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What Do Intermittent Fever And Vomiting In An Elderly Indicate?

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Posted on Fri, 13 Oct 2017
Question: My husband has suddenly started chills, very stron g and would stop for a while and would start again, he thinks he had gotten some bad food, so he asked for alkalzer so I gave him 2 tablets with water. He has a temperature of 102 the last time I took it, he has vomiting, but doesnot say he has pain. He is asleep now, I woke him up to take his temperature again and he won't let me I know he is has a higher temperature, so I gave him a ice pack. He is 87 yeas old and is good health, but does complain of being tired after working outside on his tractor. He is sleeping, what should I do? He did had
his gall bladder remove about 2 years ago that was gangrenous, but did not effect any other organs. What should I do?
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Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
Chills are suggestive of ongoing infection.

Detailed Answer:
Hi
Hello,
Thanks choosing HealthcareMagic for your query.
Have gone through your details and i appreciate your concerns.


Most likely its gastroenteritis,usually gastroenteritis is by viral infection(Nova virus) and is self limiting,Takes five to sevendays.In some cases it can either be bacterial or protozoal infection or a mixed infection.It is an intestinal infection marked by diarrhoea, cramps, nausea, vomiting and fever.However its not necessary that all symptoms are there in a single patient.
I would suggest him to go for few tests
Ultra sound abdomen
Stool test under microscope
Complete blood count
Total and differential leucocyte count.

If stool test is positive for bacterial or protozoal infection.Start taking Zithromax(Azithromycin 500 mg once daily) and secnidazole 1 gram daily for 5 days.
Along with it take Fybrogel husk,It will increase the bulk of your stools.
Tab zofran 4 mg twice daily can be given to control nausea.
Eat light and easily digestible food.
Drink plenty of water and electrolytes to maintain rehydration.
Monitor puls and blood pressure twice daily

Follow up with reports.

Regards!
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Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2909 Questions

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What Do Intermittent Fever And Vomiting In An Elderly Indicate?

Brief Answer: Chills are suggestive of ongoing infection. Detailed Answer: Hi Hello, Thanks choosing HealthcareMagic for your query. Have gone through your details and i appreciate your concerns. Most likely its gastroenteritis,usually gastroenteritis is by viral infection(Nova virus) and is self limiting,Takes five to sevendays.In some cases it can either be bacterial or protozoal infection or a mixed infection.It is an intestinal infection marked by diarrhoea, cramps, nausea, vomiting and fever.However its not necessary that all symptoms are there in a single patient. I would suggest him to go for few tests Ultra sound abdomen Stool test under microscope Complete blood count Total and differential leucocyte count. If stool test is positive for bacterial or protozoal infection.Start taking Zithromax(Azithromycin 500 mg once daily) and secnidazole 1 gram daily for 5 days. Along with it take Fybrogel husk,It will increase the bulk of your stools. Tab zofran 4 mg twice daily can be given to control nausea. Eat light and easily digestible food. Drink plenty of water and electrolytes to maintain rehydration. Monitor puls and blood pressure twice daily Follow up with reports. Regards!