He has gas but no tenderness or pain (He has had in appendix out)
He hasn't traveled overseas, but he did travel domestically last Thursday and Friday
He had an appendectomy
No abnormality with his stools
No shortness of breath or breathlessness, but he has had a stiff neck and feels lightheaded. No loss of appetite. They tested his white blood cell counts and his sugars. They did a UA for bladder infections. Everything came back clean.
Hello,The shakiness, neck stiffness, tiredness, dizziness, constant headache should rule out a viral meningitis which may have no fever. So your doctor need to reexamine him and get the blood tests repeated with consideration of the spinal tap (spinal fluid examination). The initial investigative work in the viral illnesses may not show any significant abnormality and it need to be repeated. Apart from the counts, a comprehensive metabolic panel (CMP) also is essential. Apart from viral meningitis this can be just viral abdominal infection, which may be transmitted during travel. This is a self limiting illness usually in 5-7 days but occasionally may take almost 10 days to resolve completely. The management is as following;
2) Lomotil; may only be given if the diarrhea is vigorous.
3) Gatorade / Pedialyte
4) Plenty of fluids
5) BRAT diet; banana, rice, applesauce, toast. Vegetable broths / vegetable soups, coconut water also can help.
Please feel free for your follow up questions.
I would be happy to assist you further, if you need any more information.
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What would the metabolic panel consist of?
Thank you for your reply. His diarrhea has gone away. Given the other symptoms is it possible he has a form of meningitis, either Aseptic or bacterial? Should we wait to see the regular Dr. again or would it be wise to go to the hospital?
You have been very helpful! Thanks so much!!!