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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Low Grade Fever Along With Stomach Ache And Diarrhea?

I have had low grade fever (99.9) for 12 hours and very painful stomach cramping with very watery diarrhea for 24 hours. I went to readi clinic yesterday and took flu test which was inconclusive. She didn t have a diagnosis for me and said it was travelers diarrhea. Now my diarrhea is green which it wasnt yesterday. I am 52 yr old female, very healthy and rarely get ill. I ve been riding horses for 7 days on a trail ride so hygiene was not at its peak.
Fri, 23 Mar 2018
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General & Family Physician 's  Response
Hello,

It seems quite obvious that you are suffering from acute diarrhea, possibly traveler's diarrhea (your doctor is right). The low-grade fever you are experiencing might be indicative of the bacterial nature of diarrhea.

In order to limit diarrhea, you can use anti-motility agents (loperamide, but you should not use in case of acute severe colitis due to the risk of precipitation of toxic megacolon. Always consult your doctor before taking Loperamide or other anti-motility agents.

The most common pathogen causing traveler's diarrhea is Escherichia Coli, Salmonella, Shigella, and Campylobacter (in Asia). Therefore, a short treatment (up to 3-5 days) with Ciprofloxacin twice a day could be helpful (Ciprofloxacin will cover a wide range of bacteria causing diarrhea). For those traveling to Asia (infected by Campylobacter), Azithromycin once a day is the drug of choice (up to three days).

You should not worry about the greenish color of your diarrhea, as it is caused by the bile secreted by the gallbladder due to the increased bowel mobility (faster transit), and thus it does not have time to change its color to normally dark brown (this process normally takes several hours). It is important to keep yourself well hydrate and avoid for a few days foods containing high amounts of fat or sugar.


Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ervin Toçi
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What Causes Low Grade Fever Along With Stomach Ache And Diarrhea?

Hello, It seems quite obvious that you are suffering from acute diarrhea, possibly traveler s diarrhea (your doctor is right). The low-grade fever you are experiencing might be indicative of the bacterial nature of diarrhea. In order to limit diarrhea, you can use anti-motility agents (loperamide, but you should not use in case of acute severe colitis due to the risk of precipitation of toxic megacolon. Always consult your doctor before taking Loperamide or other anti-motility agents. The most common pathogen causing traveler s diarrhea is Escherichia Coli, Salmonella, Shigella, and Campylobacter (in Asia). Therefore, a short treatment (up to 3-5 days) with Ciprofloxacin twice a day could be helpful (Ciprofloxacin will cover a wide range of bacteria causing diarrhea). For those traveling to Asia (infected by Campylobacter), Azithromycin once a day is the drug of choice (up to three days). You should not worry about the greenish color of your diarrhea, as it is caused by the bile secreted by the gallbladder due to the increased bowel mobility (faster transit), and thus it does not have time to change its color to normally dark brown (this process normally takes several hours). It is important to keep yourself well hydrate and avoid for a few days foods containing high amounts of fat or sugar. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ervin Toçi