[34M] Experiencing shivering and vomiting

Patient Description

A 34-year-old male reports sudden onset of shivering and vomiting approximately 2 hours ago. The patient feels cold despite being covered with a blanket and has difficulty trying to sleep due to the symptoms. The vomiting occurs roughly every 30 minutes and amounts to about half a cup each time. There is no associated fever, severe abdominal pain, difficulty breathing, rash, or blood in the vomit. The patient consumed fish today but has not identified any specific foods that trigger these episodes. There is no mention of similar past reactions to fish or other seafood.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Food Poisoning: Consuming contaminated fish can lead to food poisoning, which often causes vomiting and chills. Symptoms usually appear within a few hours after eating the contaminated food.

    • Treatment typically involves rest and rehydration. Antibiotics may be necessary in some cases, depending on the type of bacteria causing the food poisoning.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. It can cause symptoms like vomiting, chills, and sometimes diarrhea.

    • Treatment usually involves rest, rehydration, and eating bland foods until the symptoms subside.
  • Allergic Reaction: Some people have allergies to certain types of fish. Symptoms can include vomiting and chills, among others.

    • Treatment involves avoiding the allergen. In severe cases, an EpiPen may be necessary.

What you can do

  1. Rest and stay hydrated. Dehydration can worsen your symptoms and make you feel worse. Try to drink small sips of water, clear broths, or rehydration drinks.
  2. Avoid eating solid foods until vomiting stops. Then try eating light, bland foods like rice or bananas.
  3. If you suspect an allergic reaction, avoid fish and seafood in the future.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Blood in your vomit or stool
  • Severe abdominal pain
  • Signs of dehydration, such as dry mouth, not urinating, or feeling extremely thirsty
  • Symptoms that last for more than 48 hours or get worse

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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1 yr ago

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People Also Ask


What are the common symptoms of food poisoning from fish?

Common symptoms of food poisoning from fish include nausea, vomiting, diarrhea, abdominal cramps, and chills. Symptoms typically appear within a few hours after consuming contaminated fish.


How can I differentiate between food poisoning and an allergic reaction to fish?

Food poisoning often involves gastrointestinal symptoms like vomiting and diarrhea, while an allergic reaction may also include symptoms like hives, swelling, or difficulty breathing. If you suspect an allergy, it's important to avoid the allergen and consult a healthcare provider.


What are the best ways to stay hydrated if I'm vomiting frequently?

To stay hydrated while vomiting, try drinking small sips of water, clear broths, or oral rehydration solutions. Avoid large amounts of liquid at once, as this can trigger more vomiting.


When should I seek medical attention for vomiting and chills?

Seek medical attention if you experience blood in your vomit, severe abdominal pain, signs of dehydration (such as dry mouth or not urinating), or if symptoms persist for more than 48 hours or worsen.


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