Dry Cough For Almost 3 Weeks Accompanied By Fever And Back Pain?
Hello r nI want to play. He experienced symptoms of dry cough already almost 3 weeks, high fever every night, almost 40 °, Nyesek / pain until back, Each after eating vomiting. He went to the doctor. And when it’s a clump, but don’t know what clumps are. Normal blood check. But indeed the excess hemoglobin. What kind of disease do you think it is ??
Good evening, thanks for the question
Symptoms of cough, fever, shortness of breath refer to disorders in the respiratory system, the cause can be due to:
1. Pneumonia or infection in the lung parenchyma, symptoms of difficulty in usually quite dominant
2. Pulmonary TB or Mycobacterium tuberculosis in the lungs, other typical symptoms such as significant weight loss, decreased appetite, and cold sweat at night
3. Acute bronchitis, namely bronchial branching inflammation, can be caused by infection or allergies
4. Pleuritis is inflammation of the lining of the lung lining, the typical symptoms of pain when breathing
To confirm the diagnosis, the doctor needs to get information about other additional symptoms, risk factors, contact history, previous medical history, and so on. Additional tests may be needed to help diagnose such as sputum examination or chest X-ray.
For a history of a hemoglobin value higher than the normal value it might be another condition that is not related to the current complaint, which is called polycythemia vera. Polycythaemia vera is a chronic myeloproliferative disorder characterized by an increase in red blood cells causing increased blood viscosity so that the risk of thrombosis or blood clots is formed. Patients with polycythemia vera are usually asymptomatic, but may have complaints of itching after bathing, burning pain in the fingers, gastrointestinal disturbances, or other nonspecific complaints such as weakness, headache, or dizziness. Patients are usually diagnosed with polycythaemia vera after the accidental finding of elevated hemoglobin and / or hematocrit levels in a routine examination.
Complications of diseases such as stroke and coronary heart disease, or progress to myelofibrosis or, more rarely, acute myeloid leukemia.
However, to establish the diagnosis requires another examination. The criteria are that in addition to Hb values> 18.5 g / dL in men and> 16.5 g / dL in women, JAK2 gene mutations are found. While other criteria are bone marrow biopsy showing erythroid overgrowth in the bone marrow, serum erythropoietin levels below normal, and formation of endogenous erythroid colonies.
Polycythemia vera is a chronic disease that cannot be cured, so in general the main goal of therapy is to prevent complications of thrombosis and bleeding, minimize the risk of complications and control the symptoms that arise.
We recommend that you do further tests with a specialist in internal medicine for respiratory disorders at this time and to evaluate the findings of excessive hemoglobin levels.
That's all, hope you can help
Wassalam, Dr. Farah