Nighttime Fever and Abdominal Discomfort: When to Seek Medical Help?

Fever at midnight?

Dear Dr.
Yan,
Since this week, I have been experiencing a full-body heat sensation every night around midnight, but there is no night sweats.
Sometimes, I also feel a dull pain in my abdomen, but the location varies (it has occurred on the left, middle, and right sides).
During my last menstrual period, the bleeding was heavier than usual with some clots.
My menstrual cycle is typically 28 days, but today is only the 24th day, and I have noticed a small amount of discharge.
Could you please advise me on which department I should visit at the hospital for a check-up? Thank you for your response!

Ms. Wu, 30~39 year old female. Ask Date: 2004/01/11

Dr. Yan Sumei reply Traditional Chinese Medicine

The menstrual cycle can vary by up to 7 days in either direction and a difference of only four days over a 24-day cycle is considered normal.
During the week before and the week of menstruation, it is advisable to avoid cold and raw foods, and to pay attention to warmth and personal hygiene.
For any issues related to menstruation, it is best to consult a gynecologist.

Reply Date: 2004/01/11

More Info

When experiencing nighttime fever and abdominal discomfort, it is essential to consider various factors that could indicate underlying health issues. Based on your description, it seems you have been experiencing feverish sensations without sweating, along with intermittent abdominal pain in different locations. Additionally, you mentioned changes in your menstrual cycle, including heavier bleeding and unusual discharge.
Given these symptoms, it is advisable to seek medical attention promptly. The combination of fever and abdominal pain can be indicative of several conditions, some of which may require urgent care. Here are some potential causes and recommendations for which medical specialty to consult:
1. Gynecological Issues: Since you mentioned changes in your menstrual cycle and abdominal pain, it would be prudent to consult a gynecologist. Conditions such as ovarian cysts, pelvic inflammatory disease (PID), or even ectopic pregnancy can present with abdominal pain and changes in menstrual patterns. A gynecologist can perform a pelvic examination and possibly an ultrasound to assess for any abnormalities.

2. Gastrointestinal Concerns: Abdominal pain can also stem from gastrointestinal issues such as appendicitis, diverticulitis, or even gastrointestinal infections. If the pain is severe or localized, it may warrant a visit to a gastroenterologist. They may recommend imaging studies like an abdominal ultrasound or CT scan to rule out any serious conditions.

3. Infectious Diseases: The presence of fever can suggest an infection. If there are accompanying symptoms like nausea, vomiting, or diarrhea, it may be necessary to consult an infectious disease specialist. They can help determine if there is a systemic infection that needs to be addressed.

4. Primary Care Physician: If you are unsure where to start, visiting your primary care physician (PCP) is a good option. They can evaluate your symptoms, perform initial tests, and refer you to the appropriate specialist based on their findings.

Additional Considerations:
- Monitoring Symptoms: Keep a detailed record of your symptoms, including the timing of the fever, the nature of the abdominal pain, and any other accompanying symptoms. This information will be valuable for your healthcare provider in making a diagnosis.

- Emergency Care: If you experience severe abdominal pain, persistent vomiting, or any signs of shock (such as fainting, rapid heartbeat, or severe weakness), seek emergency medical care immediately.

- Hydration and Rest: While awaiting medical attention, ensure you stay hydrated and rest as much as possible. Avoid self-medicating without consulting a healthcare professional, as this could mask symptoms or complicate diagnosis.

In summary, given your symptoms of nighttime fever, abdominal discomfort, and changes in your menstrual cycle, it is crucial to seek medical evaluation. Start with a gynecologist for a focused assessment of your reproductive health, and consider a gastroenterologist if gastrointestinal issues are suspected. Your health is paramount, and timely intervention can lead to better outcomes.

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