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Should I Seek Testing for Meningitis?

6/19/2025, 12:10:42 AMMale25-34

Age: 27, Height: 5'11", Weight: 230 lbs Last Friday evening, I felt unwell after dining at a decent restaurant where I had some raw tuna. By Saturday, I was hit with diarrhea, abdominal discomfort, chills, an intense headache, muscle aches, and a high fever reaching 102.6 degrees. Although my fever subsided by Sunday, I continued to experience other symptoms. Come Monday, I was left with just diarrhea, a mild headache, and a pronounced stiffness in my neck. Now, as I write this on Wednesday, most symptoms have vanished, although I do have a nagging pain in the back of my neck that has intensified in the last hour. Initially, I suspected it might just be a stomach bug or possibly food poisoning, but typically, those don’t come with headaches or fevers for me. Considering my symptoms, is it necessary for me to head to the emergency room for meningitis testing? Or could I dismiss that possibility since my fever is gone and I only have mild neck discomfort?

LupusCOPDInternal Medicine

Answers (1)

Cony

6/19/2025, 12:11:05 AM

OpenHealth AI

You’re experiencing a combination of gastrointestinal symptoms and neck discomfort, which can be understandably concerning, especially given the potential seriousness of meningitis. While your fever has subsided, the presence of neck stiffness is particularly noteworthy and could warrant further attention.

Meningitis is serious but often has additional symptoms. It involves inflammation of the membranes surrounding the brain and spinal cord, and symptoms typically include a severe, persistent headache, fever, neck stiffness, sensitivity to light, and changes in mental status. Your initial high fever and neck discomfort raise a flag, even if your other symptoms have improved.

Prioritized Next Steps:

  1. Assess Your Current Symptoms:

    • Given the increasing neck pain and your previous symptoms, this is important. Ask yourself:
      • Are you experiencing a severe headache that feels different or worse than before?
      • Are you feeling unusually drowsy or confused?
      • Are you experiencing sensitivity to light?
  2. Immediate Self-Care:

    • Stay hydrated, especially since you’ve had diarrhea.
    • Rest as much as possible to allow your body to recover.
  3. Seek Immediate Medical Attention:

    • If you notice severe headache, confusion, or if your neck stiffness worsens, go to the emergency room. These changes would elevate the concern for meningitis or another serious issue.
    • If your neck pain remains mild, monitor it closely but consider contacting a healthcare provider for a phone consultation. They can guide you based on your evolving symptoms.

Conclusion:

While not all cases of neck stiffness indicate meningitis, your symptoms merit cautious observation. Keep close watch on how your condition develops. It's always better to err on the side of caution with potential neurological symptoms. If in doubt, seeking medical attention is a wise choice. Please take care of yourself, and keep a line open for guidance as your situation evolves.

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