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Fever, cough, spasms in neck post hemorrhage - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   on 5/04 i suffered what i was told a small left? or right cant remember frontal parietal subarachnoid hemorrhage. syptoms were sudden onset of headache severe. vomiting. hallucinations and small seizures. I was discharged five days later after 4 days in icu. I did not lose conscience to my knowledge. I have gotten a fever today. at it's highest it was 102. other symptoms include a spasming in my neck but in a new place. on my right side sort of where my coratid artery would be i guess. excuse my spelling. i have managed to get the fever down to low grade 99.2 right now. i called family doc who suggested er. i do have a cough as well, is a fever associated with possible cold something to be concerned about following this type of brain injury. i really do not want to visit an er for something of no concern.
Doctor :   Hi
User :   hello
Doctor :   Let me read the query.
Doctor :   What exactly do you mean by spasming - were they a recurrent, involuntary movement of neck muscles, causing actions similar to nodding of the head?
User :   no, i have had bad spasms of the muscles in the neck since the brain injury and it was explained to me that it was because of where my injury was and that it would go away with time, these spasms are on the back of my neck. the new spasms is a sharp pain that goes up the right side of my neck, as i said a new place and no it does not cause involuntary movement
Doctor :   Ok.
Doctor :   Do you have severe headaches, vomiting?
User :   some nausea, no vomiting, mild headache which has not gone away since injury but it is not severe
Doctor :   Did you have shivering with the fever episode?
User :   yes i did
User :   i was hard to wake as well
Doctor :   Do you have nasal congestion, sorethroat?
User :   no i do not, just the cough
Doctor :   Is the cough severe?
User :   no very mild
Doctor :   Do you produce sputum with the cough?
User :   no i dont
Doctor :   May I know your age and gender?
User :   sure i am 34 female and a smoker
Doctor :   Do you have body ache/generalised weakness?
User :   i suffer from fibromyalgia as well so it is hard to determine any new ache, but yes ache in joints no weakness that i have noted
Doctor :   Do you have any problems while passing urine?
Doctor :   Such as burning sensation while passing urine?
Doctor :   Going to the loo frequently?
User :   no burning, but since the bleed i have noted urgency and frequency
Doctor :   Ok.
Doctor :   Do you have any other medical illness such as diabetes/hypertension?
User :   no, there has been speculation of possible lupus, but has not been confirmed with testing as of yet. before the bleed i had a rash that was like a sunburn and painful and had the "butterfly" rash on my face, but other than that low blood pressure, no other problems
Doctor :   And may I know about your medications?
Doctor :   I mean the details of your medications?
User :   sure
User :   i am taking norco 10/325 for pain associated with injury and fibro, zoloft 25mg for depression oxycodone 30mg ir for pain in neck from injury; XXXXXXXX 350 for muscle spasms in neck
Doctor :   Ok.
Doctor :   Are you on any medications for seizures that you had?
User :   no, i had them in the first two days and no more after that, i would just stare of and be confused, he said that because i was not having anymore that i should not need them
Doctor :   Ok, Let me explain it to you
Doctor :   The pain produced by a subarachnoid hemorrhage are generally located over the nape of the head.
Doctor :   They are just a transmission of pains from the back of the head.
Doctor :   It generally does not produce pain on the front side of the neck, like as you have now.
Doctor :   The present pain that you have may not be related to your previous episode of hemorrhage and also does not indicate any fresh bleeds which might have occurred.
Doctor :   The cause for fever, too is not related to your previous events, nor does it indicate a fresh event in the brain.
Doctor :   Hence, I would probably associate your present episode to an infection more than any brain injuries.
Doctor :   Its too early to predict the cause for the infection though.
Doctor :   It may be viral or a urinary tract infection.
Doctor :   I would suggest you these measures.
Doctor :   1. You can use low dose paracetamol such as tylenol if you have severe fever.
Doctor :   2. Use the same medications which you are on for the pains.
Doctor :   3. Drink plenty of water.
Doctor :   4. Bed rest as much as possible.
Doctor :   The fever should be settling down in a few days, may be in a day or two.
User :   ok
Doctor :   However, if the fever persists for more than 2 days and is of the same intensity, or if you develop any new symptoms such as rashes, burning sensation while passing urine, sputum in the cough, you may report to your doctor for further evaluation.
Doctor :   Do you follow what I have suggested?
User :   yes, I do, thank you. It as I thought as well, my family was very concerned, and i felt it nothing to worry about, but i wanted to make sure, and i do not want to see the hospital again any time soon LOL :D ty for all your help
Doctor :   It is important to avoid undue stress following the events of subarachnoid hemorrhage, and hence do not worry much and be sure that you rest as much as possible.
Doctor :   Do you have any further query that I can assist you with?
User :   ty doctor for help have a good night
Doctor :   Please fill the feed back form too.
User :   ty bye
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
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