Your Symptoms: When to See a Doctor for Ongoing Issues

Q: Your Symptoms: When to See a Doctor for Ongoing Issues

Hello： Common colds are typically caused by viral infections, and the purpose of medication prescribed by doctors is to alleviate cold symptoms and the overall discomfort caused by the cold. <br>Sometimes, colds can also be accompanied by gastrointestinal discomfort, including lo

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Hello Doctor: Last week I had a cold with a fever, but I only took leftover medication from a previous cold.
The fever subsided, and I didn't see a doctor.
This week, I first experienced stomach discomfort and pain all day, and then over the next few days, I started to have headaches, nausea, and a feeling of fullness in my stomach.
I always feel bloated after eating or drinking, and I have difficulty swallowing! I visited a gastroenterologist the day before yesterday, but the doctor said it might be due to the unresolved cold causing stomach discomfort.
However, after taking medication for two days, I still have headaches, nausea, and vomiting, which even worsens when I’m in a car.
I have completely lost my appetite.
Could you please advise me on which specialist I should see? Also, last month at work, I accidentally bumped the back of my head while reaching for something.
I didn't pay much attention to it, but a week later, a lump appeared on the back of my head that was painful to touch.
I applied essential oil, and it disappeared the next day, and I didn’t think about it again.
I would like to know if this could be related to my current symptoms.
Thank you.

Winnie, 20~29 year old female. Ask Date: 2005/12/31

Dr. Cai Jueren reply Family Medicine

Hello: Common colds are typically caused by viral infections, and the purpose of medication prescribed by doctors is to alleviate cold symptoms and the overall discomfort caused by the cold.
Sometimes, colds can also be accompanied by gastrointestinal discomfort, including loss of appetite, nausea, bloating, or excessive stomach acid.
Usually, these symptoms will improve on their own after a few days.
In rare cases, cold symptoms may persist for 10 to 14 days, including headaches, dizziness, a heavy feeling in the head, or lack of appetite.
If there is no improvement despite taking medication, it is advisable to return to your primary care physician, as it may not be a simple cold issue.
Additionally, there are many sequelae from head trauma that cannot be explained in just a few words, but most do not present with specific symptoms.
It is recommended that you follow up with your primary care physician.
Thank you for your message.

Reply Date: 2005/12/31

More Info

It sounds like you are experiencing a range of troubling symptoms that are causing you significant discomfort and concern. Given your description, it is essential to approach this situation with a comprehensive understanding of both your physical and mental health.

Firstly, the symptoms you are experiencing—persistent headaches, nausea, abdominal discomfort, and a lack of appetite—can be indicative of several underlying issues. The fact that you recently had a cold and fever suggests that your body might still be recovering from an infection, which can sometimes lead to gastrointestinal issues. It’s not uncommon for viral infections to cause lingering symptoms, including gastrointestinal distress, even after other symptoms have resolved.
However, your symptoms have persisted despite treatment, which raises the question of whether there is another underlying cause that needs to be addressed. The fact that you also experienced a head injury a month ago is particularly noteworthy. While it’s possible that the bump on your head resolved without any serious consequences, it’s crucial to consider that head injuries can sometimes lead to complications, such as concussions or post-concussion syndrome, which can manifest as headaches, nausea, and other cognitive symptoms.

Given these factors, it would be prudent to consult a healthcare professional who specializes in neurology or a primary care physician who can evaluate your symptoms holistically. They may recommend imaging studies, such as a CT scan or MRI, to rule out any serious issues related to your head injury. Additionally, they can assess your gastrointestinal symptoms more thoroughly to determine if they are related to your recent illness or if there is another cause that needs to be addressed.

Moreover, if you find that your symptoms are causing you significant anxiety or distress, it might be beneficial to speak with a mental health professional. Anxiety can exacerbate physical symptoms, and addressing any underlying emotional concerns can be an essential part of your recovery process. Cognitive-behavioral therapy (CBT) or other forms of therapy can help you manage anxiety and stress, which may, in turn, alleviate some of your physical symptoms.

In summary, it is essential to take your symptoms seriously and seek appropriate medical attention. Start by consulting a neurologist or your primary care physician to discuss your headaches and gastrointestinal issues, especially considering your recent head injury. They will be able to provide a thorough evaluation and guide you on the next steps. If you feel overwhelmed by your symptoms or the situation, do not hesitate to reach out to a mental health professional for support. Your health—both physical and mental—is paramount, and seeking help is a vital step toward feeling better.

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