[47M] Experiencing post-exertional symptoms and fever following bariatric surgery

Patient Description

A 47-year-old male reports extreme fatigue, muscle aches, and a fever exceeding 101 degrees after engaging in significant physical activity, walking 10 miles a day over the weekend. The patient has a history of bariatric surgery. Since returning home, the patient has also experienced nausea, chills, and extreme sweating. These symptoms suggest a possible postoperative complication or infection that warrants further medical evaluation.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing one of the following conditions:

  • Viral Infections: The symptoms of fatigue, muscle aches, fever, nausea, chills, and sweating are common in many viral infections. These symptoms usually resolve on their own as your body fights off the virus.

    • Rest, hydration, and over-the-counter medications to manage symptoms are typically recommended.
  • Post-Exertional Malaise: This is a worsening of symptoms following physical exertion and is often seen in conditions like Chronic Fatigue Syndrome. However, the fever is not typically associated with this condition.

    • Treatment typically involves rest and symptom management.
  • Infection or Complication from Bariatric Surgery: Although it's not clear when you had the surgery, the symptoms you're experiencing could be related to an infection or complication from the surgery, especially if the surgery was recent.

    • Treatment would depend on the specific issue and might include antibiotics or other medications, or in some cases, additional surgery.

What you can do

You should seek immediate medical attention given your high fever and history of bariatric surgery. While waiting for medical attention:

  1. Rest and stay hydrated. Drink plenty of fluids and eat light, easily digestible foods.
  2. Monitor your symptoms. If they worsen or you develop new symptoms, seek immediate medical attention.
  3. Over-the-counter medications may help manage your fever and muscle aches. However, it's important to follow the instructions on the package and not exceed the recommended dose.

What you should look out for

You should seek immediate medical attention if:

  • Your fever continues to rise or doesn't improve with over-the-counter medications.
  • You develop severe abdominal pain or notice blood in your stool or vomit.
  • You become confused, have difficulty breathing, or experience severe weakness.

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

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1 yr ago

People Also Ask


What are common symptoms of viral infections that I should be aware of?

Common symptoms of viral infections include fatigue, muscle aches, fever, nausea, chills, and sweating. These symptoms often resolve on their own as the body fights off the virus.


How can I manage symptoms of post-exertional malaise at home?

To manage symptoms of post-exertional malaise, it is important to rest, stay hydrated, and avoid overexertion. Symptom management may also include over-the-counter medications for pain and fever.


What are potential complications after bariatric surgery that could cause these symptoms?

Potential complications after bariatric surgery that could cause these symptoms include infections, nutritional deficiencies, or gastrointestinal issues. It's important to consult a healthcare provider for a proper diagnosis.


When should I seek immediate medical attention for a fever and related symptoms?

You should seek immediate medical attention if your fever continues to rise, doesn't improve with over-the-counter medications, or if you experience severe symptoms such as abdominal pain, confusion, difficulty breathing, or severe weakness.


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