Concerns After Eating Undercooked Pork: Gastrointestinal Health Insights

Eating undercooked pork?

Hello, Doctor.
On January 20, I visited for other reasons and took antibiotics: Norfloxacin, along with other medications (side effects included dizziness, headache, and increased heart rate).
On January 21, I happened to eat undercooked ground pork (purchased from a supermarket, about four pieces, approximately one centimeter thick, with the surface charred but the center undercooked).
After that, I did not experience diarrhea, but I felt chest tightness, dizziness, and fatigue (I had taken medication on the evening of January 20 and the morning and evening of January 21).
I have previously taken this antibiotic and experienced similar side effects (though this time there was additional chest tightness), and since I also consumed undercooked meat, I would like to ask:
1.
If there are concerns after taking antibiotics and medications, how long should I observe my symptoms? Should I wait about three days before getting checked?
2.
If I have concerns and want to get tested, is it sufficient to do a stool and blood test once, or do I need to have regular follow-ups for a period of time? Thank you for your patient response, Doctor.

Nìngmíng, 20~29 year old female. Ask Date: 2024/01/22

Dr. Chen Shidian reply Gastroenterology and Hepatology

There should be no direct correlation, and symptoms can be observed for up to one week, after which there are no further symptoms.

Reply Date: 2024/01/22

More Info

After consuming undercooked pork, especially ground pork, there are several gastrointestinal health concerns that one should be aware of. Ground pork can harbor harmful bacteria and parasites, such as *Salmonella*, *E. coli*, and *Trichinella*, which can lead to foodborne illnesses. Symptoms of such infections can vary widely, ranging from mild gastrointestinal discomfort to severe illness, depending on the pathogen involved and the individual's health status.

In your case, you mentioned experiencing symptoms like chest tightness, dizziness, and fatigue after consuming undercooked pork, alongside the use of antibiotics. It's important to differentiate whether these symptoms are a result of the undercooked meat, a reaction to the antibiotics, or a combination of both. Antibiotics can disrupt the normal gut flora, leading to gastrointestinal symptoms, and can also cause side effects such as dizziness and fatigue.

Recommendations for Monitoring Your Health
1. Observation Period: If you are concerned about potential foodborne illness from the undercooked pork, it is advisable to monitor your symptoms closely for at least 48 to 72 hours after consumption. This is typically the incubation period for many foodborne pathogens. If you develop symptoms such as severe abdominal pain, persistent vomiting, diarrhea, or fever, you should seek medical attention immediately.

2. Testing: If you decide to undergo testing, a stool test is a good starting point to check for pathogens. Blood tests can also be useful to assess for signs of infection or inflammation. You may not need to wait three days to get tested; if you develop concerning symptoms, you should consult your healthcare provider sooner. Regular follow-up may not be necessary unless symptoms persist or worsen.

3. Symptom Management: If your symptoms are mild and manageable, you can try to stay hydrated and rest. Avoiding heavy or rich foods can also help your gastrointestinal system recover. If you experience worsening symptoms, such as high fever, severe abdominal pain, or prolonged dizziness, it is crucial to seek medical care.

Dietary Considerations
In the future, to prevent similar incidents, ensure that all pork and other meats are cooked to a safe internal temperature. For ground pork, the USDA recommends cooking it to an internal temperature of 160°F (71°C). Using a food thermometer can help ensure that meat is cooked thoroughly.

Conclusion
While your symptoms may be related to the undercooked pork, they could also be influenced by the antibiotics you are taking. Monitoring your condition for a few days and seeking medical advice if symptoms worsen is prudent. If you have any lingering concerns about your gastrointestinal health or the effects of the antibiotics, a follow-up with your healthcare provider is recommended. They can provide personalized advice based on your medical history and current symptoms.

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