Post-Surgery Fever Concern: 20-Year-Old's Experience After L5-S1 ALIF
I am a 20-year-old woman who underwent L5-S1 ALIF surgery on February 27, placing me at three weeks into my recovery. Last night, my younger sister experienced severe vomiting, yet she did not have a fever and is now feeling much better. However, this morning around 7:30 AM, I also vomited significantly. By noon, I noticed my resting heart rate had spiked to the 130s, prompting me to take my propranolol since I have POTS (Postural Orthostatic Tachycardia Syndrome). Starting around 6 PM, I began to develop a fever. I want to emphasize that I rarely have fever episodes; for instance, even during my COVID-19 infection last year, I did not run a fever. The last time I experienced a fever was during fifth grade when I had the flu, and I am now in my sophomore year of college. After detecting my fever at 100.5°F, I took some Tylenol. As of nearly 9 PM, I've recorded a fever of 101.4°F. Given that I am recovering from surgery, I am uncertain whether I should visit the emergency room or if it is safe for me to manage this condition at home. The facility where my neurosurgeon practices is two hours away. If an ER visit is necessary, would it be acceptable to go to a nearer hospital that is just 45 minutes away, or must I head to the one affiliated with my neurosurgeon?
Answers (1)
3/21/2025, 2:00:57 AM
OpenHealth AI
It's understandable to be concerned about developing a fever post-surgery, especially given your recent L5-S1 ALIF procedure. Your symptoms, including fever, elevated heart rate, and recent vomiting, may indicate an infection or a reaction to illness.
Main Points:
- Post-surgery fever can signal an infection or other complications.
- Monitoring your symptoms and understanding when to seek care is crucial.
- You have options for urgent care, and visiting a closer facility may be appropriate.
Explanation: After surgery, it’s common for the body to respond in various ways, including developing a fever. This can be due to an infection from the surgery site or an unrelated illness, such as your sister's recent vomiting. Your history of not typically having fevers makes this episode more concerning, especially if it begins to climb higher. Given your elevated heart rate and vomiting, it’s essential to stay vigilant and assess your symptoms closely.
Next Steps:
- Monitor Your Fever: Keep checking your temperature regularly and note any changes.
- Stay Hydrated: Ensure you drink plenty of fluids to stay hydrated, especially after vomiting.
- Assess Other Symptoms: Watch for signs of worsening condition such as increased fever, chills, worsening pain, difficulty breathing, or any unusual discharge from your surgical site.
- Consider Urgent Care: If your fever rises above 101.5°F or if you develop more severe symptoms, it’s wise to seek medical attention. Given the urgency, you can visit the nearer hospital (45 minutes away) if it feels safer and more manageable than traveling two hours. They can assess your condition and provide necessary treatment even if they are not affiliated with your neurosurgeon.
- Take Medication as Needed: Continue taking Tylenol according to its dosing guidelines if you need relief from fever and aches.
Please take care, and don't hesitate to reach out if you feel your condition is worsening! Your health and recovery are very important.
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