OpenHealth Q&A

Get answered by medical professionals

Could Bacterial Meningitis Symptoms Last for Six Days?

7/20/2025, 1:50:16 AMMale25-34

A 40-year-old woman from the United States shared her experience. It all began with a stiff neck and a sore throat last Saturday. By Tuesday, although the throat discomfort improved, the pain in my neck intensified considerably; it felt like relentless cramping, and nothing seemed to relieve it—not ice packs, not heat pads. After a brief respite, the pain has returned again exactly one week later. Now it feels akin to that muscle fatigue you experience after an intensive workout. If I were suffering from bacterial meningitis, wouldn't I be in a far worse state by now? Additionally, if this is viral meningitis, is it usually self-limiting, and is it possible to receive a diagnosis without undergoing a spinal tap?

Multiple SclerosisLupusInternal Medicine

Answers (1)

Cony

7/20/2025, 1:50:29 AM

OpenHealth AI

Bacterial meningitis can present with serious symptoms and is typically more acute than what you've described, but your current symptoms warrant attention. Let’s address your main concerns about neck pain, potential meningitis, and diagnosis.

Main Points:

  1. While bacterial meningitis usually has more severe symptoms, it's important to take your symptoms seriously.
  2. Viral meningitis can be less severe and is often self-limiting, but proper diagnosis is key.
  3. A spinal tap is a common method for diagnosing meningitis but may not be the only option.

Explanation:

Meningitis involves inflammation of the protective membranes covering the brain and spinal cord, and it can stem from bacterial or viral infections. Common symptoms include severe headache, neck stiffness, fever, and sensitivity to light.

Given that you've had persistent neck pain for about six days where your symptoms have fluctuated, it is crucial to consider both bacterial and viral meningitis. You’re correct that bacterial meningitis typically progresses more rapidly and severely. However, viral meningitis, while usually less serious, can still cause significant discomfort that may last a week or longer.

Next Steps:

  1. Monitor Symptoms: Keep track of any new symptoms, especially fever, headache intensity, changes in consciousness, or any sensitivity to light or noise.
  2. Stay Hydrated and Rest: Make sure to drink plenty of fluids and rest your body, as this supports your immune system.
  3. Assess Pain Management: Use over-the-counter pain relief, like acetaminophen or ibuprofen, to manage neck pain as needed.
  4. Consider Medical Evaluation: If your symptoms worsen or you develop a fever or rash, seek medical attention promptly. While a spinal tap is a definitive test for meningitis, doctors may use other assessments to guide diagnosis, including blood tests or imaging studies.

Please stay vigilant with your symptoms and follow these steps to manage your discomfort. Your health is important, and you deserve clarity on what's happening in your body.

Related Questions

A Disturbing Experience of Disorientation

At 18 years old, standing approximately 5 feet 11 inches (182 cm) tall and weighing between 210 and 230 pounds (95-104 kg), I find myself relying solely on medications for mental health management, specifically fluoxetine (60 mg), aripiprazole (15 mg), and trazodone (150 mg). I’m a non-smoker and do not consume alcohol, with the only existing health concerns being low iron levels and insufficient vitamin D. Having never experienced a seizure and lacking any family history of such events, I felt confident that wasn’t the issue. Earlier today, while reclining in bed and enjoying some YouTube videos, an unsettling situation unfolded. My family has been away camping for a few days, leaving me alone at home, which meant I had no one to turn to during this incident. Suddenly, a wave of extreme fatigue hit me, overwhelming despite my earlier alertness. I laid down, but quickly felt as though I was having trouble breathing, prompting me to take a deep breath. Strangely, I noticed my breathing was inaudible; all sounds faded except for the hum of my fan. Panic began to set in as my mind raced alongside a dizzy sensation making it hard to think logically. Initially, I suspected I was experiencing a panic attack, but this did not align with how I had felt just moments before. I attempted to sit up, but the experience was bizarre; I felt as if I were moving through thick molasses, my vision distorted and my body sweating profusely. Despite my efforts, I couldn’t force myself upright, leading me to concede to simply finding a way to calm down in hopes of alleviating my distress. As I lay still, I experienced involuntary twitches that escalated into more violent jerking movements. No matter how I concentrated on being still, my body seemed to resist. It felt as if my internal organs were being compressed or shifted against my will. My thoughts spiraled into chaos, a mix of clarity and utter confusion. I struggled to maintain awareness, teetering between sensible ideas and utter nonsense. An overwhelming sense of terror enveloped me, and I felt utterly trapped, unable to move. In my last coherent moment, I desperately reached for my phone, convinced I was on the verge of death. When I regained awareness, hours had passed. I believe I may have lost consciousness during that time. I have no idea what transpired, but it felt like an eternity of awareness that something was terribly amiss, lasting perhaps over 20 minutes. Is there anyone who might provide insight into this experience?

Multiple SclerosisInternal MedicineEndocrinology
Male25-34
7 minutes ago

Recent Experience at the Emergency Room

I am a 28-year-old male, and I just returned from the emergency room. I was suffering from severe and relentless headaches, along with sensitivity in my abdomen and chest. Additionally, I experienced night sweats, a persistent fever, overwhelming fatigue, and noticeably pale skin and lips. Essentially, I had spent an entire week in a deep sleep without much rest. Upon my arrival at the ER, I was designated as a "sepsis alert"—likely due to my high fever and an increased heart rate of 110 beats per minute. The medical team administered intravenous fluids, non-narcotic pain relief, and antibiotics. They conducted both a CT scan and an X-ray which revealed that I have prostatitis and colitis. Although they indicated that I was eligible for hospitalization, they deemed my situation manageable on an outpatient basis as a generally healthy young male. Fortunately, I responded positively to the initial treatments, leading to my heart rate decreasing to 80 and my fever subsiding. This was my first experience being offered a hospital bed during an ER visit, which left me feeling quite anxious. Should I have accepted the admission? I ultimately chose to leave, concerned about incurring a hefty hospital bill. However, I’ve been unwell for five days, and today I returned due to the intensity of my headache. It puzzles me that I was advised that I could go home while simultaneously being offered admission. I’m feeling uncertain and would appreciate any guidance or insight on this matter.

