[44F] With persistent low-grade fever, throat discomfort, and rash

What might be happening

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

Low-Grade Fever, Stuttered Speech, and Feeling of Something in Throat

• Infection: Given your recent exposure to raw sewage and septic tanks, you might have contracted an infection. Low-grade fever and feeling like something is in your throat could be signs of an upper respiratory or systemic infection.
• Tick-Borne Illness: Since you were bitten by ticks, illnesses like Lyme disease or other tick-borne infections could be causing your symptoms, including fever and possibly affecting your speech.

Rash and Itchiness

• Contact Dermatitis: The rash that started on your foot and spread to your thighs could be a reaction to something you came into contact with, possibly from working around septic tanks.
• Tick-Borne Illness: Some tick-borne diseases can cause rashes, which might explain the rash spreading to different parts of your body.

Lower Back Pain and Stomach Spasms

• Muscle Strain: Activities like raking and standing for long periods could cause muscle strain, leading to lower back pain.
• Gastrointestinal Issues: The stomach spasms and pain under your rib cage could be related to gastrointestinal issues, possibly exacerbated by stress or infection.

Chest Pain and Shoulder Pain

• Musculoskeletal Pain: The pain in your left shoulder and chest could be related to muscle strain or tension, especially if you've been doing physical work.
• Infection or Inflammation: Given your other symptoms, an underlying infection or inflammation could also be contributing to these pains.

Hunger After Eating and Nausea

• Gastrointestinal Disturbance: Feeling hungry after eating and experiencing nausea could be signs of a gastrointestinal disturbance, possibly related to an infection or stress.

What you can do

Low-Grade Fever and Infection Concerns

• See a Doctor: Given your exposure to raw sewage and tick bites, it's important to see a healthcare provider to rule out infections or tick-borne illnesses. They may perform blood tests and other diagnostics.
• Stay Hydrated: Drink plenty of fluids to stay hydrated, especially if you have a fever.

Rash and Itchiness

• Topical Treatments: Use over-the-counter hydrocortisone cream or antihistamines to relieve itching.
• Avoid Irritants: Try to avoid any known irritants that might be causing the rash.

Lower Back Pain and Stomach Spasms

• Rest and Ice: Rest your back and apply ice packs to reduce inflammation.
• Gentle Stretching: Engage in gentle stretching exercises to relieve muscle tension.
• Over-the-Counter Medications: Consider taking over-the-counter pain relievers like Tylenol (acetaminophen) for pain relief.

Chest Pain and Shoulder Pain

• Monitor Symptoms: Keep track of your symptoms and seek medical attention if the pain worsens or if you experience shortness of breath.
• Gentle Movements: Avoid strenuous activities that could exacerbate the pain.

Hunger After Eating and Nausea

• Small, Frequent Meals: Eat small, frequent meals to help manage nausea and hunger.
• Avoid Trigger Foods: Avoid foods that might trigger nausea or gastrointestinal discomfort.

What you should look out for

Given the complexity and severity of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• High Fever: If your fever spikes above 101°F (38.3°C).
• Severe Chest Pain: If you experience severe chest pain or shortness of breath.
• Neurological Symptoms: If you notice worsening stuttered speech, confusion, or other neurological symptoms.
• Severe Rash: If the rash becomes more widespread or is accompanied by swelling or difficulty breathing.
• Severe Gastrointestinal Symptoms: If you experience severe abdominal pain, persistent vomiting, or blood in your stool.

Remember, while I can provide guidance, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.