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Diarrhea, Abdominal Pain, Chills, Nonproductive Vomiting. Now Sweats. Normal?
I believe I was infected with salmonella via a chicken salad sandwich on Thursday about 11am - and by 10pm I was experiencing explosive watery diarrhea and extreme chills with abdominal pain, wretching nonproductive vomiting (post Gastric Bypass 7yrs)....this continued until I had not urinated for 16 hours and had lost 14 pounds on the scale in 36 hours and was tachycardic 130bpm with a low bp 90/62...I went to ER, received 3 liters saline and urinated 50 cc, was sent home...I am now experiencing constant sweats with diarrhea slowing to every 3 hours. WBC , eisinophils below normal at er lab, other indicators of dehydration as expected...the sweats are a change - is this normal and what is the cause? or mechanism that is occuring in this infectious process?
Fri, 22 Mar 2019
Hi,
It is surely not normal to have so many symptoms of diarrhea, pain in abdomen, chills, nausea and so on.
Sweating indicates bacterimia or septicemia and needs intravenous antibiotics, metronidazole, fluids and electrolytes. You also have least urine output and hence needs admission to the hospital for proper clinical evaluation, getting detailed investigations of blood, urine and stool.
Ultrasonography of abdomen.
Repeated liver and kidney functions as you have low output.
Symptomatic treatment for nausea with a PPI like Omeprazole, Domperidone and so on.
Once the condition is fully settled then only go home.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T Chandrakant,
General Surgeon
It is surely not normal to have so many symptoms of diarrhea, pain in abdomen, chills, nausea and so on.
Sweating indicates bacterimia or septicemia and needs intravenous antibiotics, metronidazole, fluids and electrolytes. You also have least urine output and hence needs admission to the hospital for proper clinical evaluation, getting detailed investigations of blood, urine and stool.
Ultrasonography of abdomen.
Repeated liver and kidney functions as you have low output.
Symptomatic treatment for nausea with a PPI like Omeprazole, Domperidone and so on.
Once the condition is fully settled then only go home.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T Chandrakant,
General Surgeon
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