Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Severe Headache, Chills, Fever And Nausea
Question: My wife had a heart attack a few years ago.her medicines include: Sotalol 80 mg AM/PM. Famatodine 20 mg
am/pm.Metformin HCL 500 mg AM/PM, Pradaxa 150 mg AM/PM. Crestor 40 mg PM only.
Diltiazem 24 hr 120 mg AM, Benicar 40 mg AM, Amlodipine Besylate 5 mg AM and a low dose Bayer aspirin
And Vitamin D3 in the morning. She has been sick since Thursday. Headaches, chills, fever, nausea. Her
Temps were 101.5 on Thursday, 100.8 on Friday, 99.8 on Saturday. sHe has a 101.9 fever now and severe
Pains in her head. She has taken Tylenol for the fever. Should I take her to ER now or DR's office Monday AM
am/pm.Metformin HCL 500 mg AM/PM, Pradaxa 150 mg AM/PM. Crestor 40 mg PM only.
Diltiazem 24 hr 120 mg AM, Benicar 40 mg AM, Amlodipine Besylate 5 mg AM and a low dose Bayer aspirin
And Vitamin D3 in the morning. She has been sick since Thursday. Headaches, chills, fever, nausea. Her
Temps were 101.5 on Thursday, 100.8 on Friday, 99.8 on Saturday. sHe has a 101.9 fever now and severe
Pains in her head. She has taken Tylenol for the fever. Should I take her to ER now or DR's office Monday AM
Brief Answer:
I recommend going to the ER for some tests.
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I understand your concern and would explain that her symptoms seem to be related to an infection.
Her past medical history of diabetes and cardiac disease indicates that her immune system is really vulnerable.
Headaches may be a nonspecific sign related to fever, but could also indicate a higher intracranial pressure (such as in the case of meningitis).
Does she have other symptoms like: diarrhea or abdominal pain, urinating problems, nasal discharge, cough, etc which could help localize a possible infection?
I recommend going to the ER for a careful physical examination, a resting ECG, a chest x Ray study, an abdominal ultrasound and some lab tests:
-complete blood count
-PCR, sedimentation rate
-fasting blood glucose
- kidney and liver function tests
-blood electrolytes
- urine analysis
Further tests may be needed to establish the diagnosis ( blood and urine bacterial culture).
A brain CT scan and spinal tap are necessary to be done if suspicions of meningitis are raised.
Hope to have been helpful!
Feel free to ask any other questions whenever you need!
Greetings!
Dr. Iliri
I recommend going to the ER for some tests.
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I understand your concern and would explain that her symptoms seem to be related to an infection.
Her past medical history of diabetes and cardiac disease indicates that her immune system is really vulnerable.
Headaches may be a nonspecific sign related to fever, but could also indicate a higher intracranial pressure (such as in the case of meningitis).
Does she have other symptoms like: diarrhea or abdominal pain, urinating problems, nasal discharge, cough, etc which could help localize a possible infection?
I recommend going to the ER for a careful physical examination, a resting ECG, a chest x Ray study, an abdominal ultrasound and some lab tests:
-complete blood count
-PCR, sedimentation rate
-fasting blood glucose
- kidney and liver function tests
-blood electrolytes
- urine analysis
Further tests may be needed to establish the diagnosis ( blood and urine bacterial culture).
A brain CT scan and spinal tap are necessary to be done if suspicions of meningitis are raised.
Hope to have been helpful!
Feel free to ask any other questions whenever you need!
Greetings!
Dr. Iliri
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
