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  5. I have a fever of around 100F in the evening along with acute pain on the left side of my body, from the back down to the knee. The pain occurs only when I have a fever. What could be the cause, and what medicines or investigations should be undertaken?

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I have a fever of around 100F in the evening along with acute pain on the left side of my body, from the back down to the knee. The pain occurs only when I have a fever. What could be the cause, and what medicines or investigations should be undertaken?

Asked by Male, 26 · 2 months ago

An evening fever of around 100°F with one-sided pain from the back to the knee may be due to a viral infection causing body aches, muscle inflammation, or sometimes nerve-related pain such as sciatica that becomes more noticeable during fever. For relief, you can take Paracetamol, rest well, and stay well hydrated. If the symptoms persist beyond 3-4 days, become severe, or are associated with weakness, numbness, or difficulty walking, it is important to consult a doctor. Your doctor may advise basic investigations such as blood tests (to rule out infections) and, if needed, imaging like an X-ray or MRI to check for nerve or spine-related causes, and then guide further treatment accordingly.
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A fever with acute pain on one side of the body from the back down to the knee that occurs only during fever may suggest an underlying infection or inflammation affecting nerves, muscles, or joints in that area.

🩺 Possible Causes

  • Viral or bacterial infection causing localized inflammation or nerve irritation (e.g., shingles, sciatica triggered by infection).
  • Musculoskeletal strain or inflammation worsened by systemic fever.
  • Early signs of conditions like pyelonephritis (kidney infection) or other localized infections.

🧪 Recommended Investigations

  • Complete blood count (CBC) to check for infection or inflammation.
  • Urine analysis if kidney infection is suspected.
  • Imaging such as X-ray or MRI of the back and leg if nerve or musculoskeletal causes are suspected.
  • Blood cultures if systemic infection is a concern.

💊 Initial Treatment Options

  • Pacimol 500 Tablet (paracetamol) can be used to reduce fever and relieve mild to moderate pain safely.
  • Ensure adequate hydration and rest.
  • Avoid self-medicating with stronger painkillers without doctor advice.

⚠️ When to Seek Urgent Care

  • If pain worsens rapidly or becomes severe.
  • If fever rises above 102°F (39°C) or persists beyond 3 days.
  • If you develop weakness, numbness, or loss of bladder/bowel control.
  • If you experience difficulty breathing, chest pain, or confusion.

Please consult a general physician or an internal medicine specialist promptly for a thorough evaluation and tailored treatment plan. If symptoms worsen suddenly, contact emergency services immediately.To narrow down potential causes, we will need some more information.I understand you have a fever of around 100F in the evening accompanied by acute pain on the left side of your body, from the back down to the knee, which occurs only when you have a fever. Please tell me your age and gender to assist you better.

Answered 2 months ago