[20F] With nausea, acid reflux, mild fever, shaking, and fatigue

What might be happening

Based on the symptoms you've described—nausea, acid reflux, mild fever, shaking, fatigue, and stomach ache—here are some possible explanations:

1. Gastroesophageal Reflux Disease (GERD):

   • Rationale: Acid reflux and nausea are common symptoms of GERD. This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus).
   • Typical Treatments: Lifestyle changes (like diet modification), over-the-counter antacids, H2 blockers, or proton pump inhibitors (PPIs). In severe cases, prescription medications or surgery may be needed.

2. Crohn's Disease Flare-Up:

   • Rationale: Given your history of Crohn's disease, a flare-up could explain your nausea, stomach ache, and fatigue. Crohn's disease can cause inflammation in different parts of the digestive tract, leading to these symptoms.
   • Typical Treatments: Anti-inflammatory drugs, immune system suppressors, antibiotics, and sometimes surgery. Dietary changes and nutritional supplements may also help.

3. Gastroenteritis:

   • Rationale: The combination of nausea, stomach ache, mild fever, and shaking could indicate a stomach infection or gastroenteritis.
   • Typical Treatments: Hydration, rest, and over-the-counter medications to manage symptoms. In some cases, antibiotics may be necessary if a bacterial infection is suspected.

What you can do

Nausea and Acid Reflux:

• Dietary Changes: Avoid spicy, fatty, or acidic foods that can trigger reflux. Eat smaller, more frequent meals.
• Over-the-Counter Medications: Antacids or medications like H2 blockers (e.g., ranitidine) or PPIs (e.g., omeprazole) can help reduce stomach acid.
• Elevate Your Head: When lying down, keep your head elevated to prevent acid from flowing back into your esophagus.

Mild Fever and Shaking:

• Hydration: Drink plenty of fluids to stay hydrated.
• Rest: Ensure you get enough rest to help your body fight off any potential infection.
• Over-the-Counter Medications: Acetaminophen or ibuprofen can help reduce fever and alleviate discomfort.

Fatigue:

• Rest: Prioritize rest and avoid overexertion.
• Balanced Diet: Ensure you're eating a balanced diet to maintain energy levels.
• Hydration: Stay well-hydrated.

Stomach Ache:

• Warm Compress: Applying a warm compress to your abdomen may help alleviate pain.
• Gentle Diet: Stick to bland foods like bananas, rice, applesauce, and toast (BRAT diet) until symptoms improve.

What you should look out for

Given your symptoms and history of Crohn's disease, it's important to monitor for any worsening or new symptoms. Seek medical care if you experience:

• Severe or persistent abdominal pain
• Vomiting that doesn't stop
• High fever (above 101.5°F or 38.6°C)
• Blood in your stool or vomit
• Severe dehydration (dry mouth, dark urine, dizziness)

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.