Managing Post-Infection Symptoms: A Guide for Patients

How to maintain health?

Hello, Doctor.
At the end of last month, I was diagnosed with urethritis, and the next day I had diarrhea, which was diagnosed as norovirus.
On April 7, I was diagnosed with nephritis and have been taking antibiotics for over two weeks.
I stopped taking antibiotics on April 15.
Recently, I've been experiencing a bitter and sour taste in my mouth, and sometimes I feel a slight sweetness (but I'm not sure if it's sweet).
My tongue feels cool at times.
I've also been having occasional stomach discomfort that makes me feel hungry, and I've noticed increased urination.
My weight has been stable between 37-39 kg.
For the past three to four days, my feet have been feeling numb and tingling (but not for long).
What could be the issue, and how can I improve my condition?

Lucy, 10~19 year old female. Ask Date: 2017/04/18

Dr. Chen Taicheng reply Family Medicine

● If there were no oral-related symptoms prior, the most likely cause of the altered taste is due to antibiotics.
This could be a side effect of the antibiotics themselves, affecting the taste buds; alternatively, antibiotics may disrupt the oral microbiome, leading to an overgrowth of certain bacteria, fungi, or yeast.
After some time, possibly within a few weeks, the oral environment may restore its balance, and taste perception may improve.
If the issue persists after a month, please consult a family medicine physician or an otolaryngologist for further evaluation.
● Regarding gastrointestinal issues (antibiotics may also cause stomach discomfort), avoid prolonged fasting.
If you experience persistent stomach pain, it could indicate gastritis or peptic ulcers.
Please seek further evaluation from a family medicine physician or a gastroenterologist.
● Diuresis or numbness in the feet can be monitored, as these are likely temporary symptoms.
● Wishing you good health, Dr.
Chen Tai-Cheng from Taoyuan Hospital's Family Medicine Department is concerned about you~

Reply Date: 2017/04/18

More Info

Managing post-infection symptoms can be a complex process, especially after experiencing multiple infections like urinary tract infections, norovirus, and kidney inflammation. Your symptoms, including a bitter or sour taste in your mouth, occasional sweet sensations, a cool feeling on your tongue, stomach discomfort, increased urination, and tingling or prickling sensations in your feet, warrant careful consideration.

Understanding Your Symptoms
1. Taste Changes: The bitter or sour taste you are experiencing could be related to several factors. Medications, particularly antibiotics, can alter your taste perception. Additionally, gastrointestinal issues, such as acid reflux or gastritis, can lead to a sour taste in the mouth. The sweet sensation might also be linked to changes in your metabolism or could be a side effect of medications.

2. Gastrointestinal Discomfort: The stomach pain and feelings of fullness could be a result of the antibiotics you have been taking. Antibiotics can disrupt the natural balance of gut bacteria, leading to gastrointestinal symptoms. It's also possible that your body is still recovering from the norovirus infection, which can take time to resolve fully.

3. Increased Urination: This could be a side effect of the medications or a sign of your kidneys still recovering from inflammation. It's essential to monitor this symptom, especially if it is accompanied by any pain or discomfort.

4. Neurological Symptoms: The tingling and prickling sensations in your feet could be due to several factors, including nerve irritation or damage, which can occur after infections, especially if there was any inflammation affecting the nervous system. This could also be related to electrolyte imbalances, which can occur after gastrointestinal infections.

Recommendations for Improvement
1. Follow-Up with Healthcare Providers: It is crucial to discuss your symptoms with your healthcare provider. They may recommend blood tests to check for electrolyte imbalances, kidney function, and liver function, as well as a review of your current medications.

2. Dietary Adjustments: Consider a bland diet that is easy on your stomach. Foods that are low in acidity and high in fiber can help manage gastrointestinal discomfort. Staying hydrated is also essential, especially after experiencing diarrhea.

3. Probiotics: Since you have been on antibiotics, incorporating probiotics into your diet may help restore the natural balance of gut bacteria. Probiotics can be found in yogurt, kefir, or as supplements.

4. Monitor Symptoms: Keep a diary of your symptoms, noting when they occur and any potential triggers. This information can be invaluable for your healthcare provider in determining the underlying cause of your symptoms.

5. Physical Activity: Engage in light physical activity as tolerated. Gentle exercises, such as walking or stretching, can help improve circulation and may alleviate some neurological symptoms.

6. Stress Management: Stress can exacerbate many symptoms, including gastrointestinal issues and neurological sensations. Techniques such as mindfulness, meditation, or yoga can be beneficial.

7. Hydration and Nutrition: Ensure you are drinking enough fluids and eating a balanced diet rich in vitamins and minerals to support recovery. Foods high in antioxidants, such as fruits and vegetables, can help your body heal.

8. Avoid Irritants: If you notice that certain foods or drinks exacerbate your symptoms (like caffeine, alcohol, or spicy foods), it may be best to avoid them until you feel better.

Conclusion
Your symptoms following multiple infections are not uncommon, but they do require careful management. Regular follow-ups with your healthcare provider, dietary adjustments, and lifestyle changes can significantly aid your recovery. Remember, it’s essential to listen to your body and seek medical advice whenever you feel uncertain about your health.

Similar Q&A

Managing Recurrent Infections: Seeking Relief from Pain and Discomfort

Hello Dr. Liao, I live in Yuanlin. In recent months, I have been experiencing recurrent infections. Here are my current symptoms: kidney inflammation, urethritis, and abdominal pain (which is so severe that I cannot walk). Last week, I visited an outpatient clinic, and the doctor...

Dr. Liao Zhongxin reply Internal Medicine
Dear readers, 1. The brief medical condition is as follows: Urinary tract infection with suspected pyelonephritis, for which the physician has prescribed antibiotics and symptomatic treatment; however, side effects from the medication have begun, prompting this inquiry. 2. Lowe...

Post-Surgery Complications: Managing Fever and Possible Infections

Continuing from the previous issue, I appreciate Dr. Ke's patience and willingness to respond. Currently, the patient is intubated and relies on mechanical ventilation. Previously, the doctor mentioned that all tests were normal (CT, MRI, relevant ultrasounds, EEG, etc.). On...

Dr. Ke Fangxu reply Surgery
Hello, in response to your question, the common occurrence of seizures in elderly individuals who have been bedridden for a long time often leads to a consultation with internal medicine, where a CT scan of the brain or blood tests are typically requested. However, based on my pe...

Managing Cellulitis: A 11-Day Hospital Journey and Ongoing Challenges

On October 11, the patient experienced foot pain and sought medical attention at a general orthopedic clinic. The doctor prescribed anti-inflammatory and pain relief medication for three days. By October 14, there was no improvement, and the knee was swollen, making it impossible...

Dr. Liao Zhongxin reply Internal Medicine
Dear readers, 1. I have a general understanding of your (or your family member's) condition; it may be necrotizing fasciitis or severe soft tissue inflammation. This is inherently a serious and challenging condition to manage. 2. First, it is important to assess whether...

Frequent Bacterial Infections: Is It a Sign of Immune System Issues?

Hello, doctor. In mid-May of this year, I had an acne wound infection that spread inflammation to half of my face within a week. After taking antibiotics for three weeks, I recovered. Shortly after, at the end of May, I experienced an unexplained fever for three days, followed by...

Dr. Gao Jiankai reply Internal Medicine
Hello, thank you for your inquiry. The frequent infections during this period are indeed unusual. It is recommended to consult with an immunologist or a hematologist. The Changhua Hospital of the Ministry of Health and Welfare has an Allergy, Immunology, and Rheumatology Departme...