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General Health
Question #18657
46 days ago
131

Whatwillbe the diagnosis in my case - #18657

Zeenat

I havesevere headache from past 7 days body temperature 99°C vomiting 3 episodes and 2 times fainted my CBC reports shows increase platelet count mildly and ESR are elevated several doctor saysIhave just migraine but I really feel severe pain which radiate to neck and back sometimes

Age: 19
300 INR (~3.53 USD)
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Doctors' responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
46 days ago
5

Migraine alone does NOT cause fainting, fever, raised ESR, or neck/back radiation. Conditions that MUST be ruled out urgently. Visit nearest physician.

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
45 days ago
5

Hello Zeenat Thank you for sharing these details. Your symptoms—severe headache for 7 days, low-grade fever (99°C), vomiting, fainting, elevated platelets, and high ESR—are concerning, especially since the pain is severe and radiates to your neck and back.

While migraine can cause severe headaches and vomiting, the combination of persistent fever, fainting, and abnormal blood tests (high ESR and platelets) suggests there could be something more serious going on, such as an infection (like meningitis), inflammation, or another neurological issue.

Why this is serious: - Headache with fever, neck/back pain, vomiting, and fainting can sometimes indicate infections or inflammation in the brain or its coverings. - High ESR and platelets point towards inflammation or infection in the body.

What you should do: - You need to see a doctor or go to the hospital urgently for further evaluation. You may need additional tests like a brain scan (CT/MRI), lumbar puncture, or other investigations to rule out serious causes. - Do not ignore these symptoms or try to manage them at home, especially since you have fainted and have abnormal blood tests.

Thank you

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Based on the description of your symptoms, it’s possible that your condition might be more than just a typical migraine, especially given the combination of persistent severe headache, fever, vomiting, fainting, increased platelet count, and elevated ESR. With these signs, a more comprehensive evaluation is warranted to rule out other underlying conditions. The persistent fever and elevated ESR suggest there could be an inflammatory or infectious process occurring. One condition that might fit these symptoms could be meningitis, particularly if the headache radiates to your neck and back, although other possibilities include a severe viral infection or another form of meningitis or encephalitis. The increase in platelets also implies some form of systemic inflammatory response or a reactive process. Immediate action is advisable – seek evaluation by an emergency department or a neurologist as soon as possible. They may need to conduct a lumbar puncture to check for infection in the cerebrospinal fluid. Your safety is the priority, so please don’t delay in getting medical attention, especially if symptoms like fainting or fever worsen. Until you can see a doctor, ensure you’re staying hydrated and rest in a dark, quiet place to manage the headache. Avoid any triggers like loud noise or bright light. However, the most critical step right now is to confirm the underlying cause through medical investigation.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
46 days ago
5

Hello dear See as per clinical history it seems migrane but there can be chances of spondylitis or high blood pressure Raised esr and cbc point towards disease like dengue or viral infection However for exact clarification please get following tests done to rule out other conditions Crp Serum ferritin Serum troponin Serum LDH Ct scan Mri Brain USG Please share the result with general physician medicine or cardiologist for better clarity Please donot take any medication without consulting the concerned physician Regards

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
46 days ago
5

Hello,

These features are not typical of simple migraine.

The most likely consideration is a secondary headache due to infection or inflammation, and raised intracranial pressure or meningitis must be ruled out.

Urgent neurological evaluation with brain imaging (MRI/CT) and further blood tests.

Seek emergency care if symptoms worsen or fainting recurs.

I trust this helps Thank you

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