Suggest treatment for low grade fever and vomiting

Posted on Wed, 15 Feb 2017 in Medicines and Side Effects
Question: Hello! I have had low grade fever for past 2 or 3 weeks, initially vomiting bile in the middle of the night, upon waking, after eating. Now just drink buttermilk, yoghurt. occasional partial piece of bread but liquid works better. temp 100. My skin feels cool but i'm sweaty and hot. I get rough bouts of the shivers. I had major dental treatment on Dec 8. I'm 49. Otherwise healthy. Thank you for your help.Need to add i'm eating lots baking soda due to frequent heartburn even when stomach empty.
Answered by Dr. Saddiq Ulabidin 4 hours later
Brief Answer:
May need work up for gall bladder or pancreatic tract infection

Detailed Answer:
Hi! Welcome to health care magic. Thanks for sharing your concerns with us. We will try to help you in best way possible.

First of all, it is sad to know what you had been experiencing lately. Based on the history you have shared, it can be Gastritis or inflammation or infection of stomach linings as it may present with these symptoms. However baseline investigations including liver function tests, and amylase alongwith complete blood count to look for white cell count.

As abdominal source of infection must be ruled out. An ultrasound abdomen and if needed a CT abdomen maybe needed and if no apparent sign of bile tract infection is noted, an upper GI endoscopy may be needed.

Meanwhile keep replacing the lost water and electrolytes with Oral rehydration salts and use motility agents like domperidone for vomitings and other symptoms. Keep using soft diets and avoid greasy or high protien diets.

Wishing you a speedy recovery. Hope this has answered your query, if you have any more questions, feel free to ask. Regards.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
Follow up: Dr. Saddiq Ulabidin 1 hour later
I appreciate your kind words and insight. You may well have hit the nail on the head. I tried to eat a piece of grilled salmon but it smelled rancid. Proteins repulse me right now. Will follow through. Thanks for the peace of mind for now.
Answered by Dr. Saddiq Ulabidin 2 hours later
Brief Answer:
Closing remarks, antacids and antibiotics may also be required

Detailed Answer:
Thanks for such kind words and appreciation. If symptoms persist, antacids like omeperazole or pantoprazole before meals for few days alongwith antibiotics course may be needed so I would suggest you to proceed with work up soon. Wishing you a healthy life ahead. Regards.
Above answer was peer-reviewed by : Dr. Nagamani Ng
Answered by
Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 3073 Questions


The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Lab Tests
Medical Topics

Recent questions on  Gastritis

doctor1 MD

My 32 years old married female relative is taking Rekool 20 for the last 18 months continuously for her Gastritis problem. The medicine use keeps...

doctor1 MD

I have been experiencing severe gastritis. Endoscope showed pre-pyloric inflammation. No other damage was visible. We are waiting on results of the...

doctor1 MD

My doctor diagnosed me with gastritis in May of 2010. I have continued to have these attacks since. I have a dull constant pain and a stabbing...

doctor1 MD

Hello, today Ive noticed my pee to be cloudy with a strong and unusual Oder. I was wondering if there could be any suggestions on what that could...

doctor1 MD

I ve been pretty sick fora week. It began when my GP thought I might have clot in my right leg (swelling, redness , warmth) so she sent me to the...

doctor1 MD

I have a pain on the right side of chest more toward the back. I feel it when I take a deep breath, or cough . and it feels almost like a sore...

doctor1 MD

Pain on left upper side of chest, out of breath, sweating in cold room, extremely fatigued and acid reflux .

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

123 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction