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Suggest Treatment For Stiff Neck, Vomiting And Diarrhea

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Posted on Tue, 6 Oct 2015
Question: Day 1-stiff neck, vomiting, 101 fever. Day 3-diarrhea with aches. Now day 7 with worse stiff neck/migraine. Blood work- elevated liver enz. Enlarged spleen.

Otherwise healthy 33 year old female. No alcohol use. Not overweight. Waiting on stool culture.
doctor
Answered by Dr. Ajay Panwar (1 hour later)
Brief Answer:
EMERGENCY ROOM.

Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

Acute onset fever.headache and vomiting along with neck stiffness indicates meningeal/brain inflammation(possibly meningitis).Elevated liver enzymes and splenomegaly goes for some acute infectious etiology.It is hard to comment on the possibility of Migraine in presence of intracranial/meningeal inflammatory symptoms.
In this setting,I suggest that the patient must be immediately rushed to the emergency room for urgent evaluation.CSF analysis and Brain MRI/CT may have to be done.Early treatment will be the key to improvement.

If you have any further questions,I shall be glad to have you in follow-up.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Ajay Panwar (2 hours later)
Fever is gone now. Still have diarrhea, but vomiting is under control with zofran and prilosec. Migraine and neck pain is persistant. If fever is gone am I still at risk? Thanks.
doctor
Answered by Dr. Ajay Panwar (3 hours later)
Brief Answer:
You should get yourself examined.

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.

Though fever is gone,but in view of neck stiffness,elevated liver enzymes and enlarged spleen,there are more than enough reasons to get examined by a physician.I maintain,that you should get yourself evaluated.This is something which I can't diagnose historically.It has to be investigated.

If you have any further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review as your rating will be of help to me.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Sonia Raina
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Answered by
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Dr. Ajay Panwar

Neurologist

Practicing since :2007

Answered : 1827 Questions

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Suggest Treatment For Stiff Neck, Vomiting And Diarrhea

Brief Answer: EMERGENCY ROOM. Detailed Answer: Hi XXXX, Thanks for being on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist,here to answer your query. Acute onset fever.headache and vomiting along with neck stiffness indicates meningeal/brain inflammation(possibly meningitis).Elevated liver enzymes and splenomegaly goes for some acute infectious etiology.It is hard to comment on the possibility of Migraine in presence of intracranial/meningeal inflammatory symptoms. In this setting,I suggest that the patient must be immediately rushed to the emergency room for urgent evaluation.CSF analysis and Brain MRI/CT may have to be done.Early treatment will be the key to improvement. If you have any further questions,I shall be glad to have you in follow-up. Regards Dr.Ajay Panwar, MD,DM(Neurology)