Hi,

Thanks for asking your queries. You have complained of sudden onset chills. Now can you please give me some information?

- Can you inform me about your pulse rate and blood pressure.
- Can you mention your body temperature.
- Do you use any medications on a long term basis?
- Have you taken any food from outside in last 24 hours?
- You have mentioned about diarrhea. How many times you have passed unformed stool?
- You should have done a stool test for routine & microscopic examination.

There may an infective etiology. Please keep me posted. I will be available to answer. Wish you good health.

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Hi and thanks for updating,

Presence of fever and increased heart rate suggest that your symptoms are caused by some intestinal infection. Such infections are usually self resolving; however a few needs medical attention.

At this stage, the first and most important management is correction of dehydration. You should take plenty of oral rehydration solution ( glucose electrolyte solution). Rehydrating solutions are available over the counter in powdered form and also as ready made drinks. You can contact your nearest pharmacy.

Monitor the progress of condition. I would be concerned if the stool becomes more liquid in consistency, has mucus / blood in it. A stool routine and microscopic study will be needed to isolate the causative organism. Therefore please do not wait to see your doctor if symptoms do not improve/worsen. Empirical antibiotics preferably quinolones and metronidazole might be needed.

Avoid antimotility ( drugs that decrease stool production) drugs, though available over the counter. Paracetamol can be taken every 4-6 hours to control fever. Please maintain your hydration and check your pulse, blood pressure at regular interval.

Hope this helps. Keep me posted. I will be available to answer you.

Regards

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