply Date: 2023/03/26
More Info
When experiencing fever-like symptoms that mimic a cold, it can be challenging to determine when to seek medical advice. Based on your description, you have been monitoring your temperature regularly, with readings indicating a fever (39.3-39.5°C) in your palm and slightly lower readings in other areas. You have also tested negative for COVID-19 and have received multiple vaccinations against both COVID-19 and influenza. Additionally, you are experiencing symptoms such as headache, sore throat, mild cough, and nasal congestion, which are common in viral infections.
Given your situation, here are some considerations to help you decide whether to seek medical attention:
1. Duration and Severity of Symptoms: If your fever persists for more than three days or if your symptoms worsen, it is advisable to consult a healthcare professional. Persistent high fever, especially above 39°C (102°F), can indicate a more serious infection that may require medical intervention.
2. Associated Symptoms: Pay attention to any additional symptoms that may arise. If you experience difficulty breathing, chest pain, severe headache, confusion, or a rash, you should seek immediate medical attention. These symptoms could indicate a more serious condition that requires urgent care.
3. Response to Medication: You mentioned taking pain relievers and fever reducers. If your symptoms do not improve with over-the-counter medications or if you find that you need to take them frequently to manage your fever, it may be time to see a doctor.
4. Underlying Health Conditions: If you have any pre-existing health conditions (such as asthma, diabetes, or heart disease), it is essential to be more vigilant about your symptoms. Individuals with underlying health issues may be at a higher risk for complications from infections.
5. Hydration and Rest: Ensure you are staying hydrated and getting adequate rest. Fever can lead to dehydration, and it is crucial to drink plenty of fluids. If you find it difficult to keep fluids down or if you are experiencing significant fatigue, this could be a sign to seek medical advice.
6. Monitoring Temperature: Continue to monitor your temperature regularly. If you notice fluctuations or if your fever spikes again after initially coming down, this could indicate an ongoing infection that may need further evaluation.
In summary, while mild cold-like symptoms can often be managed at home, it is essential to remain vigilant. If your fever persists, worsens, or is accompanied by concerning symptoms, do not hesitate to seek medical advice. It is always better to err on the side of caution, especially when it comes to your health. Consulting with a healthcare provider can provide you with the necessary guidance and treatment options tailored to your specific situation.
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