Persistent Low Fever and Nausea: Possible Gastrointestinal Issues? - Gastroenterology and Hepatology

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Low-grade fever and nausea persisting for several days?


Ten days ago, I started experiencing mild bloating in my stomach and a slight fever.
Five days ago, I developed a low-grade fever, stomach bloating and pain, constipation, and nausea without vomiting.
Three days ago, I began to have a sore throat and a runny nose.
Aside from that, I have no other symptoms.
The doctor prescribed a stool softener and medication to relieve bloating, but my symptoms have not improved.
I would like to know if this could be viral gastroenteritis or if there are other possible conditions.
According to information I found online, viral gastroenteritis typically involves diarrhea, high fever, and a quick recovery.
Is it possible for someone with symptoms like mine to have this condition?

Gao Xiansheng, 10~19 year old female. Ask Date: 2023/08/26

Dr. Chen Shidian reply Gastroenterology and Hepatology


It is still possible that it is viral gastroenteritis; rest is recommended.
If necessary, a follow-up visit can be scheduled.

Reply Date: 2023/08/26

More Info


Based on your description of persistent low fever, nausea, and gastrointestinal discomfort, it is indeed possible that you are experiencing a gastrointestinal issue, potentially viral gastroenteritis, but there are several factors to consider.

Viral gastroenteritis, commonly referred to as the "stomach flu," typically presents with symptoms such as diarrhea, vomiting, abdominal cramps, and fever. However, it can manifest differently in individuals, and not everyone will experience the classic symptoms. In your case, the absence of diarrhea and the presence of constipation could suggest that your condition might not fit the typical profile of viral gastroenteritis. Instead, it may indicate a different underlying issue, such as a functional gastrointestinal disorder or another type of infection.

The symptoms you describe—mild abdominal bloating, persistent low-grade fever (around 37.5°C), nausea, and a recent onset of sore throat and nasal congestion—could also suggest a viral upper respiratory infection that is affecting your gastrointestinal system. This is not uncommon, as some viruses can cause both respiratory and gastrointestinal symptoms. The low-grade fever and nausea could be your body’s response to the viral infection, while the gastrointestinal symptoms may be secondary.

Additionally, the fact that you have been experiencing these symptoms for ten days without significant improvement raises the possibility of a more complex issue. Conditions such as gastritis, peptic ulcers, or even food intolerances could also lead to similar symptoms. If you have a history of gastrointestinal issues or have recently changed your diet, these factors could contribute to your current state.

It is also important to consider the role of stress and anxiety in gastrointestinal symptoms. Stress can exacerbate gastrointestinal discomfort and lead to symptoms such as bloating, nausea, and changes in bowel habits. If you have been under significant stress, this could be a contributing factor.

Given that your symptoms have persisted despite treatment with softeners and medications for bloating, it would be advisable to follow up with your healthcare provider. They may recommend further diagnostic tests, such as blood tests, stool tests, or imaging studies, to rule out any serious underlying conditions. Additionally, they might consider prescribing different medications or therapies to address your symptoms more effectively.

In summary, while viral gastroenteritis is a possibility, your symptoms could also indicate other gastrointestinal issues or a viral infection affecting both the respiratory and gastrointestinal systems. It is crucial to continue monitoring your symptoms and maintain open communication with your healthcare provider to ensure appropriate management and care. If your symptoms worsen or new symptoms arise, seek medical attention promptly.

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