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Dr Bhumika
Dr Bhumika, Doctor
Category: Health
Satisfied Customers: 3197
Experience:  6 years of experience as family physician, general practitioner; MD Chest Diseases; Allergy, Asthma
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I am a 50 year male. I work in the southern california desert.

Customer Question

I am a 50 year male. I work in the southern california desert. My job leads me into the hot desert climate on a daily basis. I keep myself very well hydrated during my shift always. Yesterday there was a touch of humidity in the area with the temperature outside of around 105. I was fairly active in the morning hours, mainly working in shaded areas. Last night while attending a meeting, I started having cramps in my abdomen, and got very naucious and was running a low grade fever. During the night I developed a headache, that has been lasting for over 14 hours now, sore throat, stiff neck, light sensativity with my eyes, and a low grade fever. Is it possible that this is heat related, or am I looking at possibly something else. The acetaminophen does not even touch the headache.
Submitted: 7 years ago.
Category: Health
Expert:  Dr Bhumika replied 7 years ago.

Did you notice any rashes or insect bite anywhere on your body?
Do you have any other medical condition?
Are you on any meds?
Customer: replied 7 years ago.
This was a sudden onset, with light headedness, and nausea. The neck stiffness and headache started about 6 hours after the sudden onset of the nauasea and headache. I am a Animal Control Officer. I have had a significant medical history, with a diagnosis of Pulmonary Fibrosis about ten years ago including exposure to Legonella disease, and that has gone into remission. 6 months ago I had to see the Cardiologist for Atrial Fib. I currently take Digoxin125 bid, Atenonol 25 mg tid , diltiazem 120mg bid and Protonix 40mg bid. I also am under pain management, and I take Percocet 325/5 tid, Flexeril 10 mg tid, Lyrica 100mg bid and Ativan 2mg tid. I also have to use Duragesic pain patches, and currently I wear 75 mic Q24. I function normally without any limitations when doing my job , as well as other daily activities. I see no rashes at this time, however I am starting to get some joint pain, somewhat minor at this time in the shoulder region. Although I do take alot of medications, this has become my daily maintenance dose for numerous years. I have been maily healthy the last ten years and have fought very hard through exercise to get off of 100 % disability, and have become a productive worker back in society.
Expert:  Dr Bhumika replied 7 years ago.
To me this seems like heat related injury - heat exhaustion. However, I have just one other suspicion - lymes disease. This insect spread does show a typical rash, which is at present, absent in your case.
The symptoms tend to be similar to both conditions. I would reoommend that you be tested for ELISA antibodies to Lyme's disease.

If that comes out to be negative and you do not have any rash, then Heat Exhaustion is a very possible diagnosis.

You can use this resource to read about Lyme's:

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Customer: replied 7 years ago.
There is just one other thing regarding symptoms to my issue that I forgot to mention, and that is I have what feels like pressure behind both eyes that is hurting pretty good as well.
Expert:  Dr Bhumika replied 7 years ago.
Pain behind the eyes may also be related to the extreme heat exhaustion you encountered and is not entirely out of place. Hope this helped.