[36M] Experiencing fever, joint and stomach aches, and diarrhea

Patient Description

A 36-year-old male reports having a constant fever over 100 degrees, dull joint and stomach aches rated 6 out of 10 in severity, and very frequent clear and yellow diarrhea for the past 8 hours. The patient has taken Tylenol (1000mg) once for the fever and is on Wellbutrin, taken as needed. There is no recent travel history, no known allergies or pre-existing conditions, and no regular use of Tylenol. The patient also experiences lightheadedness, which may suggest dehydration, but no confusion or mental status changes. No blood has been observed in the stool or vomit, and there have been no recent injuries or dietary changes noted that could contribute to the symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and can be highly contagious. Symptoms can include diarrhea, vomiting, stomach pain, fever, and body aches.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be needed if the cause is bacterial.
  • Food poisoning: This occurs when you eat contaminated food. Symptoms, which can start within hours of eating the contaminated food, often include nausea, vomiting or diarrhea.

    • Most often, food poisoning is mild and resolves without treatment within a few days. But in some cases it can last longer and may require hospitalization and medical treatment.
  • Influenza (Flu): This is a viral infection that attacks your respiratory system. Body aches and fever are common symptoms of the flu. Some strains of the virus can also cause stomach symptoms like nausea, vomiting, and diarrhea.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antiviral medication may be prescribed in some cases.

What you can do

  1. Stay hydrated: This is very important as diarrhea and vomiting can cause you to lose fluids and lead to dehydration. Try to sip small amounts of water, diluted fruit juice, or rehydration solutions regularly.

  2. Rest: Your body needs energy to fight off the virus. Getting extra sleep can help.

  3. Over-the-counter medication: Over-the-counter medication can help control your fever and aches. Follow the instructions on the package.

  4. Avoid spreading the illness: Wash your hands regularly and avoid preparing food for others until at least 48 hours after your symptoms have gone.

What you should look out for

If your symptoms worsen or you notice any of the following, seek medical attention immediately:

  • Blood in your stool or vomit
  • Severe abdominal pain
  • Symptoms of dehydration, such as dry mouth, not urinating, severe weakness, dizziness or lightheadedness
  • Fever above 103°F (39.4°C) or a fever that lasts more than three days

Please remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate treatment.

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10 mo ago

People Also Ask


What are the common causes of gastroenteritis and how can it be treated?

Gastroenteritis is commonly caused by viruses, bacteria, or parasites. Viral gastroenteritis is particularly common and can be highly contagious. Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be needed if the cause is bacterial.


How can I tell if my symptoms are due to food poisoning or another condition?

Food poisoning symptoms often start within hours of eating contaminated food and include nausea, vomiting, and diarrhea. If symptoms are severe or persist, it may be necessary to consult a healthcare provider to rule out other conditions.


What are the signs of dehydration and how can I prevent it?

Signs of dehydration include dry mouth, not urinating, severe weakness, dizziness, or lightheadedness. To prevent dehydration, drink small amounts of water, diluted fruit juice, or rehydration solutions regularly.


When should I seek medical attention for a fever and diarrhea?

Seek medical attention if you experience blood in your stool or vomit, severe abdominal pain, symptoms of dehydration, a fever above 103°F (39.4°C), or a fever that lasts more than three days.


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