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What Causes Low Grade Fever, Vomiting, Diarrhea And Chronic Abdominal Pain?
Question: I have a low grade fever, am sluggish, vomiting and nausea and diarrhea yesterday. ok today, although very tired and low fever. Have had intermittent dull pain in my upper abdomen for a couple of months...tried to rule out certain food allergies on my own, but no success. Have never tolerated fried or fatty foods, so I tend to stay away from them. recent blood tests showed elevated monocytes, so I am fighting some inflammation, but unknown source. All other values were within range. I am overweight, but active. don't smoke or drink. otherwise no high blood pressure, 132/82, cholesterol around 200. IS this a gall bladder issue?
Brief Answer:
Gall bladder can cause upper abdominal pain- have an ultrasound
Detailed Answer:
Hello,
Thank you for asking at HCM.
I carefully read your question and understand your concern.
It seems you are having two issues. One is the recent one with vomiting and diarrhea and some fever and the other one with chronic abdominal pain. They seem to not be really related to one another.
The episode with vomiting and diarrhea and some fever is very likely a viral infeciton that is having its decurse and is improving. It does not generally last more than 7 days and fever not more than 3 days. Make sure you keep yourself hydrated and taking oral rehydration solutions. Make sure you do not touch the food of other people so not to contaminate and infect others.
As for the upper abdominal pain: gall bladder might cause pain that is worse after food and generally due to stones. An abodminal ultrasound would be a very good examination to visualize it and make sure if there is a problem with the gall bladder causing it. The ultrasound will visualize the other organs also like liver and pancreas and see for lesions there that might cause the upper abdominal pain.
Another cause of upper abdominal pain might be dyspepsia which means stomach problems. To make sure if this is a stomach issue or not, especially if the abdominal ultrasound is normal is to take some omeprazole 20-40 mg a day for some days and see if it helps. The best way to rule out stomach problems is stomach endoscopy that consists of a camera put throught the throat and esophagus in the stomach and duodenum and check for inflamation and ulcer disease.
Make sure you have frequent small amount of food instead of big meals and avoit the food and drinks you know hurt your stomach.
Colon (the bowel) might cause upper abdominal pain especially if you have constipation. make sure you take fluids a lot and have extra fiber in the diet. psillium is good to have daily to have a healthy bowel.
Some other tests might be helpful in some patients like stool examination for ova and parasites, fecal occult blood test, fat amount in the stools, checking for giardia antigen in the stools, etc.
After 55 years of age is recommended to have a colonoscopy routinely, that checks the colon for lesions and is recommended every 5-10 years in healthy addults after 55 years of age and is very likely you will need one if you have not had one in the recent years.
I hope this is helpful and answers to your question but please write me in case more clarificaitons are needed.
Kind regards
Dr Antoneta Zotaj
Gall bladder can cause upper abdominal pain- have an ultrasound
Detailed Answer:
Hello,
Thank you for asking at HCM.
I carefully read your question and understand your concern.
It seems you are having two issues. One is the recent one with vomiting and diarrhea and some fever and the other one with chronic abdominal pain. They seem to not be really related to one another.
The episode with vomiting and diarrhea and some fever is very likely a viral infeciton that is having its decurse and is improving. It does not generally last more than 7 days and fever not more than 3 days. Make sure you keep yourself hydrated and taking oral rehydration solutions. Make sure you do not touch the food of other people so not to contaminate and infect others.
As for the upper abdominal pain: gall bladder might cause pain that is worse after food and generally due to stones. An abodminal ultrasound would be a very good examination to visualize it and make sure if there is a problem with the gall bladder causing it. The ultrasound will visualize the other organs also like liver and pancreas and see for lesions there that might cause the upper abdominal pain.
Another cause of upper abdominal pain might be dyspepsia which means stomach problems. To make sure if this is a stomach issue or not, especially if the abdominal ultrasound is normal is to take some omeprazole 20-40 mg a day for some days and see if it helps. The best way to rule out stomach problems is stomach endoscopy that consists of a camera put throught the throat and esophagus in the stomach and duodenum and check for inflamation and ulcer disease.
Make sure you have frequent small amount of food instead of big meals and avoit the food and drinks you know hurt your stomach.
Colon (the bowel) might cause upper abdominal pain especially if you have constipation. make sure you take fluids a lot and have extra fiber in the diet. psillium is good to have daily to have a healthy bowel.
Some other tests might be helpful in some patients like stool examination for ova and parasites, fecal occult blood test, fat amount in the stools, checking for giardia antigen in the stools, etc.
After 55 years of age is recommended to have a colonoscopy routinely, that checks the colon for lesions and is recommended every 5-10 years in healthy addults after 55 years of age and is very likely you will need one if you have not had one in the recent years.
I hope this is helpful and answers to your question but please write me in case more clarificaitons are needed.
Kind regards
Dr Antoneta Zotaj
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Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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