What Causes Severe Joint Pain, Fever And Night Sweats?
Question: I recently traveled to Peru where I got food poisoning after eating shellfish and or ceviche. I became sick roughly 12 hours after eating and had severe diarrhea and vomiting for 4 days. I received and IV at a small clinic in Machu Picchu.
Upon returning home and approximately 2 weeks later I developed a sudden onset of severe joint pain, fever and night sweats listings 5 days.
I work at a medical squadron for the USAF reserves and had my blood drawn there. I still have severe joint pain and my ESR is 34. My age is 27. My MCV is 97.6 our resident doc who is a DO and practices wholistic medicine diagnosed me with gut dysbiosis. However the laboratory technicians urged me to get a second opinion. Any ideas?
Upon returning home and approximately 2 weeks later I developed a sudden onset of severe joint pain, fever and night sweats listings 5 days.
I work at a medical squadron for the USAF reserves and had my blood drawn there. I still have severe joint pain and my ESR is 34. My age is 27. My MCV is 97.6 our resident doc who is a DO and practices wholistic medicine diagnosed me with gut dysbiosis. However the laboratory technicians urged me to get a second opinion. Any ideas?
Brief Answer:
Looks like reactive arthritis.
Detailed Answer:
Dear Sir,
Thank you for posting your query on HCM.
Well your history and description of symptoms are suggestive of Reactive arthritis . Joint pains following fever and loose motion signify that only . I would like to see your blood reports and the treatment you have been taking . I can have a better understanding of your disease and guide you accordingly .
Take care.
Dr. Shruti
Looks like reactive arthritis.
Detailed Answer:
Dear Sir,
Thank you for posting your query on HCM.
Well your history and description of symptoms are suggestive of Reactive arthritis . Joint pains following fever and loose motion signify that only . I would like to see your blood reports and the treatment you have been taking . I can have a better understanding of your disease and guide you accordingly .
Take care.
Dr. Shruti
Above answer was peer-reviewed by :
Dr. Prasad
Here is my blood report
Brief Answer:
Follows.
Detailed Answer:
Dear Sir,
I have seen your blood reports , ESR is raised but rest else is fine , nothing alarming You didn't send the list of medicines that you are taking because we need to know that .
Dr. Shruti
Follows.
Detailed Answer:
Dear Sir,
I have seen your blood reports , ESR is raised but rest else is fine , nothing alarming You didn't send the list of medicines that you are taking because we need to know that .
Dr. Shruti
Above answer was peer-reviewed by :
Dr. Yogesh D
I am taking no medication. I take a daily multi-vitamin. The joint pain however is persistent even after a month. It is hard to sleep because of it. The inflamation will not go away. Would you reccommend me seeing a doctor locally and if so what types of tests would you suggest they run? I have had an issue before where doctors dissmissed the idea of a larger problem because of my young age and otherwise good health.
Brief Answer:
Follows.
Detailed Answer:
Dear Sir,
In most of the cases it should subside by itself and only NSAIDS are suggested to reduce the inflammation . So in my opinion you should take a course of Naproxen 500 mg twice daily for 5-7 days before we think of further testing . If it settles down well and good . You can discuss this with your treating Doctor if he agrees to it .
Dr .Shruti
Follows.
Detailed Answer:
Dear Sir,
In most of the cases it should subside by itself and only NSAIDS are suggested to reduce the inflammation . So in my opinion you should take a course of Naproxen 500 mg twice daily for 5-7 days before we think of further testing . If it settles down well and good . You can discuss this with your treating Doctor if he agrees to it .
Dr .Shruti
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
It has been a month and i have used naproxen. It also flares up with certain foods. The laboratory technicians strongly urged me to see a doctor.
Brief Answer:
Follows.
Detailed Answer:
Dear Sir,
Then get your inflammatory bowel disease work up , also HLAB27 typing needs to be done . You will need a rheumatologist to monitor this work up for you . Since its been more than a month it is highly advisable to undergo further testing .
Dr. Shruti
Follows.
Detailed Answer:
Dear Sir,
Then get your inflammatory bowel disease work up , also HLAB27 typing needs to be done . You will need a rheumatologist to monitor this work up for you . Since its been more than a month it is highly advisable to undergo further testing .
Dr. Shruti
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar