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Headache, cold sweats, vomiting, diarrhea. Feeling of passing out. What are your thoughts?

my 25 y/o son woke up about an hour ago with a sudden pounding headache , cold sweats, vomiting and diahrrea. he is never sick (has not missed a day of work for 2 yrs) and has recently had a cold with episodes of feeling like he s going to pass out (was sent home from work on Tuesday due to this). this all started on Monday. he s in the er right now but just wanting to possibly have a second opinion. am certain blood & urine tests will be done at er. what are your thoughts?
Asked On : Sun, 25 Nov 2012
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Psychiatrist 's  Response
Welcome to HCM!

From your question I can say that your son has an infection ( gastric- intestinal ) and should be started on a good , broad spectrum antibiotics, as nausea, vomiting and diarrhoea, all point towards the possibility of an infection.
It will be good to start with an injectable antibiotics, may be cephalosporin, as he can't eat right now, and injectables work faster.
For his nausea and vomiting, I feel that perinorm injection are good in stopping this.

There is a possibility of food poisoning, but one needs more information. however, the medicine almost remain remains the same as mentioned above.

Please do not panic, getting routine blood tests, vitals measured- like ...blood pressure, sugar levels, and an USG abdomen will make the picture clearer.
blood counts will help in finding the cause of infection. It is a common presentation in case of a strong abdominal infection, which is completely curable.

With proper medicine, I can assure you that he will get better in few days.

Hope your son get well soon!
feel free to ask more questions
Dr, Manisha gopal

Answered: Tue, 19 Nov 2013
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