Fever & weakness - when to go to the ER???

[Guest guest]

Hi all,I was diagnosed with gastritis last Friday, but not given any new meds, since I'm already on Flagyl for pouchitis (I have a j-pouch). I'm also on immuno-suppressants for autoimmune hepatitis. One urgent care doctor suggested that I might not get fevers because of the immuno-suppressants. Well I have a fever ranging from 99.1 to 100.1. I normally run between 97.2 to 98.5 (sometimes even lower). And I'm pretty weak, but I can walk around a little, although most times I"m laying down. Even sitting seems kind of strenuous. My question is, at what point should I be really worried, and go to urgent care or the ER? Can I wait until I have a fever of 102, or should I go before?MariePSC 2006, AIH 2006, UC 1970, J-pouch 2005, pouchitis 2006, toxic megacolon 1977; gastritis - last week. PSC suspected since 2000.

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[Guest guest]

Marie, If it were me I would probably go to the ER, better safe than sorry. Since you are on immunosuppressants you are such a high risk for serious infection. Take care, keep us updated. Marie Nilsson wrote: Hi all,I was diagnosed with gastritis last Friday, but not given any new meds, since I'm already on Flagyl for pouchitis (I have a j-pouch). I'm also on immuno-suppressants for autoimmune hepatitis. One urgent care doctor

suggested that I might not get fevers because of the immuno-suppressants. Well I have a fever ranging from 99.1 to 100.1. I normally run between 97.2 to 98.5 (sometimes even lower). And I'm pretty weak, but I can walk around a little, although most times I"m laying down. Even sitting seems kind of strenuous. My question is, at what point should I be really worried, and go to urgent care or the ER? Can I wait until I have a fever of 102, or should I go before? MariePSC 2006, AIH 2006, UC 1970, J-pouch 2005, pouchitis 2006, toxic megacolon 1977; gastritis - last week. PSC suspected since 2000. i’m is proud to present Cause Effect, a series about real people making a difference. Learn more

[Guest guest]

Hi Marie;

Did your doctor tell you what type of gastritis you have? One

possibility would be Helicobacter pylori gastritis. If it was this

type, I would be concerned that Flagyl (metronidazole) might not be

working on this bacterium because there have been reports of

Helicobacter pylori becoming resistant to metronidazole, at least in

the U.K.:

Euro Surveill. 2007 Jul 1;12(7):E3-4. Surveillance of primary

antibiotic resistance of Helicobacter pylori at centres in England

and Wales over a six-year period (2000-2005). Chisholm SA, Teare EL,

Davies K, Owen RJ. PMID: 17991408.

Do you think it might be worth switching to a different antibiotic?

I would recommend going to urgent care or the ER if the fever

continues and you feel yourself getting more sick. Do you have

someone to take you? If you don't have anyone to take you, maybe you

should try to get yourself to the ER sooner rather than later.

Best regards, and good luck,

Dave R.

>

>

> Hi all,

>

> I was diagnosed with gastritis last Friday, but not given any new

meds, since I'm already on Flagyl for pouchitis (I have a j-pouch).

I'm also on immuno-suppressants for autoimmune hepatitis. One urgent

care doctor suggested that I might not get fevers because of the

immuno-suppressants.

>

> Well I have a fever ranging from 99.1 to 100.1. I normally run

between 97.2 to 98.5 (sometimes even lower). And I'm pretty weak, but

I can walk around a little, although most times I " m laying down. Even

sitting seems kind of strenuous.

>

> My question is, at what point should I be really worried, and go to

urgent care or the ER? Can I wait until I have a fever of 102, or

should I go before?

>

> Marie

> PSC 2006, AIH 2006, UC 1970, J-pouch 2005, pouchitis 2006, toxic

megacolon 1977; gastritis - last week. PSC suspected since 2000.

[Guest guest]

Thanks for the replies. I can call my sister-in-law to take me to the ER or urgent care. I talked to her earlier, and since it's a low grade fever, she suggested waiting until morning and if I still have it then get a same-day appt. to see a primary care doctor, as well as calling the hepatologist.The doctor didn't specify the cause of the gastritis. I was recently treated for helicobacter pylori, and after treatment I tested negative, but I know it can come back. I'm going to keep checking the temp. If it reaches 101 I'll probably go to the ER. I'll also keep drinking lots of water.Marie

To: From: rhodesdavid@...Date: Thu, 13 Dec 2007 04:31:32 +0000Subject: Re: Fever & weakness - when to go to the ER???

Hi Marie;

Did your doctor tell you what type of gastritis you have? One

possibility would be Helicobacter pylori gastritis. If it was this

type, I would be concerned that Flagyl (metronidazole) might not be

working on this bacterium because there have been reports of

Helicobacter pylori becoming resistant to metronidazole, at least in

the U.K.:

Euro Surveill. 2007 Jul 1;12(7):E3-4. Surveillance of primary

antibiotic resistance of Helicobacter pylori at centres in England

and Wales over a six-year period (2000-2005). Chisholm SA, Teare EL,

Davies K, Owen RJ. PMID: 17991408.

Do you think it might be worth switching to a different antibiotic?

I would recommend going to urgent care or the ER if the fever

continues and you feel yourself getting more sick. Do you have

someone to take you? If you don't have anyone to take you, maybe you

should try to get yourself to the ER sooner rather than later.

Best regards, and good luck,

Dave R.

>

>

> Hi all,

>

> I was diagnosed with gastritis last Friday, but not given any new

meds, since I'm already on Flagyl for pouchitis (I have a j-pouch).

I'm also on immuno-suppressants for autoimmune hepatitis. One urgent

care doctor suggested that I might not get fevers because of the

immuno-suppressants.

>

> Well I have a fever ranging from 99.1 to 100.1. I normally run

between 97.2 to 98.5 (sometimes even lower). And I'm pretty weak, but

I can walk around a little, although most times I"m laying down. Even

sitting seems kind of strenuous.

>

> My question is, at what point should I be really worried, and go to

urgent care or the ER? Can I wait until I have a fever of 102, or

should I go before?

>

> Marie

> PSC 2006, AIH 2006, UC 1970, J-pouch 2005, pouchitis 2006, toxic

megacolon 1977; gastritis - last week. PSC suspected since 2000.

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