Persistent Stomach Bloating and Pain with Fever and Sweating: What to Do? - Gastroenterology and Hepatology

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Persistent bloating followed by stomach pain, accompanied by continuous fever and sweating?


Hello Doctor: Yesterday at noon, after eating 8 chive dumplings, I started to feel discomfort in my stomach (it seems that I always feel this way after eating foods with chives).
Throughout the afternoon, I still felt like my lunch hadn't digested, and my stomach was bloated.
By evening, the bloating worsened, leading to a strong urge to vomit, accompanied by a feeling of heat and poor mental state, feeling faint and unable to stand.
My forehead felt very hot, and I wasn't sure if it counted as a fever.
I stopped eating anything and drank plenty of water, resting in a seated position for 2 hours without any improvement.
I then took a Tylenol, and afterwards, I felt much better and was able to stand.
After taking a shower, I went to rest.
This morning, I woke up feeling no bloating, but I developed pain in a specific area of my stomach (just above the left of my navel).
By the afternoon, my body started to feel warm and I was sweating, but it wasn't as hot as my forehead felt yesterday.
In the evening, I took another Tylenol, but it didn't seem to help much, mainly because I was sweating continuously from my head and neck, even while sitting still.
This situation continued into the night.
What can I do to improve this? Thank you!

Y, 20~29 year old female. Ask Date: 2018/07/19

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, miss.
You can avoid foods that cause discomfort and make sure to accurately record and track your temperature changes.
If your diet is indeed affected and you experience weight loss, please visit a gastroenterology clinic for an examination.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2018/07/19

More Info


It sounds like you're experiencing a series of concerning symptoms following your meal, particularly after consuming dumplings filled with chives. Your symptoms include persistent stomach bloating, pain, fever, and sweating, which can be quite distressing. Let's break down your situation and explore potential causes and recommendations for improvement.


Possible Causes
1. Food Intolerance or Allergy: Given that you mentioned feeling unwell after eating chives before, it's possible that you may have a food intolerance or mild allergy to chives or other ingredients in the dumplings. Symptoms of food intolerance can include bloating, abdominal pain, and gastrointestinal discomfort.

2. Gastroenteritis: Your symptoms could also suggest a mild case of gastroenteritis, which is inflammation of the stomach and intestines often caused by viral or bacterial infections. This can lead to bloating, pain, fever, and sometimes vomiting or diarrhea.

3. Irritable Bowel Syndrome (IBS): If you frequently experience bloating and discomfort after meals, it might be worth considering IBS, a common disorder that affects the large intestine and can cause symptoms like bloating, gas, and abdominal pain.

4. Gastritis or Peptic Ulcer: Inflammation of the stomach lining (gastritis) or ulcers can also cause similar symptoms. If the pain is localized and persistent, it might indicate an underlying issue that needs further investigation.

5. Dehydration or Electrolyte Imbalance: Since you mentioned sweating and feeling faint, it’s crucial to consider whether you are adequately hydrated. Dehydration can exacerbate feelings of weakness and dizziness.


Recommendations for Improvement
1. Hydration: Continue to drink plenty of fluids, especially water, to stay hydrated. Electrolyte solutions can also be beneficial if you suspect dehydration.

2. Dietary Adjustments: Avoid foods that you suspect may trigger your symptoms, such as chives or other heavy, greasy, or spicy foods. Instead, focus on bland foods like rice, bananas, applesauce, and toast (the BRAT diet) until your symptoms improve.

3. Rest: Ensure you are getting enough rest. Your body needs time to recover, especially if you are experiencing fever and fatigue.

4. Monitor Symptoms: Keep track of your symptoms, including any changes in pain, fever, or gastrointestinal issues. If you notice a worsening of symptoms or if they persist for more than a couple of days, it’s essential to seek medical attention.

5. Over-the-Counter Medications: While you have taken acetaminophen (Tylenol) for fever, be cautious with any medications that might irritate your stomach further. If you continue to experience pain, consider discussing with a healthcare provider about appropriate medications that are gentle on the stomach.

6. Consult a Healthcare Provider: Given the persistence of your symptoms, especially the fever and localized pain, it would be wise to consult a healthcare professional. They may recommend further evaluation, such as blood tests or imaging studies, to rule out any serious conditions.


Conclusion
Your symptoms are concerning and warrant careful attention. While some gastrointestinal discomfort can be attributed to dietary choices, the combination of fever, sweating, and persistent pain suggests that a more thorough evaluation may be necessary. Make sure to prioritize your health and seek medical advice if your symptoms do not improve or worsen. Remember, early intervention can often lead to better outcomes.

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