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Suggest Treatment For Severe Fatigue And Diarrhea

Posted on Mon, 13 Feb 2017

Question: Hi, I just got back from Kenya, I was there for 6 days , when I off my connecting flight in Paris is was very cold, we off the plane on the tar mat, then had to catch 2 shuttles to get to our terminal ! We had a 6 hour lay over in a terminal that didn't appear to be heated, then we had to go back outside and get on our connecting. I got cold on couldn't get warm on till I got on the plane ! I was very sick at this point, I know that my resistance was very low from the sudden climate change and lack of rest ! My symptoms last night was feeling cold, nights sweats, very weak and diarrhea ! I'm feeling a little better today ! I did a good job avoiding mosquito , however I've might of gotten 2 or 3 times ! I appreciate your advise ! Thank you !

Answered by Dr. Shuba hariprasad (2 hours later)

Brief Answer:
Just rest & fluids for now

Detailed Answer:
Hello,
Thank you for your query.
I'm Dr. Shuba Hariprasad and will be answering your query today.

Your symptoms indicate a possible flu.
Would you clarify a few things for me please?
*do you have a fever? If yes how high?
*how many loose stools have you had? Is it watery? Any mucus or blood in it? Does it smell bad?
*does your abdomen hurt?
*how is your urine? Colour & quantity?
*any nausea, sore throat, headaches?

I recommend :
-plenty of rest and proper Hydration. Have sips of warm water throughout the day, instead of all at once.
- monitor your temperature thrice a day (using an oral thermometer). Make sure you have not had any liquids/food for 10 minutes prior to taking your temperature.
-have a bland diet, avoid sugary, carbonated and caffeinated drinks & spicy foods.
-avoid milk till your stools normalize.
-take oral rehydration solutions (200ml for every loose stool)
-take a vitamin C supplement (500mg)one a day. Avoid this if it worsens your abdominal discomfort.

These measures should help with recovery.
If you don't recover in a week
-or develop any new symptoms that don't go away on its own
-or if you have a high temperature (more than 102f) for more than 3 days
-or your urine is concentrated
-or if you notice any rashes or unusual bleeding tendency, see your doctor.

Hope this helps. Please let me know if there is anything else I can help you with and kindly get back to me with the above requested clarifications.

Wish you good health.
Regards,
Dr. Shuba Hariprasad

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Shuba hariprasad (3 hours later)

Dear Dr Shuba
Thank you for your answer ! I have no fever but very weak ! my stools are very loose, no blood, strong odor. I've gone to the bathroom approx. 6 times since Sat. Evening. My urine
Is a little strong and a little deeper orange ! Today is Monday morning and I'm feeling better ! My main concern was contacting Malaria , I was in an area in Kenya that Malaria is a risk ! Thank you for your professional advice ! God bless you !

xxxxxx

Answered by Dr. Shuba hariprasad (2 hours later)

Brief Answer:
Symptoms indicate a stomach bug

Detailed Answer:
Hello,
Thank you for the follow up and clarifications.

Malaria is possible but your current symptoms are not indicative of it.
It is more likely to be a stomach bug. It good news that you are feeling better, however, your urine indicates dehydration.
Make sure to stay well hydrated (include oral rehydration solution, even gatorade will do) and eat home cooked meals.

It takes anywhere between a week to 40 days for symptoms of malaria to show up, depending on the type of parasite. So if you develop any fever with body aches with rigors that lasts for more that 3days, see your doctor for a blood test.

Hope I've helped. Please let me know if there is anything else I can help you with.
Wish you good health.
Regards,
Dr. Shuba Hariprasad

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Shuba hariprasad (1 hour later)

Dr Shuba
You've been a big help ! One more question, I'm going to Italy at the end of March, do you recommend that I get a Malaria test before I go ? Thank you so much !

Answered by Dr. Shuba hariprasad (6 hours later)

Brief Answer:
Not at this point

Detailed Answer:
Hello Sir,

I don't think it it necessary to get tested for malaria at this point.
However, if you don't feel back to your self in 7-10 days or have prolonged fatigue, sudden rigors or fever, see your doctor to rule out malarial infection. If you feel fine, then no need for testing.

Sometimes, a history of travel to places like Kenya (where malaria is endemic) can lead the airport authorities to ask for test results (that indicate a clean XXXXXXX of your health) before traveling.
I suggest you enquire about this beforehand so that you visit will be unhindered.

Hope you enjoy your trip to Italy. Make sure you stay well hydrated during travel. Am glad to have been of help. Would be happy to help with any further queries you may have.
Wish you the best.

Regards,
Dr. Shuba Hariprasad

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Shuba hariprasad (13 hours later)

Thank you for your great medical analysis i am feeling much better today ! I'm glad that you where my doctor ! Be blessed !

xxxxx

Answered by Dr. Shuba hariprasad (2 hours later)

Brief Answer:
You are most welcome

Detailed Answer:
Thank you very much. I pray for your continued good health.

Am glad to be of service.
Best wishes.
Dr. Shuba Hariprasad

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Above answer was peer-reviewed by : Dr. Prasad