[33F] With fever, body aches, wet cough, vomiting, diarrhea, and other symptoms

Patient Description

A 33-year-old female presents with a range of symptoms that began with fever and body aches. Currently, she is experiencing a wet cough producing clear mucus, ongoing for 2-3 days and occurring every 5-10 seconds, rated between moderate to severe. She was exposed to her sick children but has no shortness of breath or blood in her mucus. The fever lasted for two days with a temperature above 99°F, managed with medication. She reports a sensation of a racing heart since yesterday, with episodes lasting about 30 minutes. Stomach pain began with vomiting, described as soreness across the whole stomach area, with intensity ranging from 4 to 8 out of 10. She has had watery and loose diarrhea, occurring once today and twice yesterday, with no specific triggers or recent travel. Vomiting involves stomach acid or mucus, with the last episode last night, and she has difficulty eating due to feeling ill. She also reports moderate weakness since today, causing a desire to sleep. Sweating has been consistent since feeling sick on Friday, with clothes getting soaked. She has not taken any new medications or substances recently, except for her regular medications, which include DayQuil (10ml every 4 hours) and Tylenol (600mg, taken as needed). Her medical history includes gallbladder removal three years ago, and she is allergic to amoxicillin.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Viral Respiratory Infection (e.g., Influenza or COVID-19): Your symptoms, including fever, body aches, cough with mucus, vomiting, diarrhea, sweating, stomach pain, weakness, chills, and shakes, are consistent with a viral respiratory infection. These infections can cause a wide range of symptoms and are often accompanied by gastrointestinal issues.

    • Treatment: Rest, hydration, and over-the-counter medications like Tylenol (acetaminophen) for fever and pain relief. Antiviral medications may be prescribed by a doctor if influenza or COVID-19 is confirmed.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. Symptoms include vomiting, diarrhea, stomach pain, and sometimes fever and body aches.

    • Treatment: Rest, hydration, and over-the-counter medications to manage symptoms. In some cases, antibiotics may be needed if a bacterial infection is confirmed.
  • Post-Infectious Cough: After a viral infection, it's common to have a lingering cough that produces mucus. This can last for several weeks.

    • Treatment: Cough suppressants, staying hydrated, and using a humidifier can help manage the cough.

What you can do

  1. Rest and Hydration: Make sure to get plenty of rest and stay hydrated. Drink clear fluids like water, broth, or oral rehydration solutions to prevent dehydration, especially with vomiting and diarrhea.
  2. Over-the-Counter Medications: Continue taking Tylenol for pain and fever relief. DayQuil can help manage your cough and other cold symptoms. Follow the dosing instructions carefully.
  3. Diet: Try to eat small, bland meals when you feel up to it. Foods like bananas, rice, applesauce, and toast (the BRAT diet) can be easier on your stomach.
  4. Monitor Symptoms: Keep track of your symptoms using the MDandMe journal. This can help you identify any patterns or triggers and provide useful information to your healthcare provider.
  5. Avoid Spreading Illness: Practice good hygiene, such as washing your hands frequently and avoiding close contact with others, to prevent spreading the infection.

What you should look out for

Seek medical attention if you experience any of the following:

  • Difficulty Breathing: If you develop shortness of breath or difficulty breathing, seek medical help immediately.
  • High Fever: If your fever returns or becomes very high (above 103°F), it's important to see a doctor.
  • Severe Dehydration: Signs include dry mouth, extreme thirst, little or no urination, and dizziness.
  • Persistent or Worsening Symptoms: If your symptoms do not improve or worsen over the next few days, consult a healthcare provider.
  • Chest Pain: If you experience chest pain or a racing heart that does not go away, seek medical attention.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. If you have any more questions or need further assistance, feel free to ask.

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4 mo ago

People Also Ask


What are the common symptoms of a viral respiratory infection?

Common symptoms of a viral respiratory infection include fever, body aches, cough with mucus, vomiting, diarrhea, stomach pain, weakness, chills, and sweating. These infections can also cause gastrointestinal issues.


How can I manage a persistent cough after a viral infection?

To manage a persistent cough after a viral infection, you can use cough suppressants, stay hydrated, and use a humidifier. It's also important to rest and avoid irritants like smoke.


What dietary changes can help with stomach pain and diarrhea?

For stomach pain and diarrhea, try eating small, bland meals such as bananas, rice, applesauce, and toast (the BRAT diet). These foods are gentle on the stomach and can help manage symptoms.


When should I seek medical attention for symptoms like fever and racing heart?

Seek medical attention if you experience difficulty breathing, a high fever above 103°F, signs of severe dehydration, persistent or worsening symptoms, or chest pain and a racing heart that does not go away.


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