Causes Of Fever In The Afternoon, Diarrhea, Tight Neck And Nausea In The Elderly?

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Hello Doctor, r n r nWarm greetings from me. R n r nI want to ask what is the most suitable disease for the symptoms below with a patient age of 55 years, namely: r n1. Shivering clear evening and night r n2. Diarrhea 2-4 times a day r n3. Neck feels tight r n4. Nausea and no appetite. R n5. Stomach ache r n r nIt has been about 6 days and we are planning to do a direct blood test. Please help so that we can get information whether it is necessary to have a blood check. R n r nThank you. R n r nWarm greetings,

1 Answer:

Hi alvintambrin,


Thank you for asking HealthReplies.com.

In the elderly, the symptoms of the disease often become atypical because they are influenced by the function of the body organs that are no longer excellent. Therefore, a thorough physical examination is very much needed to establish a correct diagnosis, it is not enough just based on brief information like this huh ..


In general, fever (chills), diarrhea, tension (tightness) in the neck, nausea, decreased appetite and abdominal pain can occur for a variety of reasons:

Typhoid fever (typhoid)

Hepatitis (viral infection of the liver parenchyma)

Gastroenteritis (intestinal infection)
Dengue fever (dengue fever)
Inflammation of the intestine
Kidney infection
Meningitis (inflammation of the lining of the lungs and spinal cord)
Kidney stones
Irritable bowel syndrome
Other viral or bacterial infections, and so on

You should not put off checking the patient directly to a doctor or an internal medicine specialist. Conditions that have been going on for a long time (more than 3 days) have the potential to cause heavier side effects if not treated quickly. Most likely, not only anamnesis and a regular physical examination, the doctor will also recommend carrying out supporting examinations, such as laboratory tests, X-rays, ultrasound, etc. to identify the right diagnosis and the best treatment. In more serious conditions, doctors may also recommend treatment and further observation in the hospital (inpatient).


In the meantime, the following steps can be taken:

Give the patient more to drink
Give the patient small but frequent meals, first reduce the provision of fruits and vegetables, multiply give the patient soft food and warm soup
Ensure that food and drinks consumed by patients are processed hygienically
Help reduce the patient's fever by giving him paracetamol medicine
Compress the tense neck with warm water
Allow the patient to get plenty of rest

Hope it helps ..

dr. Nadia Nurotul Fuadah

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