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Dr. Andrew Rynne

Family Physician

Exp 50 years

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started 2 hours after eating out. vomiting - projectile fever

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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2039 Questions

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Posted on Sat, 22 Dec 2018 in Digestion and Bowels
Question: started 2 hours after eating out.
vomiting - projectile
fever up to 101 for 24 hours for two days - up and down during the day
NO diarrhea
had rash on chest and stomach on 2nd day-gone now
very tired, very lethargic from onset
no stomach pain, no other pains

don't want to eat - food upsets stomach
Nurse Practitioner couldn't diagnose - blood work won't be back until Monday.
No pain on palpation for gallbladder or appendix

now at day 8 - no fever, no vomit, food upsets stomach including plain yogurt-drank a little Sprite
Not taking normal meds - lisinopril, metformin, symvastatin, hydrochlorthiazide because of stomach issue.
doctor
Answered by Dr. Ramesh Kumar 1 hour later
Brief Answer:
Food poisioning likely bacterial in origin.

Detailed Answer:
Hello and Welcome to 'Ask A Doctor' service.
I have reviewed your query and here is my advice.

The symptoms you are describing are mostly suggestive of Bacterial gastroenteritis (commonly called food poisoning started 2 hours after food ingestion is again suggestive of bacterial contamination).Fever is suggestive of presence of bacteria.Its a natural way by which by contracting muscles body generates heat to kill bacteria's.Severe weakness is due to loss of fluids and electrolytes like sodium and potassium from blood.Loss of appetite is due to inflammation of intestines.
Stool analysis and culture are required to confirm the diagnosis. Management is with antibiotics (usually Rifaximin is given) for which you will need a prescription. So please be advised to follow up with the urgent care.

Meanwhile, drink plenty of water and electrolyte containing drinks like Gatorade. Follow soft diet. BRAT (Banana, Rice, Applesauce, and Toast) diet will be easier on your tummy.
No egg or high protein diet.
Treatment-(if you can manage a prescription)
Get Electral/ORS solution from local store/pharmacy and give him at least 200ml or sip it as much as you are comfortable with.Loss of sodium and potassium from body causes severe fatigue etc so immediate repletion of these electrolytes are necessary.(Its over the counter)
Tab Rifaximin 550 mg once daily 9 a.m
Cap Pantoprazole 40 mg once daily in morning empty stomach 6 a.m(over the counter)
Tab Zofran 4mg as and when required to reduce nausea feeling.(It's over the counter)
Stop hydrochlorthiazide its a diuretic and would cause loss of fluids and electrolytes(till you recover).
Thank you.
Feel free to follow up!

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Ramesh Kumar 1 hour later
Is it possible to have food poisoning and NO diarrhea?
doctor
Answered by Dr. Ramesh Kumar 17 minutes later
Brief Answer:
follow up.

Detailed Answer:
Hello again my dear patient,
Yes off course.It's not necessary that every patient has all symptoms.

Thanks you!
Above answer was peer-reviewed by : Dr. Nagamani Ng
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