[44F] With nausea, fever, and sweating

Patient Description

A 44-year-old female presents with nausea, fever, and sweating. The nausea began this morning and has been constant, with two episodes of vomiting today. The nausea worsens with movement or changes in position and is somewhat relieved by shutting eyes and laying down. The patient reports a fever of 100.5°F and has been sweating for a few hours, with no specific time of day when it is more pronounced. She denies shortness of breath, chest pain, confusion, altered mental status, or severe headache. The patient has some neck stiffness but has a history of a C5-7 cervical spine fusion performed in June 2023. She is allergic to Penicillin, which causes anaphylactic shock. The patient is not currently taking any medications.

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Arora's Assessment

What might be happening

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

  • Viral Gastroenteritis (Stomach Flu): This is a common cause of nausea, vomiting, fever, and sweating. It is usually caused by a virus and often resolves on its own within a few days.

    • Treatment: Rest, hydration, and over-the-counter medications to manage symptoms. In some cases, anti-nausea medications may be prescribed.
  • Vestibular Neuritis or Labyrinthitis: These conditions involve inflammation of the inner ear, which can cause nausea, vomiting, and worsening symptoms with head movement.

    • Treatment: Medications to reduce dizziness and nausea, and sometimes corticosteroids to reduce inflammation.
  • Migraine: Migraines can cause severe headaches, nausea, vomiting, and sensitivity to movement.

    • Treatment: Over-the-counter pain relievers, prescription medications, and lifestyle changes to avoid triggers.
  • Food Poisoning: This can cause nausea, vomiting, fever, and sweating, often within hours of consuming contaminated food.

    • Treatment: Hydration and rest. In severe cases, medical intervention may be necessary.

What you can do

  1. Stay Hydrated: Drink clear fluids like water, broth, or an electrolyte solution to prevent dehydration.
  2. Rest: Try to rest as much as possible. Lying down with your eyes closed can help alleviate nausea.
  3. Avoid Triggers: Avoid foods and smells that seem to worsen your nausea.
  4. Over-the-Counter Medications: Consider taking anti-nausea medications like meclizine or dimenhydrinate, but consult with a pharmacist or healthcare provider first.
  5. Cool Compress: Applying a cool compress to your forehead may help reduce fever and provide some comfort.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or Persistent Symptoms: If your symptoms do not improve or worsen over the next 24-48 hours.
  • Dehydration: Signs include dry mouth, decreased urination, dizziness, and extreme thirst.
  • Severe Headache: If your headache becomes severe or is accompanied by vision changes or neck stiffness.
  • High Fever: If your fever rises above 102°F or is accompanied by chills and severe discomfort.
  • Confusion or Altered Mental Status: Any changes in your mental state should be evaluated by a healthcare professional.

Remember, while this information can help guide you, it is essential to consult with a healthcare provider for a formal diagnosis and appropriate treatment.

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7 mo ago

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People Also Ask


What are the common causes of nausea and vomiting with fever and sweating?

Common causes of nausea and vomiting with fever and sweating include viral gastroenteritis, vestibular neuritis, migraines, and food poisoning. Each condition has specific characteristics and may require different treatments.


How can I manage nausea that worsens with movement?

To manage nausea that worsens with movement, try resting in a quiet, dark room with your eyes closed. Over-the-counter anti-nausea medications like meclizine or dimenhydrinate may help, but consult a healthcare provider before use.


What should I do if I have a fever and neck stiffness after a cervical spine fusion?

If you have a fever and neck stiffness after a cervical spine fusion, it's important to monitor your symptoms closely. Rest, stay hydrated, and apply a cool compress to reduce fever. If symptoms persist or worsen, seek medical advice.


What are the signs that I should seek medical attention for my symptoms?

Seek medical attention if your symptoms do not improve within 24-48 hours, if you experience signs of dehydration, severe headache, high fever above 102°F, or any confusion or altered mental status.


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