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Suggest treatment for retching and nausea

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Posted on Wed, 11 May 2016
Question: my husband very suddenly came down with severe nausea and dry retching then within hours high fever 39C. He was like he has flu virus but no aches or cold symptoms
He hadn't eaten for 12 hours prior to onset
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Answered by Dr. Saddiq Ulabidin (2 hours later)
Brief Answer:
Blood work up and monitoring for fever spikes and antibiotics may be needed

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 he had gone through. Based on the history you have shared, it can be due to gastritis. Chances of getting food related infections also does exist though he hadn't taken anything for 12 hours but some pathogens may present few days after exposure. Vomiting triggered by such fasting can be due to gastritis or inflammation of stomach wall. Also a careful examination of tonsils will also be a good approach to look for any signs of upper respiratory tract infection. In blood workup,it will be advisable to get blood cultures and complete blood count done. If these are inconclusive then workup for H. pylori infections of stomach may be needed. If vomiting persists then make sure that you ask him to replace lost water and salts by using oral rehydration salts in water. Also using domperidone or mebeverine will help with vomitings. If fever spikes persist he may be started on antibiotics like ciprofloxacin by your GP. Meanwhile ask him to take soft diets and avoid spices and fizzy drinks. Using antacids like omeperazole or pantoprazole before meals may also help with discomfort. Wishing him a speedy recovery. If you have any more questions, feel free to ask. Regards.
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 3941 Questions

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Suggest treatment for retching and nausea

Brief Answer: Blood work up and monitoring for fever spikes and antibiotics may be needed 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 he had gone through. Based on the history you have shared, it can be due to gastritis. Chances of getting food related infections also does exist though he hadn't taken anything for 12 hours but some pathogens may present few days after exposure. Vomiting triggered by such fasting can be due to gastritis or inflammation of stomach wall. Also a careful examination of tonsils will also be a good approach to look for any signs of upper respiratory tract infection. In blood workup,it will be advisable to get blood cultures and complete blood count done. If these are inconclusive then workup for H. pylori infections of stomach may be needed. If vomiting persists then make sure that you ask him to replace lost water and salts by using oral rehydration salts in water. Also using domperidone or mebeverine will help with vomitings. If fever spikes persist he may be started on antibiotics like ciprofloxacin by your GP. Meanwhile ask him to take soft diets and avoid spices and fizzy drinks. Using antacids like omeperazole or pantoprazole before meals may also help with discomfort. Wishing him a speedy recovery. If you have any more questions, feel free to ask. Regards.