[50F] Experiencing fatigue, fever, and urinary changes

What might be happening

Based on the symptoms you've described, there are a few possibilities to consider:

1. Urinary Tract Infection (UTI): Given your history of UTIs and the changes in urine smell and color, it's possible you have a UTI. UTIs can cause symptoms like fatigue, fever, chills, and nausea. If left untreated, they can lead to more serious infections, such as kidney infections or sepsis, especially since you've experienced sepsis from a UTI in the past.

2. Dehydration: The very yellow urine could indicate dehydration, which can also cause headaches, fatigue, and nausea. Dehydration can occur if you're not eating or drinking enough, especially if you're experiencing nausea and dry heaving.

3. Medication Side Effects: Some of the medications you're taking, such as Gabapentin and Bupropion, can cause side effects like drowsiness, dizziness, and nausea, which might contribute to your symptoms.

4. Other Infections or Conditions: The combination of fever, chills, and extreme fatigue could also suggest another type of infection or condition that requires medical evaluation.

What you can do

1. Seek Immediate Medical Attention: Given your symptoms and history of sepsis, it's important to seek medical care as soon as possible. You may need antibiotics or other treatments to address a potential UTI or other infection. Please consider visiting an urgent care center or emergency room for evaluation.

2. Stay Hydrated: Try to drink small sips of water or an electrolyte solution to stay hydrated, especially if you're experiencing nausea and dry heaving.

3. Monitor Your Symptoms: Keep track of any changes in your symptoms, such as increased fever, worsening headache, or changes in urine output. This information can be helpful for healthcare providers.

4. Avoid Driving: If you're feeling dizzy or have a fuzzy head, avoid driving yourself to seek medical care. Ask someone to drive you or call for medical transport if necessary.

Remember, while I can provide information based on your symptoms, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If your symptoms worsen or you feel it's an emergency, please call 911 or seek immediate medical attention.