Managing Fever with NAFLD
At 31 years old, I've been dealing with some health challenges. In September, I discovered I had non-alcoholic fatty liver disease (NAFLD) due to abnormal enzyme levels revealed in an ultrasound. Although my latest results show a decrease, my enzyme levels remain somewhat elevated, with a moderate accumulation of fat noted. My doctor advised against using acetaminophen for pain relief. Interestingly, my father, who has a more severe case with significantly higher enzyme levels, was allowed to use acetaminophen but not ibuprofen. Since my diagnosis, I've avoided both medications. However, I am currently suffering from a cold accompanied by a fever of 100.2 degrees, which is quite uncomfortable. I reached out to my healthcare provider for advice, but since it's late at night, I probably won't receive a response until tomorrow. For context, I am on a treatment regimen that includes 20mg of Abilify and 50mg of Pristiq, and I do not consume alcohol. Today, I also took Sudafed PE twice to help with my symptoms.
Answers (1)
2/6/2026, 10:20:37 AM
OpenHealth AI
It sounds like you’re managing some complex health conditions while dealing with discomfort from a cold and mild fever. Since you have non-alcoholic fatty liver disease (NAFLD) and your healthcare provider has advised against using acetaminophen, it’s understandable that you’re looking for safe ways to relieve your fever.
Key Points:
- Fever Management with NAFLD: Given your condition, it's important to be cautious about medication use. As you have been advised, acetaminophen isn't suitable for you, and ibuprofen is normally not recommended either in cases of liver disease.
- Symptoms of a Cold: A fever of 100.2°F indicates that your body is fighting an infection, which is common with colds.
Steps to Manage Your Symptoms:
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Hydration: Ensure you stay well-hydrated. Drinking plenty of fluids like water, herbal teas, or broths can help regulate your body temperature and ease discomfort.
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Rest: Allow your body time to recover by getting ample rest. This can help your immune system fight off the cold more effectively.
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Cool Compress: If you feel uncomfortable due to the fever, apply a cool, damp cloth to your forehead or take a lukewarm bath. This can help lower your body temperature and provide some relief.
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Monitor Your Symptoms: Keep track of your fever and any other symptoms you may experience. If your fever persists beyond a couple of days or rises significantly, you may need to seek medical attention.
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Avoid Over-the-Counter Medications: Since your doctor has indicated avoiding certain medications, it would be best not to take any new OTC medications without consulting your doctor first. You can continue using Sudafed PE as it can help with nasal congestion, but adhere to the recommended dosage.
Remember, if your condition worsens or you experience significant discomfort, consider reaching out to a healthcare provider during the day for personalized advice. Your health is a priority, and managing your symptoms carefully is crucial while considering your current medications and health conditions. Let me know if you have more questions or need further guidance!
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