What Causes Fever, Diarrhea And Headache?
Stool examination is helpful in detecting the causative agent
Detailed Answer:
Dear XXXX,
Thanks for your query.
A. The symptoms as mentioned in your post can be attributed to infection or inflammation in the Gastrointestinal tract.
Imodium (pharmacologically Loperamide) is an anti-motility agent.
It reduces the gastric motility, but if the causative agent is not removed, the diarrhea will persist.
B. Presenting with such symptoms, I usually treat my patients with:
1. Tablet Pantoprazole + Domperidone twice daily (to be taken half an hour before food)
2. Anti spasmodics like Dicyclomine preparation twice daily (to be taken after food).
3. Lactobacillus preparations or probiotics.
4. Antibiotics like Ofloxacin+ Ornidazole preparations, OR based on culture & sensitivity reports to control the causative organism.
5. Oral Rehydration Solution (O.R.S) for maintaining the hydration status & electrolyte balance of the body.
6. Take soft, plain, non-spicy foods.
7. Avoid fast foods & gas producing food products like cabbage, beans, etc.
C. Since the symptoms are persisting for 5 days, it will be better to consult your Doctor for proper clinical examination.
Investigations like Ultrasound scan of abdomen and stool examination (microscopy & culture-sensitivity) will be needed to detect the causative agent.
The stool sample can be collected in a clean & dry plastic container and sent for laboratory evaluation. Remember to label the container with your name, date of birth & date + time of sample collection.
Wishing you a good health.
Take care.