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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Nausea And Vomiting?

What do you think the differential diagnosis might be for someone with the following symptoms: Chronic nausea and vomiting, chills, bone aches, marked ketoacidosis, very low white blood cell count. Not pregnant. HIV negative. Already testing for Lyme disease.
posted on Tue, 1 May 2018
Twitter Wed, 22 Aug 2018 Answered on
Twitter Mon, 27 Aug 2018 Last reviewed on
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Internal Medicine Specialist,  's  Response
Hi,
the symptoms you have described have a lot my differentials but my top most differential which I commonly come across in my clinic with these symptoms is urinary tract infection, check if you have any burning urination or pain in flanks. the possible cause would be malaria and enteric fever for those living in endemic areas for these disease like Asia. viral infections typically presents the same way but usually they are not chronic and typically subsides by themselves within a week.
Hope I have answered your query. Let me know if I can assist you further.
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What Causes Chronic Nausea And Vomiting?

Hi, the symptoms you have described have a lot my differentials but my top most differential which I commonly come across in my clinic with these symptoms is urinary tract infection, check if you have any burning urination or pain in flanks. the possible cause would be malaria and enteric fever for those living in endemic areas for these disease like Asia. viral infections typically presents the same way but usually they are not chronic and typically subsides by themselves within a week. Hope I have answered your query. Let me know if I can assist you further.