HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Headache, Chills, Fever And Nausea

default
Posted on Tue, 14 Jun 2016
Question: Husband is 61 yo, relatively healthy. Arrived back from usvi last Sunday. Came back exhausted, otherwise ok. Monday night had headache, chills, then fever. Bit of nausea. Pushed liquids, couldn't sleep for 2 nights.stayed home from work which,is very unusual. Started to fee better Thursday evening. Ate a good meal, trouble sleeping and woke up Friday (today) with worse headache ever. Went to ER. Vitals normal, cbc normal, CT scan normal. Given torodol, Dilaudid Via IV. Discharged. Headache 5 out of 10. Stopped to eat dinner at his insistence. Felt better. Arrived home, headached worsened. Took rx of 2 Percocet, 1 ketorolac, 1 Zofran. 4 hrs later headache back to 10 and feels like stabbing pain moving around head. Took second dose of above Rx. Temp 100.8. Trying to sleep but having trouble. What do you advise?
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (2 hours later)
Brief Answer:
Explained

Detailed Answer:
Hello and welcome

I appreciate your concern

Based on your description, meningitis needs to be ruled out. Idiopathic intracranial hypertension is another possibility. If the CT scan was done with contrast then meninges enhancement on CT would point towards meningitis. CSF examination via lumbar puncture can be indicated as the primary investigation in this regard. CSF opening pressure should also be measured. The clinical picture of fever , neck stiffness and photophobia should be looked for. And the decision should be taken accordingly.

please consult your doctor before taking any further course of action

Wishing you best of health

Thanks

Dr M.S Khalil
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

Ask me a question
premium_optimized

The User accepted the expert's answer

Ask a Neurologist
Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2
Suggest Treatment For Headache, Chills, Fever And Nausea

Brief Answer: Explained Detailed Answer: Hello and welcome I appreciate your concern Based on your description, meningitis needs to be ruled out. Idiopathic intracranial hypertension is another possibility. If the CT scan was done with contrast then meninges enhancement on CT would point towards meningitis. CSF examination via lumbar puncture can be indicated as the primary investigation in this regard. CSF opening pressure should also be measured. The clinical picture of fever , neck stiffness and photophobia should be looked for. And the decision should be taken accordingly. please consult your doctor before taking any further course of action Wishing you best of health Thanks Dr M.S Khalil