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Suggest Treatment For Fever, Chills, Weakness And Stomach Pain

Posted on Sat, 18 Jun 2016

Question: I am recovering from a pacemaker implant (3 weeks ago), and have had stomach distress for 4 days. Yesterday I had fever and chills, weakness, dizziness, and stomach pain. Also my urine has a very bad odor, and I am having terrible incontinence. I have frequent uti's. Today my stomach pain which is on the right side under my ribs is worse. I am nauseous, and even felt nauseous after a drink of water. I had my gall bladder removed 20 years ago. I am diabetic and am due to have a routine check up next week, but am thinking tonight I may not be able to wait that long.

Answered by Dr. Ilir Sharka (47 minutes later)

Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I carefully passed through your question and would explain that your symptoms could be related to an infection.

I recommend going to the ER for a careful physical exam and some tests:

- a resting ECG
- a chest X ray study
- an abdominal ultrasound
- some blood lab tests (complete blood count, fasting glucose, kidney and liver function tests, blood electrolytes, PCR, sedimentation rate)
- a blood bacterial culture
- an urine analysis
- urine bacterial culture.

You may need to start antibiotics based on your tests results.

Hope to have been helpful!

Best wishes,

Dr. Iliri

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar