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What Causes Fever, Sweating, Ectopic Heartbeats And Low BP With History Of Appendicitis?
Question: Thank you for last answer, Sharka!
Listen:
You know about me. I worry VERY much.
Three years ago I had infamatory appendix. Went to hospital and they treated it with antibiotics in my veins. Mostly because I was scared for operation, because of my lifelong problems with things like drop in bloodpressure, and ectopic heartbeats and the incomplete right block.
Now as you know I have had a couple days with feeling of fever, and sweating suddenly some times.
My question: If this turns out to be the appendix again. Is it safe for me to do a operation in sedation?
I earlier have had bradicardy because of adrenalin and dental visits, by pain, by nervepain (someone gave me a b12 shot and hit a nerve, and I reacted with drop in bloodpressure and even my skin dried up very much on arms so doctors did not understand. Made it dry so I could brush off skin you know?)
Now I am at home and feel the appendix acting up like it has done some times during the last three years, but this time I aslo feel a little fever. So I am scared.
Before I have checked nd they say no sign of appendix inflamation even on bloodtests or CT scan. But I mean IF I need a operation, will i survive the anastetics??
I know I sound crazy but for me, to be put under in anastetics is worse for me than dying. I do not belive to survive that.
I also have silent reflux that makes my throat bad, like the vocal chords are bigger making it very very tight.And I guess they have to put a hose down my throat. What if I can not breath when awake after operation?
As you see I worry very very much for this, since I find no explanation for the feeling of fever (measured it now at home and its okay, just 37 european)
I feel like all I am doing is trying to survive, I dont really live- you know?
If I need medical help like an accute operation, that is like a death sentence for me.... :(
Mostly because heart issues and symptoms from nervous system with all this bloodpressure drop etc. Ahhh :( I am sorry, but I feel the need to just ask you these thngs as I am struggling and scared at this point to night...
.Thank you very much.
Listen:
You know about me. I worry VERY much.
Three years ago I had infamatory appendix. Went to hospital and they treated it with antibiotics in my veins. Mostly because I was scared for operation, because of my lifelong problems with things like drop in bloodpressure, and ectopic heartbeats and the incomplete right block.
Now as you know I have had a couple days with feeling of fever, and sweating suddenly some times.
My question: If this turns out to be the appendix again. Is it safe for me to do a operation in sedation?
I earlier have had bradicardy because of adrenalin and dental visits, by pain, by nervepain (someone gave me a b12 shot and hit a nerve, and I reacted with drop in bloodpressure and even my skin dried up very much on arms so doctors did not understand. Made it dry so I could brush off skin you know?)
Now I am at home and feel the appendix acting up like it has done some times during the last three years, but this time I aslo feel a little fever. So I am scared.
Before I have checked nd they say no sign of appendix inflamation even on bloodtests or CT scan. But I mean IF I need a operation, will i survive the anastetics??
I know I sound crazy but for me, to be put under in anastetics is worse for me than dying. I do not belive to survive that.
I also have silent reflux that makes my throat bad, like the vocal chords are bigger making it very very tight.And I guess they have to put a hose down my throat. What if I can not breath when awake after operation?
As you see I worry very very much for this, since I find no explanation for the feeling of fever (measured it now at home and its okay, just 37 european)
I feel like all I am doing is trying to survive, I dont really live- you know?
If I need medical help like an accute operation, that is like a death sentence for me.... :(
Mostly because heart issues and symptoms from nervous system with all this bloodpressure drop etc. Ahhh :( I am sorry, but I feel the need to just ask you these thngs as I am struggling and scared at this point to night...
.Thank you very much.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome back on HCM!
I am glad to hear from you again!
Regarding your concern, I would explain that your symptoms (feeling of fever and sweating)could be related to different causes:
- inflammation
- thyroid dysfunction
- anxiety
- an infection like appendicitis reacutisation is less probable as you have not the typical symptoms of apendicitis (pain in the lower right pelvic area, exacerbated by cough or walking, high body temperature, nausea and vomiting).
Anyway, I would recommend consulting with your doctor and performing some tests to investigate for the possible causes of your symptoms:
- complete blood count for possible infection
- PCR and sedimentation rate for inflammation
- thyroid hormone levels
- an urine analysis
- an abdominal ultrasound would help detect possible inflammation in the appendix area indicating possible reacutisation.
Anyway, supposing you have appendicitis, you should known that there are different degrees of inflammation/infection. Only the advanced stages need surgery, while early stages need just antibiotic therapy.
Now, supposing that you need to do surgery, I would explain that you that even in this case you have nothing to worry about. Your right bundle branch block is not a counterindication to general anesthesia or surgery.
Surgery is performed in a surgery setting, under the strict supervision of the surgeon, the anesthesiologist and several nurses. The risks are really low, especially considering that you are a healthy normal person (the right brand block is not a serious medical condition). They are able to prevent or treat bradycardia or any other acute cardiac events if happens, especially in patients with heart failure or any other serious medical conditions.
But, considering the fact that you are so afraid of general anesthesia, I would like to explain you that there is also a minimal invasive intervention for appendicitis called laparoscopy, which can be performed with local spinal/epidural anesthesia, without the need of general anesthesia.
So, in every event, you should know that you have nothing to worry about!
Anyway, I would recommend you perform the above mentioned tests to determine the possible cause of your symptoms (which may possibly not be appendicitis).
Hope to have clarified some of your uncertainties and calmed a little your worried soul!
I remain at your disposal if you have any other questions!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome back on HCM!
I am glad to hear from you again!
Regarding your concern, I would explain that your symptoms (feeling of fever and sweating)could be related to different causes:
- inflammation
- thyroid dysfunction
- anxiety
- an infection like appendicitis reacutisation is less probable as you have not the typical symptoms of apendicitis (pain in the lower right pelvic area, exacerbated by cough or walking, high body temperature, nausea and vomiting).
Anyway, I would recommend consulting with your doctor and performing some tests to investigate for the possible causes of your symptoms:
- complete blood count for possible infection
- PCR and sedimentation rate for inflammation
- thyroid hormone levels
- an urine analysis
- an abdominal ultrasound would help detect possible inflammation in the appendix area indicating possible reacutisation.
Anyway, supposing you have appendicitis, you should known that there are different degrees of inflammation/infection. Only the advanced stages need surgery, while early stages need just antibiotic therapy.
Now, supposing that you need to do surgery, I would explain that you that even in this case you have nothing to worry about. Your right bundle branch block is not a counterindication to general anesthesia or surgery.
Surgery is performed in a surgery setting, under the strict supervision of the surgeon, the anesthesiologist and several nurses. The risks are really low, especially considering that you are a healthy normal person (the right brand block is not a serious medical condition). They are able to prevent or treat bradycardia or any other acute cardiac events if happens, especially in patients with heart failure or any other serious medical conditions.
But, considering the fact that you are so afraid of general anesthesia, I would like to explain you that there is also a minimal invasive intervention for appendicitis called laparoscopy, which can be performed with local spinal/epidural anesthesia, without the need of general anesthesia.
So, in every event, you should know that you have nothing to worry about!
Anyway, I would recommend you perform the above mentioned tests to determine the possible cause of your symptoms (which may possibly not be appendicitis).
Hope to have clarified some of your uncertainties and calmed a little your worried soul!
I remain at your disposal if you have any other questions!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you again sir for taking time to answer.
Yes i think i am sure it is apendix or at least in the area
I get cramp like not so painful but still a little sharp tiny painful for one second Long exactly where the appendiks is located. Every 30 minutes or so. But hopefully it is just a irritation or low grade inflamation of it and not neceserry to go to hospital again.....
I did not know about the lokal anastecia however i just Hope i will not need to operate for a While.
Okay so good to hear these heart things i have doesnt matter for anastecia.
Thanks for answering sir. Feel bad for asking again. But ..
Yes i think i am sure it is apendix or at least in the area
I get cramp like not so painful but still a little sharp tiny painful for one second Long exactly where the appendiks is located. Every 30 minutes or so. But hopefully it is just a irritation or low grade inflamation of it and not neceserry to go to hospital again.....
I did not know about the lokal anastecia however i just Hope i will not need to operate for a While.
Okay so good to hear these heart things i have doesnt matter for anastecia.
Thanks for answering sir. Feel bad for asking again. But ..
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello again!
I recommend you consult with your doctor for a physical exam and the above mentioned tests (abdominal ultrasound and inflammation tests) in order to determine if appendicitis is the cause of your troubles and be able to be treated properly as soon as possible.
Anyway, whatever the cause, you should not worry about surgery as there are no contraindications for you.
Just discuss with your doctor on the above issues.
I hope everything will be OK and you will even not need surgery.
If you have any other uncertainties, please do not hesitate to ask me!
Best wishes,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello again!
I recommend you consult with your doctor for a physical exam and the above mentioned tests (abdominal ultrasound and inflammation tests) in order to determine if appendicitis is the cause of your troubles and be able to be treated properly as soon as possible.
Anyway, whatever the cause, you should not worry about surgery as there are no contraindications for you.
Just discuss with your doctor on the above issues.
I hope everything will be OK and you will even not need surgery.
If you have any other uncertainties, please do not hesitate to ask me!
Best wishes,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Okay, thank you boss :)
I am still struggling with it. Its not very painful but i feel its there. No where near as painful as the time I went to hospital.
I feel like I have a slight fever. And definately signs of the inflamation, but my CRP as good yesterday at doctors office.
However, the pain/cramps i have might be from the apendicitis as inflamed last time and something happened. Anyway. I feel that its hard to just wait for it to happen, that is opetration etc. I will get some antibiotics tomorrow. Hope that finishes it.
I dont get a read on fever on my measure thing at home, but I kind of feel it. Just a little bit fever feeling.
I think the antibiotics are called ciproxin and flagyl. Are those recommended for this particular job? Stopping a inflamed apendix? And should I get a CT of the abdomen as well?
Hate to live like this. All I am doing now Sir, is surviving. Not living. I am just waiting for the apendix to get really bad, and then hospital , operation, and then...well you know what I think about that... :/
I am still struggling with it. Its not very painful but i feel its there. No where near as painful as the time I went to hospital.
I feel like I have a slight fever. And definately signs of the inflamation, but my CRP as good yesterday at doctors office.
However, the pain/cramps i have might be from the apendicitis as inflamed last time and something happened. Anyway. I feel that its hard to just wait for it to happen, that is opetration etc. I will get some antibiotics tomorrow. Hope that finishes it.
I dont get a read on fever on my measure thing at home, but I kind of feel it. Just a little bit fever feeling.
I think the antibiotics are called ciproxin and flagyl. Are those recommended for this particular job? Stopping a inflamed apendix? And should I get a CT of the abdomen as well?
Hate to live like this. All I am doing now Sir, is surviving. Not living. I am just waiting for the apendix to get really bad, and then hospital , operation, and then...well you know what I think about that... :/
Brief Answer:
My opinon as follows:
Detailed Answer:
Hello again!
Yes, flagyl and ciprofloxacine are indicated in appendicitis, though there is not a specific antibiotic for this infection.
Anyway, I would recommend performing at least a complete blood count for infection and an abdominal ultrasound before starting antibiotics.
You should know that the unnecessary use of antibiotics leads to more resistant infections in the future.
Besides, you can not take antibiotics in the pharmacy without medical prescription.
Regarding abdominal CT scan, I would explain that it imposes you to a lot of radiation and it should be done only if high suspicions of appendicitis are raised during physical exam and the above mentioned tests.
Hope to have clarified some of your uncertainties!
If you have any other questions do not hesitate to ask me!
Kind regards,
Dr. Iliri
My opinon as follows:
Detailed Answer:
Hello again!
Yes, flagyl and ciprofloxacine are indicated in appendicitis, though there is not a specific antibiotic for this infection.
Anyway, I would recommend performing at least a complete blood count for infection and an abdominal ultrasound before starting antibiotics.
You should know that the unnecessary use of antibiotics leads to more resistant infections in the future.
Besides, you can not take antibiotics in the pharmacy without medical prescription.
Regarding abdominal CT scan, I would explain that it imposes you to a lot of radiation and it should be done only if high suspicions of appendicitis are raised during physical exam and the above mentioned tests.
Hope to have clarified some of your uncertainties!
If you have any other questions do not hesitate to ask me!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I am amazed how good you are. And fast.
Now.
1: i am seeing my doctor tomorrow. He will prescription the antibiotika. He says the same as you say.
2: is a ultrasound better to see if the apendix is inflamed than a ct?
3 should i take infection test like a little prick in the finger or ask for anything Else?
Thanx for beeing there. Even only on the internet.
Now.
1: i am seeing my doctor tomorrow. He will prescription the antibiotika. He says the same as you say.
2: is a ultrasound better to see if the apendix is inflamed than a ct?
3 should i take infection test like a little prick in the finger or ask for anything Else?
Thanx for beeing there. Even only on the internet.
Brief Answer:
My answer as follows:
Detailed Answer:
Hello again!
I am glad you are going to consult with your doctor tomorrow!
A physical exam is really necessary.
The ultrasound does not show the same thing as the CT scan.
It is better for the soft tissue and inflammation.
While the CT scan shows possible complications of appendicitis.
These two tests complete each other when suspicions of appendicitis are raised.
Infection tests are just blood lab test taken by your arm veins.
Hope that everything will be OK!
Best wishes,
Dr. Iliri
My answer as follows:
Detailed Answer:
Hello again!
I am glad you are going to consult with your doctor tomorrow!
A physical exam is really necessary.
The ultrasound does not show the same thing as the CT scan.
It is better for the soft tissue and inflammation.
While the CT scan shows possible complications of appendicitis.
These two tests complete each other when suspicions of appendicitis are raised.
Infection tests are just blood lab test taken by your arm veins.
Hope that everything will be OK!
Best wishes,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Yes. I was not going to do anything without doctor. I Hope it is possible to treat with antibiotika.
I did not understand
You say i should take BOTH ct and ultrasound or is one better for this than the other?
Thanx
I did not understand
You say i should take BOTH ct and ultrasound or is one better for this than the other?
Thanx
Brief Answer:
I would explain:
Detailed Answer:
I am sorry for the confusion!
As I already explained the ultrasound is the test of choice.
Only if there are any uncertainties by the doctor or high suspension of appendicitis based on the physical exam and ultrasound, then the next step would be performin a CT scan.
Hope to have been helpful!
Regards,
Dr. Iliri
I would explain:
Detailed Answer:
I am sorry for the confusion!
As I already explained the ultrasound is the test of choice.
Only if there are any uncertainties by the doctor or high suspension of appendicitis based on the physical exam and ultrasound, then the next step would be performin a CT scan.
Hope to have been helpful!
Regards,
Dr. Iliri
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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