Fever

Common fever symptoms include elevated body temperature, chills, headache, body aches, fatigue, and intermittent sweating. In children, symptoms may include fussiness, loss of appetite, and dehydration. Febrile seizures may occur in children between 6 months and 5 years with rapid temperature increases.

Fever diagnosis begins with an accurate temperature measurement at various sites (oral, tympanic, temporal, axillary, and rectal) using a digital thermometer. A thorough medical history and physical examination are conducted to identify the underlying causes. If an infection or other pathology is suspected, tests such as CBC, inflammatory markers, blood culture, urine tests, or imaging studies may be done.

Fever treatment focuses on addressing the underlying causes while providing symptomatic relief. For viral fever, supportive care, rest, and proper hydration are essential. Antipyretics like paracetamol or ibuprofen can reduce temperature and pain. Confirmed bacterial infections require antibiotic therapy.

At Manipal Hospitals, patients receive a detailed clinical evaluation that focuses on identifying the underlying causes of fever. The fever treatment begins with a thorough physical examination. It includes a review of symptoms and checks for any localised infections in the throat, lungs, or lymph nodes. Laboratory investigations, such as complete blood counts, urine tests, blood cultures, and region-specific screening for malaria and dengue, ensure diagnostic accuracy.

After the diagnosis, the treatment plan is tailored to the individual's needs. In viral infections, symptomatic relief through paracetamol and oral or intravenous hydration is provided if necessary. For bacterial infections, specific antibiotic therapy is prescribed based on the sensitivity test. For children, specialised care is provided to prevent febrile seizures in extreme cases. Conditions such as dengue and haemorrhagic fever are managed through intensive platelet monitoring. If the fever rises above 103°F, stays beyond three days, or is accompanied by other symptoms like respiratory distress, further evaluation is recommended. Doctors provide guidance on self-monitoring and supportive care. The hospital also emphasises the importance of follow-up visits to confirm that the patient is fever-free.