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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes vomiting, fatigue, tiredness and fever?

Well, this all started about 7-8 weeks ago. The first thing that happened was vomiting one Monday evening. It was the worst vomiting I had ever experienced. The next day, I woke up with horrible pain in my upper right flank. I went to my PCP, and she thought that it had to something with my gallbladder, so she sent me for an ultrasound of my gallbladder, right kidney, liver and pancreas. That came back fine, so she sent me to a GI to figure out why I was vomiting(about once a week) and diarrhea(three to four times daily). I had an upper and lower scope performed. I was diagnosed with Barrett s, hiatal hernia and IBS. Also, when they did the ultrasound they did find swollen lymph nodes in my colon(mesenteric adenitis). Meanwhile, this whole time I am experiencing horrible fatigue, heated face, elevated body temperature(99.5-100), pain all over my right side and back. When my GI told me that what he diagnosed me with did not explain the fatigue and low grade fever, I once again had to go back to my PCP. Let me tell you; I have been so emotional since this all started. I am crying for no reason, I feel like I have constant brain fog. So, when my PCP came into the room(she is also an OBGYN), and I begged her to make me feel better, and she pretty much told me there was nothing wrong with me, I started crying. How dare she! Anyway, back to the story. She decided to run some more blood tests and do a urine analysis. So, she said all of the blood tests came back okay. Then, today, I get a call saying there was bacteria growing in my urine, and she wanted to know what my symptoms were so she could just diagnose me with a UTI. Here s my concern: I have had several UTI s in my life, most of which traveled to my kidney. I have had Gonorrhea and Clymadia when I was 21 and naieve, but I took antibiotics and tested negative for it a later date. So, now she just wants to throw antibiotics at me, and I have been sick for almost two months. Could this just have been a UTI this whole time? Also, I do have the pain in my upper right flank as well in the pelvic area. Thank you.
Thu, 24 May 2018
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

From your history and evaluation, it seems you are suffering from an ineffective pathology of gut and it could be enteric fever. So I would suggest you to go for blood and stool culture for salmonella and Salmonella Typhi.
So as far as your Barrett's esophagus and hiatus hernia are concerned you will need regular Upper GI endoscopies to rule out any dysplasia or you have a surgical option of fundoplication.

Hope I have answered your query. Let me know if I can assist you further.
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What causes vomiting, fatigue, tiredness and fever?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. From your history and evaluation, it seems you are suffering from an ineffective pathology of gut and it could be enteric fever. So I would suggest you to go for blood and stool culture for salmonella and Salmonella Typhi. So as far as your Barrett s esophagus and hiatus hernia are concerned you will need regular Upper GI endoscopies to rule out any dysplasia or you have a surgical option of fundoplication. Hope I have answered your query. Let me know if I can assist you further.