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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Headache Along With Appetite Loss, Fever And Fatigue Indicate?

My husband has cold like symptoms, which started with a headache, lack of appetite, fatigue, then a fever of 99.7. The fever as now escalated to 102 and I am wondering if it is necessary for him to go to emergency or not. I gave him 200 mg Ibuprofen this morning and gave him 650 mg Tylenol just now.
posted on Thu, 2 Nov 2017
Twitter Thu, 16 Nov 2017 Answered on
Twitter Thu, 16 Nov 2017 Last reviewed on
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Ayurveda Specialist 's  Response
**
Thanks for contacting with your health concern

1. As symptoms are sudden, [mainly fever, headache] thus an immediate visit to ER [emergency room] is warranted to exclude meningitis.

PS. An immediate Neurologist opinion and C.T. scan [if needed] is required since best treatment is to address the underlying cause.

2. If the examination and investigation come normal, I do check the following signs in my patient: [for headache/ fever]

i. check blood pressure.
ii. check sinus tenderness over maxillary & frontal sinuses and look for any focus of infection in teeth, tonsils, and ears.
iii. check tenderness on the nape of neck or pain on neck movements.
iv. look for any painful/red-eye and [if present] ask for ophthalmologist opinion.

PS. If the fever doesn't reduce within 3-4 days of antibiotic treatment, ask for Hb%, WBC, ESR, Widal test, Urine, and X-ray chest.
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What Does Headache Along With Appetite Loss, Fever And Fatigue Indicate?

** Thanks for contacting with your health concern 1. As symptoms are sudden, [mainly fever, headache] thus an immediate visit to ER [emergency room] is warranted to exclude meningitis. PS. An immediate Neurologist opinion and C.T. scan [if needed] is required since best treatment is to address the underlying cause. 2. If the examination and investigation come normal, I do check the following signs in my patient: [for headache/ fever] i. check blood pressure. ii. check sinus tenderness over maxillary & frontal sinuses and look for any focus of infection in teeth, tonsils, and ears. iii. check tenderness on the nape of neck or pain on neck movements. iv. look for any painful/red-eye and [if present] ask for ophthalmologist opinion. PS. If the fever doesn t reduce within 3-4 days of antibiotic treatment, ask for Hb%, WBC, ESR, Widal test, Urine, and X-ray chest.