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911DOC
911DOC, Board Certified Dr.
Category: Medical
Satisfied Customers: 5094
Experience:  Emergency Medicine Physician
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Hi Doctor, For the past six weeks, I have been feeling feverish

Resolved Question:

Hi Doctor,

For the past six weeks, I have been feeling feverish without a fever. I am feeling fatigue and tired. I am feeling weakness and fatigue. My blood work shows high ALT (94) and AST (52). For Hepatatis test, the results came negative.
Submitted: 1 year ago.
Category: Medical
Expert:  911DOC replied 1 year ago.

911DOC :

So there are many possibilities and I do not think this has anything to do with your liver enzymes being slightly elevated.

911DOC :

What other testing have you had?

911DOC :

Are you having any other symptoms?

Customer:

I did not have any other tests.

Customer:

Besides the feverish feeling, I have burning feeling while urination.

911DOC :

i see

911DOC :

so the most important thing for you to do is to get a urine test and a check for sexually transmitted diseases, as, with burning on urination we need to see these results.

Customer:

I did urine test and the results were OK

911DOC :

did they check for sexually transmitted diseases like chlamydia and ghonorrhea?

911DOC :

another couple of tests which would be helpful with you would be a test for mononucleosis and thyroid test.

911DOC :

as mononucleosis can cause symptoms like you have, it's caused by a virus and takes weeks to get over

Customer:

I am not sure. However, I did not have sexual activity for the past three months

911DOC :

and low thyroid can cause fatigue.

911DOC :

okay,

911DOC :

so sexually transmitted diseases are still on the list but much less likely

911DOC :

i think that if a mono test has not been done that it needs to be done

911DOC :

and a thyroid test as well

911DOC :

the fact is that in your case your symptoms are very non specific

911DOC :

meaning, they are bothersome to you but do not point to any obvious cause

Customer:

Thanks a lot Doctor. I will perform these test as soon as possible.

911DOC :

very good

911DOC :

also important is to make sure you see the same doctor if at all possible as this will aid in diagnosis

911DOC :

also consider the possibility of depression as this can also cause these symptoms.

911DOC :

standing by

Customer:

but these symptoms have nothing to do with high ALT and AST

911DOC :

almost certainly not

911DOC :

if you had hepatitis then yes

911DOC :

but these are mild elevations and may simply be normal for you

911DOC :

standing by

Customer:

thanks a lot doctor for the information. These are very helpful.

911DOC :

good

911DOC :

do you have any final questions for me?

Customer:

thank you

911DOC :

Thank you so much for your question. It was a pleasure talking with you. Should you need my assistance in the future simply start your question with ‘for 911doc only’.


Positive feedback is always appreciated.


Be Well


911Doc

911DOC, Board Certified Dr.
Category: Medical
Satisfied Customers: 5094
Experience: Emergency Medicine Physician
911DOC and 3 other Medical Specialists are ready to help you

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