Unstable Fever: Possible ENT Issues and Symptoms - Otolaryngology

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Unstable fever


Recently, I've been experiencing sudden dizziness for a second or two, followed by a fever every two to three days, and I also feel more fatigued than usual.
Is there something wrong with my body?

Ms. Tsai, 20~29 year old female. Ask Date: 2015/07/22

Dr. Zheng Jueyi reply Otolaryngology


Dear Ms.
Tsai,
Hello, it is recommended that if there is no improvement after one week, you should visit a family medicine or internal medicine specialist for an examination.

Wishing you safety and health,
Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare
Dr.
Cheng Jue-Yi

Reply Date: 2015/07/22

More Info


Experiencing recurrent fevers and episodes of dizziness can be concerning and may indicate an underlying health issue. Given your symptoms of sudden dizziness lasting for a few seconds, intermittent fevers occurring every few days, and increased fatigue, it is essential to consider various potential causes, including infections, autoimmune disorders, or even issues related to the ear, nose, and throat (ENT).

Firstly, recurrent fevers can be classified as "fever of unknown origin" (FUO), which is defined as a fever higher than 38.3°C (101°F) that lasts for more than three weeks without an identified cause after thorough investigation. Common causes of FUO include infections (such as viral or bacterial), autoimmune diseases (like lupus or Still's disease), malignancies, and even certain medications. Since you mentioned that your fevers occur every few days, it is crucial to monitor their pattern, duration, and any accompanying symptoms, as this information can help healthcare providers narrow down the potential causes.

Dizziness, especially if it is sudden and transient, can be linked to several factors. One common cause is vestibular dysfunction, which can arise from issues in the inner ear. Conditions such as benign paroxysmal positional vertigo (BPPV), vestibular neuritis, or labyrinthitis can lead to episodes of dizziness and may also be associated with fever if there is an underlying infection. Additionally, systemic infections can cause both fever and dizziness due to dehydration, electrolyte imbalances, or the body's inflammatory response.

Increased fatigue and a tendency to sleep more can also be indicative of an underlying issue. Chronic infections, autoimmune diseases, and even malignancies can lead to fatigue as the body expends energy fighting off illness or dealing with inflammation. It is essential to consider your overall health, including any recent changes in weight, appetite, or energy levels, as these can provide valuable clues to your healthcare provider.

Given your symptoms, it is advisable to seek medical attention. A thorough evaluation by a healthcare professional is necessary to determine the underlying cause of your recurrent fevers and dizziness. This evaluation may include a detailed medical history, physical examination, and laboratory tests such as blood tests to check for signs of infection, inflammation, or other abnormalities. Imaging studies, such as a CT scan or MRI, may be warranted if there are concerns about structural issues in the brain or inner ear.

In summary, while your symptoms of recurrent fever, dizziness, and increased fatigue can be concerning, they can stem from various underlying conditions. It is crucial to consult with a healthcare provider to undergo a comprehensive evaluation and receive appropriate treatment. Early diagnosis and management can significantly improve outcomes and help address any potential health issues you may be facing.

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