Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

169 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for severe leg pain, nausea, cough and fever

Answered by
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 16512 Questions

Posted on Sat, 11 Mar 2017 in Veins and Arteries
Question: Extreme pain both legs - ache is continuous , back also - biput not as severe - now a fever of 100.8 -
Slight nausea - cough !
Answered by Dr. T Chandrakant 32 minutes later
Brief Answer:
As detailed below.

Detailed Answer:
Thanks for your query, albeit short.
To recapitulate: Male/75 - extreme pain both legs - continuous - back pain also, not as severe - fever 100.8 - nausea - cough - on medications Lyrica, Gabapentin - got Aspirin for fever ...

I was wondering as you are already on Lyrica and Gabapentin, whether for leg pain may be due to sciatica or neurological pain. If this is so and of a long duration, the probable diagnosis of pain in both legs can be correlated by MRI of the lower spine with any slipped disc or so.
Cough, fever increase in leg and back pain, nausea may be due to flu as it increases the muscle and joint pains too.
Another possibility can be muscle cramps or rarely of deep vein thrombosis of the calf area if there is also swelling and redness to be considered although looks less possible with the history you have provided.
For fever it is better to take Paracetamol than aspirin as you have got nausea indicating possibility of gastritis so common with the medications that you are already taking and with the symptoms one gets. You can take Paracetamol three to four times a day.
Hence better to add on a PPI like Omeprazole too.
Cough suppressants should be taken as coughing increases the back problems.
Also watch for constipation, take a mild laxative as constipation increases the back problems and leg pains.

Please give additional information:
Any previous investigations or already diagnosed problems?
If the leg pain a new and recent problem or present since long ago?
Is there any swelling in the legs?
Any redness?
Waking increases the pain or reduces it?
Any other information, reports that you would like to share.

Awaiting for your feedback.
Above answer was peer-reviewed by : Dr. Yogesh D
Follow up: Dr. T Chandrakant 13 hours later
Pain is greatest at waking - no redness nor swelling - fever may or may not be new - failed to indicate that there is some issue with balance - quick movement could cause a fall - but quick hands to grab something to stay up ! No falls yet !
Answered by Dr. T Chandrakant 2 hours later
Brief Answer:
As detailed below.

Detailed Answer:
Thanks for your feedback.
Since the pain is severe at walking without any swelling or redness can be due to local muscle spams or due to sciatica, nerve roots compressed at the lower lumbar spine.
But this needs to be confirmed. :
High resolution ultrasound to rule out any DVT that is deep vein thrombosis or muscles problems and
MRI of the lower spine to see for any disc prolapse.
Please get both these important tests to get a proper diagnosis and a proper management will be possible then.
Continue the medicines you are already taking.

I hope this answer helps you to get an early diagnosis and proper management.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  

Recent questions on  Sciatica

doctor1 MD

Hi I have right adominal pain,groin pain,lower back, and a sort of yellow white vaginal discharge. I also have bloating constipation. I have been to my doctor but said its sciatica!! Iam due to go for a sti check soon incase as condom didn t work and had to have emergeny contraception. What could I be? Thanks

doctor1 MD

QUESTION FOR ORTHOPEDIC CONSULTANT. Hi, I have been suffering from acute lower back pain and sciatica for a long time now. I am also unable to lie on my side as I get an ache and discomfort at the side of my thighs. I have had an MRI scan which reads : Reduced disc height and signal at L5/S1 with acute endplate stress changes. There is grade 1 degenerative retrolisthesis at this level. At L5/S1 there is a circumferential disc bulge but no significant foraminal stenosis or neural compression. What is the best course of treatment you would recommend please as the pain has made my life very debilitating. Many thanks. Donata

doctor1 MD

Dear Doctor, I suffer, besides DM ii, htn,gout , RA and cardiac ailment, with sciatica for which I suppose my doctor has advised me ETOVA 600 mg and Febustat. Could you be kind enough to suggest. I am also taking iron and calcium tablets as well. Thanks.

doctor1 MD

I am a 31 yr old male, and I went into afib a few months ago. the bout only lasted for about 24 hrs and i have not gone into afib since. over the last few weeks my heart has been fluttering often accompanied by tightness of chest and numbness in my left arm. I have checked out with a clean bill of health with my doctors, and I am confused. I believe I found the commom denomonator but I am not sure if these issues can be linked. I am constantly having back issues, and about 2 years ago i went to the chiropractor to find out my spine looks like that of some one who jumps out of planes for a living and i have to go in every so often to get adjusted and treated for sciatica. my afib and flutters only happen after I have aggrivated my back and nerves. my question is: can these be linked, and are your nerves part of the same electrical system that controls your hearts rhythm?

doctor1 MD

I am a 72 year old woman. For the past week I have been getting excruciating thigh muscle cramping thinking it was sciatica . My doc doesn't have office hours today and I want to begin taking magnesium supplement. What is the safe dosage?

doctor1 MD

This is a follow-up to our chat of a few days ago re magnesium to alleviate intense muscle spasms in my thigh. It seems to be helping along with the 2mg Tizanidine . I have spoken with my internist and he agrees that I should see an orthopedist to...

doctor1 MD

I am taking tart cherry juice for sciatica . Will it work?