[19F] Experiencing fever, respiratory, and gastrointestinal symptoms

Patient Description

A 19-year-old female presents with a one-day history of feeling feverish, with a recorded temperature of 100 degrees Fahrenheit, and difficulty breathing. She also reports a two-day history of mild, persistent nausea that is exacerbated by eating, not eating, and quick movements, but is relieved by medication. Additionally, she has a mild cough, headache, sore throat, and runny nose. The patient has been vaccinated for influenza and COVID-19 and has had recent contact with a sick individual or traveled. She has a medical history of hEDS, POTS, narcolepsy, and rheumatoid arthritis, diagnosed three years ago. Currently, she is on Amitriptyline, aripiprazole, citalopram, propanolol, armodafinil, and hydroxyzine, with no known drug allergies and no reported side effects from her long-term medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are several possibilities:

  • Influenza (Flu): The flu is a common viral infection that can be deadly, especially in high-risk groups. The flu attacks the lungs, nose, and throat. Symptoms include fever, chills, muscle aches, cough, congestion, runny nose, headaches, and fatigue.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antiviral medications can also be prescribed by a doctor.
  • COVID-19: Although you've been vaccinated, it's still possible to get COVID-19, but symptoms are usually milder. Symptoms include fever, cough, and difficulty breathing, and they can appear 2-14 days after exposure.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. In severe cases, hospitalization may be necessary.
  • Common Cold: The common cold is a viral infection of your nose and throat (upper respiratory tract). It's usually harmless, although it might not feel that way. Symptoms might include runny or stuffy nose, sore throat, cough, congestion, slight body aches or a mild headache, sneezing, low-grade fever, and generally feeling unwell (malaise).

    • Treatment typically involves rest, hydration, and over-the-counter remedies.

What you can do

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking lots of fluids.
  2. Over-the-counter remedies: These can help with symptoms such as fever and headache.
  3. Isolate yourself: If you're feeling unwell and have symptoms of a viral infection, it's important to stay away from others as much as possible to prevent spreading the virus.
  4. Get tested for COVID-19: Even though you're vaccinated, it's still possible to get COVID-19. If your symptoms persist or worsen, you should get tested.

What you should look out for

If your symptoms worsen or you develop new symptoms, you should seek medical attention. This includes difficulty breathing, persistent pain or pressure in your chest, new confusion, inability to wake or stay awake, or bluish lips or face. These could be signs of a serious condition and require immediate medical attention.

Please remember that while I strive to provide accurate and helpful health information, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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10 mo ago

People Also Ask


Can you still get the flu or COVID-19 even if you've been vaccinated?

Yes, it is still possible to get the flu or COVID-19 even if you've been vaccinated. However, the symptoms are usually milder, and the risk of severe illness is reduced.


What are some common symptoms of the flu, COVID-19, and the common cold?

Common symptoms of the flu include fever, chills, muscle aches, cough, congestion, runny nose, headaches, and fatigue. COVID-19 symptoms can include fever, cough, and difficulty breathing, and they can appear 2-14 days after exposure. The common cold typically involves a runny or stuffy nose, sore throat, cough, congestion, slight body aches, mild headache, sneezing, and a low-grade fever.


How can you differentiate between the flu, COVID-19, and a common cold?

Differentiating between the flu, COVID-19, and a common cold can be challenging as they share many symptoms. However, COVID-19 is more likely to cause loss of taste or smell and can lead to more severe respiratory symptoms. Testing is the most reliable way to determine the specific illness.


What should you do if you experience difficulty breathing and other severe symptoms?

If you experience difficulty breathing, persistent pain or pressure in your chest, new confusion, inability to wake or stay awake, or bluish lips or face, you should seek immediate medical attention as these could be signs of a serious condition.


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