[19F] Experiencing chills, body aches, sinus irritation, and mild chest burning

Patient Description

A 19-year-old female reports feeling extremely cold with uncontrollable shivering since early morning, despite adding blankets for warmth. She also describes generalized body aches, with the most severe pain localized to her lower back and the back of her neck. Additionally, she experiences sinus irritation accompanied by nasal congestion and a runny nose. She has a mild burning sensation in her chest, which she associates with possible acid reflux, and a sporadic, mild cough. These symptoms began the previous morning and have progressively worsened. She denies fever, sore throat, difficulty swallowing, shortness of breath, recent travel, exposure to illness, or changes in medications or environment. Current medications include Vyvanse (60 mg) and Ashwagandha. No prior history of similar episodes. The patient has not measured her body temperature due to the lack of a thermometer.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—chills, uncontrollable shivering, body aches (especially in your lower back and neck), mild acid reflux, nasal congestion, a mild cough, and shortness of breath—here are the most likely explanations:

  1. Viral Upper Respiratory Infection (Common Cold or Flu)

    • Your symptoms, including chills, body aches, nasal congestion, and cough, are consistent with a viral infection like the flu or a common cold. The flu, in particular, can cause severe body aches, chills, and shivering, even without a fever. The mild acid reflux could be due to irritation from postnasal drip or coughing.
    • Viral infections are self-limiting, meaning they usually resolve on their own within a week or two. Rest, hydration, and over-the-counter medications for symptom relief (like ibuprofen for aches or decongestants for congestion) can help.
  2. Acute Bronchitis

    • The mild cough, shortness of breath, and burning sensation in your chest could indicate inflammation in your airways, which is common after a viral infection. Acute bronchitis often starts with cold-like symptoms and progresses to involve the chest.
    • This condition is usually self-limiting but may require medical attention if the cough worsens or breathing becomes more difficult.
  3. Acid Reflux (GERD)

    • The mild burning sensation in your chest could also be related to acid reflux, especially if it worsens after eating or lying down. This may be unrelated to your other symptoms but could be exacerbated by stress or illness.
    • Acid reflux can often be managed with dietary changes, avoiding trigger foods, and over-the-counter antacids.
  4. COVID-19

    • While you deny recent exposure, COVID-19 can present with similar symptoms, including chills, body aches, cough, and shortness of breath. Testing may be warranted if symptoms persist or worsen.

What you can do

Here are some steps you can take to feel better and monitor your condition:

  1. Rest and Hydration

    • Get plenty of rest and stay hydrated. Warm fluids like tea or soup can help soothe your throat and ease congestion.
  2. Symptom Relief

    • Over-the-counter medications like ibuprofen or acetaminophen can help reduce body aches and chills. A saline nasal spray or steam inhalation can relieve nasal congestion.
  3. Manage Acid Reflux

    • Avoid lying down immediately after eating, and try to eat smaller, more frequent meals. Avoid spicy, fatty, or acidic foods that might trigger reflux.
  4. Track Your Symptoms

    • Use MDandMe to journal your symptoms, track your progress, and identify any patterns. This can help you and your doctor better understand your condition.
  5. Consider Testing

    • If your symptoms persist or worsen, consider getting tested for COVID-19 or other respiratory infections.

What you should look out for

Seek medical attention if you experience any of the following:

  • A high fever (temperature over 100.4°F) or persistent chills that do not improve.
  • Worsening shortness of breath or difficulty breathing.
  • Chest pain that becomes severe or does not go away.
  • A persistent or worsening cough, especially if it produces blood or green/yellow mucus.
  • Symptoms lasting longer than 10 days or significantly worsening over time.

Remember, I am not a doctor, and this advice is based on the information you've provided. If you're concerned about your symptoms, it's always best to consult a healthcare professional for a formal diagnosis and treatment plan.

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People Also Ask


What could cause uncontrollable shivering without a fever?

Uncontrollable shivering without a fever can be caused by viral infections, such as the flu, or other conditions that affect the body's temperature regulation.


How can I alleviate body aches and chills at home?

To alleviate body aches and chills, rest, stay hydrated, and consider over-the-counter pain relievers like ibuprofen or acetaminophen.


Is nasal congestion and a mild cough always indicative of a serious condition?

Nasal congestion and a mild cough are often symptoms of a common cold or mild respiratory infection and are not always serious, but monitoring for worsening symptoms is important.


What are some effective ways to manage mild acid reflux symptoms?

Mild acid reflux can be managed by avoiding trigger foods, eating smaller meals, and not lying down immediately after eating.


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