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High fever and headache - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   I came down with a sudden fever and severe headache. Went to hospital. They did many tests even a spinal tap. Blood tests showed nothing. It lasted for 2 days with fever of 103 with the worst headache I have ever had. I am 59 years old. I had a head injury 2 years ago and wonder if it could be related. CT scan did not show anything. I have had daily headaches and since I will be seeing a neurologist. What could this possibly be?
Doctor :   hi
Doctor :   Dr. XXXXXXXX here. Let me read what you have typed
Doctor :   the severe headache could be due to your past history of injury and headaches.
Doctor :   the fever can be explained probably as a sudden viral infection
Doctor :   please provide your gender, occupation, marital status, location, height, weight, details of past medical illness
Doctor :   are you there?
User :   I was pretty out of it for about 8 months with my concussion but then was given a clean bill of health. I am female, XXX, XXX. I live in XXX. Weight 150. I have had no past illnesses that I know of that are significant. I did have a malignant melaenoma when I was 30.
User :   I am married.
Doctor :   please describe the headache in detail.
Doctor :   what other symptoms did you have at the time of illness? and how many days back was this?
User :   It came on when I was sleeping and was so intense, that no medication would help. It was located on the upper part of my forehead more on head.
Doctor :   do you have high blood pressure or high cholesterol related issues?
User :   It was just this past Sunday night that it started and all day Monday. I seem to be fine now.
Doctor :   ok
User :   No high blood pressure or cholesterol and I don't take any medication.
Doctor :   do identify any precipitating cause for your headache?
Doctor :   have you attained menopause?
User :   There was none except when i went to bed that night I had the chills and then started to get warm with fever. It was very sudden. I had a hysterectomy when I was 31 and menopause is over.
Doctor :   ok. was it only removal of uterus or was it associated with removing the tubes and ovaries too?
User :   ovaries were left. I just got over a urinary tract infection and was clear.
Doctor :   is your neurology consultation over for daily headaches?
User :   I will be speaking to him about daily and also what just happened.
Doctor :   is nausea associated with the headaches?
User :   No nausea except this time when it was so intense that I threw up. I thought it was a migraine but then the fever was there.
Doctor :   what did your doctor diagnose for your daily headaches? since when you have been having these daily headaches?
User :   He doesn't know how to explain them and so just doesn't.
Doctor :   which part of the head was more involved in pain? or was it the entire head paining at the time of the last episode of the severe headache?
User :   I take tylonel every single day.
Doctor :   do you smoke? or consume alcohol?
User :   No I don't either one
Doctor :   ok. taking NSAIDS regularly can also precipitate sudden severe headaches
Doctor :   and if suspected
Doctor :   then the drugs should be stopped and alternative ways
Doctor :   to treat the headache should looked for
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