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[38M] Experiencing nausea, hot and cold flashes, and slight fever

Patient Description

A 38-year-old male reports experiencing nausea for 2 days, which is more severe when lying down and improves when sitting up. The patient also experiences sudden and intense hot and cold flashes, as well as a slight fever ranging from 100 to 102 degrees Fahrenheit, both of which started 2 days ago. The patient has vomited but does not report severe abdominal pain or blood in vomit or stool. There is a lack of appetite. The patient has a history of Chronic Myeloid Leukemia (CML) diagnosed in 2007 and is currently on Dastinib. Known allergies include reactions to Ambien, which causes hallucinations, and Lamictal, which causes a rash. No other medications have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes of your symptoms include:

  • Gastroenteritis: This is an inflammation of the stomach and intestines that can cause symptoms like nausea, vomiting, and fever. It is usually caused by a viral or bacterial infection.

    • Treatment typically involves rest, hydration, and over-the-counter medications to manage symptoms. Antibiotics may be prescribed if a bacterial infection is suspected.

  • Side effects of Dasatinib: Dasatinib is a medication used to treat chronic myeloid leukemia (CML). Common side effects can include nausea, vomiting, and fever.

    • If you suspect your symptoms are side effects of your medication, you should contact your healthcare provider. They may be able to adjust your dosage or switch you to a different medication.

  • Flu or other viral infection: Your symptoms of fever, nausea, and hot and cold flashes could be due to the flu or another viral infection.

    • Treatment usually involves rest, hydration, and over-the-counter medications to manage symptoms.

What you can do

  • Stay hydrated: This is especially important if you're vomiting. Try to sip small amounts of water or suck on ice chips if you can't keep anything down.
  • Rest: Your body needs energy to fight off an infection. Getting plenty of sleep can help.
  • Over-the-counter medication: There are many over-the-counter medications that can help manage nausea and fever. Be sure to follow the instructions on the packaging.
  • Contact your healthcare provider: Given your medical history and current symptoms, it would be a good idea to reach out to your healthcare provider. They can provide a more accurate diagnosis and treatment plan.

What you should look out for

  • Severe dehydration: This can occur if you're unable to keep fluids down. Signs include extreme thirst, very dry mouth, lack of sweating, little or no urination, severe weakness, dizziness, or lightheadedness.
  • High fever: A fever over 103°F (39.4°C) or a fever that lasts more than a few days.
  • Blood in vomit or stool: This can be a sign of a more serious condition.
  • Severe abdominal pain: This can be a sign of a serious condition that needs immediate medical attention.

Remember, I'm an AI and not a doctor. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask

What are common side effects of Dasatinib, and how can they be managed?

Common side effects of Dasatinib include nausea, vomiting, fever, and fatigue. Management involves consulting with your healthcare provider, who may adjust your dosage or switch medications. Over-the-counter medications can help alleviate symptoms, but always check with your doctor first.

How can I differentiate between symptoms of gastroenteritis and a side effect of my medication?

Gastroenteritis often presents with symptoms like diarrhea, stomach cramps, and vomiting, usually following exposure to contaminated food or water. Medication side effects might not include diarrhea and are more likely if symptoms started after a dosage change. Consult your healthcare provider for an accurate diagnosis.

What are the signs of severe dehydration, and when should I seek medical attention?

Signs of severe dehydration include extreme thirst, very dry mouth, lack of sweating, little or no urination, severe weakness, dizziness, or lightheadedness. Seek medical attention if you experience these symptoms, especially if you cannot keep fluids down.

How can I manage nausea and fever at home while waiting to see a healthcare provider?

To manage nausea and fever at home, stay hydrated by sipping water or sucking on ice chips, rest as much as possible, and use over-the-counter medications like acetaminophen for fever. Avoid solid foods until nausea subsides, and consult your healthcare provider if symptoms persist.

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