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Persistent low-grade fever - doctor cannot get diagnosis.

I am 23 years old female. For more than the past 3 months(from the end of August until now) I have had low-grade fever(from 37,1 to 37,8 grades) and 38,9 grades of  fever on the 1st of September) accompanied by a severe exhaustion/fatigue, poor appetite, light redness of throat, sore throat only in the morning, feeling full and bloated after eating a small amount of food and sometimes a dull pain in left side of abdomen, unrestful sleep(I sleep 8-10 hours a day but feel unrefreshed when I wake up in the morning.), frequent pain in the lymph nodes of neck below my jaws, mental fog, poor memory, one-sided headaches(I experience nausea, sensitivity to light and loud sounds, lack of appetite and mental fog when I get these type of headaches) that appears 2-3 times a month and  last for 2 days.
Generally, I am fit person but I manage to do only a low-impact and gentle physical activity like walking, bicycling or swimming, otherwise I will be exhausted and may get one-sided headache afterwards.

I used to experience most of the symptoms before but they weren't a huge bother for me. But now they became more sensible and bothering.

I have seen several doctors during this period - my GP, an infectious disease specialist and neurologist. I've done many medical tests. All tests proved negative, except CRP=25ml/l on 5th of October(7 day treatment of antibiotics after) but it decreased to normal levels afterwards and stayed normal until now. I recently went to infectologist(she said there is nothing wrong with me even though there are some noticable fluctuations in my blood test(CMV IgM 1.41), but maybe, as she stated, there is nothing wrong) and did a blood test which I attached below Unfortunately, I cannot recall the moment when I felt fresh and alive.

I am looking forward to hear from you about similar experiences and suggestions.
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363281 tn?1643235611
Hello~All your symptoms point to Chronic Fatigue Syndrome. JohnnyRocket  has given you some excellent suggestions. I would definitely do research on the Nutcracker Syndrome, see a good, vascular surgeon, and in the meantime, take a good multi vitamin and mineral supplement to keep your immune system protected.
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Avatar universal
There are 3 key symptoms that you mentioned that strongly indicate a condition that someone I know has. Early satiety and dull pain in left side of abdomen as well as severe exhaustion/fatigue with deterioration of complaints after physical exertion. This would indicate chronic fatigue and a known cause of chronic fatigue is Nutcracker Syndrome (left renal vein compression). This condition occurs in the upper left abdominal quadrant and can cause early satiety and nausea. I believe that every symptom that you've listed my friend has.

From talking to her and other articles that I've read here's just a few of the many problems that this condition can cause:

Chronic Fatigue
Chronic Nausea
Early Satiety
Loss of Appetite
Left Sided Abdominal Pain
Headaches/Migraines
Dizziness/Balance Issues
Fainting and Tachycardia
Unrefreshing Sleep
Muscle Pain
Back Pain
Sore Throat
Low Grade Fever
Swollen Lymph Nodes
Hot/Cold Flashes
Cognitive Dysfunction
Memory Problems
Brain Fog
ADHD
Word Loss
Anxiety
Depression....
And the list could go on and on
Search Nutcracker Syndrome and every symptom that you have and I'm sure you will find plenty of information that even most doctors don't know!

This condition is not easily diagnosed so I would recommend finding a vascular surgeon that is very knowledgable about Nutcracker Syndrome. The good news is if you have this condition a simple stenting procedure could fix many of your problems, although surgery is sometimes needed.

I hope this might point you in the right direction and save you a lot of time and money finding a diagnosis. Feel free to private message me if you want more info and I can get you in contact with my friend who has a support group for this condition.
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1530171 tn?1448129593
From your test results, your positive CRP result is consistent with the inflammation from a suspected cytomegalovirus infection, as indicated in your CMV IgM
test (recent , current or reactivated).
Your symptoms point to cytomegalovirus complications,
likely a mononucleosis type of infection, similar to the typical one caused by EBV.
Normally infected people, show no or little signs, since the virus remains mostly dormant in the body, however, it gets activated when the immune system is compromised.
It can be easily missed by doctors and testing, specially in the inactive stages.
Pls discuss this with your doctor and have it ruled in or ruled out.
Meanwhile, work on improving your immune function, either on your own, or with the help of a holistic practitioner, since there's no "medical" treatment available for cytomgalovirus
(should the above suspicion be indeed the diagnosis).

Best wishes,
Niko
Helpful - 0
Avatar universal
I forgot to mention a frequent slight nausea as symptom.
Helpful - 0
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