Multiple SclerosisCrohn's DiseaseCOPD
Male25-34
26 minutes ago

Post-Surgical Wound Concerns

Hello everyone, I’m a 32-year-old female who underwent a fusion procedure on my big toe three weeks ago, and I had my stitches removed just a week back. On Monday, I changed the bandages and the wound appeared in great condition with no sign of redness or discharge. However, during my bandage change yesterday, I noticed a significant change in the appearance of my toe. After consulting with a GP over the phone yesterday, I was prescribed antibiotics. The doctor mentioned that if there wasn’t any improvement within the next 24 hours, I should head to the emergency department to see a surgical specialist. As of now, I haven’t seen any signs of improvement. Since no medical professional has physically examined it yet, I’m concerned whether there’s an actual infection. I have shared an image for reference. Any guidance or advice on this situation would be greatly appreciated! Thanks in advance!

ArthritisMultiple SclerosisInternal Medicine
Male25-34
26 minutes ago

Experiencing Loss of Sensation Without Back Bending

A 33-year-old male, weighing 180 lbs and standing 5’10" tall, is grappling with a troubling condition that results in loss of feeling in his limbs. Despite reaching out to his regular healthcare providers, he's been left without guidance, which exacerbates his fears of potential paralysis. As his symptoms worsen, he finds that he must bend backward or engage specific muscles along his spine to alleviate the temporary paralysis that threatens to overwhelm him. Interestingly, his right side remains unaffected, although he does experience altered temperature sensation in his right foot and hand, while the rest stays intact. When he fails to assume one of two particular positions, sensations in his left foot, hand, shin, forearm, and thigh begin to diminish. He describes the discomfort as akin to being on a caffeine high, with involuntary twitches in his hand and spasms in his left leg, leading to a sensation of numbness and extreme cold. As he avoids these stances, the severity of his symptoms escalates, yet by dedicating a quarter of an hour every hour to these positions, he can keep discomfort at bay. Delaying attention only intensifies the issue, and after a couple of days, he experiences profuse sweating and a flu-like sensation, rendering his left leg nearly unusable without risking a fall. At such a critical stage, he must endure lengthy periods—3 to 4 hours—of lying in specific positions just to regain warmth and sensation in affected areas, often requiring additional hours to restore feeling in his hands. Sadly, he finds that even when he follows this regimen hourly, he rarely returns to full normalcy. His hand persists in shaking, and his left leg remains cold, feeling perpetually as if it's on the brink of awakening. Currently, he's lying on his stomach with his feet elevated and his shoulders arched upward in a pose reminiscent of an extreme Cobra yoga position, also utilizing a large ball under his t6-t8 vertebrae to maintain the necessary bend. A concerning aspect of this situation is the erratic fluctuation in his heart rate. His resting heart rate can soar to 120 bpm but reverts to a much healthier 70-80 bpm when he assumes the required position. Failure to adhere to this regimen leads to worsened symptoms: a heart rate of approximately 100 bpm with slight discomfort, rising to 115 bpm in colder conditions, and exceeding 120 bpm when his limbs lose feeling, often accompanied by palpitations. Urination also poses a challenge, as he experiences frequent urges or difficulty maintaining a consistent stream, which only improves upon returning to the prescribed positions for a while. Navigating these symptoms is proving to be an exhausting endeavor, and he is desperately seeking effective solutions and clarity regarding his health situation.

Multiple SclerosisCOPDEndocrinology
Male25-34
36 minutes ago

Uncertainty Between True Illness and Anxiety Symptoms

(Please note: This is my inaugural post on Reddit, and I apologize if my explanation isn’t perfect!) I’m a 19-year-old woman, standing at 5 feet tall and weighing 110 pounds. Since January of this year, I’ve encountered a myriad of symptoms that have led me to visit the emergency room over seven times. My experiences include severe abdominal discomfort, ongoing constipation, difficulty breathing, overwhelming tiredness, dizziness, and blurred vision. I also suffer from headaches that manifest in specific areas, intense pressure surrounding my jaw and temples that can be painful to manage, a persistently blocked nose, heart palpitations, occasional sharp pains throughout my body, heartburn, and a disrupted sleep pattern due to these various issues. Additionally, I've been dealing with anemia for the past five years, my thyroid levels are currently elevated, and I have a deficiency in vitamin D. Recently, I discovered that I have polyps in my nasal passages. With all of these factors at play, I sometimes find myself overwhelmed by worry, leading to fears of having conditions like POTS or other serious health issues that might arise. To be honest, I am weary of my physicians attributing all of this solely to anxiety, especially since these symptoms can occur independently of any anxious feelings. I seek clarity on what these signs might indicate and hope to learn if there are further steps I can take to improve my health situation, beyond the typical measures like iron and vitamin D supplements or laxatives, which have shown limited effectiveness thus far.

LupusThyroid DisordersEndocrinology
Male25-34
37 minutes ago