[20F] Experiencing chills, muscle weakness, and headache

Patient Description

A 20-year-old female has been experiencing chills with a little shaking, muscle weakness primarily in the arms rated as mild (3/10), and aching neck pain headaches. The chills have occurred twice today, despite being in a warm environment, and started this morning. The headaches have been present for a day or two and are mildly painful, on and off throughout the day, but responsive to Tylenol or Advil. There is no history of recent travel, allergies, or adverse reactions to medications. The patient has no past medical history of chronic illnesses or pre-existing conditions and is not currently vaccinated for the flu. The only medication being taken is Pristiq, for which the duration and dosage were not provided. No other symptoms were reported, and there has been no recent injury, fever, rash, stiff neck, confusion, difficulty breathing, or severe increase in headache intensity.

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Arora's Assessment

What might be happening

Based on the symptoms you've shared, here are a few possibilities:

  • Viral Infection: Common viral infections such as the flu or a cold can cause symptoms like chills, muscle weakness, and headaches. These symptoms usually resolve on their own within a week or two.

    • Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms.
  • Stress or Anxiety: These can cause a variety of physical symptoms, including muscle weakness and headaches. If you've been feeling particularly stressed or anxious lately, this could be contributing to your symptoms.

    • Treatment often involves stress management techniques, such as relaxation exercises, mindfulness, and adequate sleep.
  • Side effects of Pristiq: Pristiq is a medication used to treat depression and anxiety. Some of its common side effects include chills, muscle weakness, and headaches.

    • If you suspect your symptoms are due to Pristiq, you should not stop taking the medication without consulting your doctor.

What you can do

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking enough fluids. This can help your body recover if you're dealing with a viral infection.

  2. Over-the-counter medication: You can use over-the-counter pain relievers like acetaminophen (Tylenol) or ibuprofen (Advil) to help manage your headache and muscle weakness.

  3. Monitor your symptoms: Keep track of your symptoms and any changes. If your symptoms persist, worsen, or you develop new symptoms, you should seek medical attention.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe headache or a headache that is getting progressively worse
  • High fever (temperature over 100.4°F)
  • Difficulty breathing or shortness of breath
  • Severe muscle weakness or paralysis
  • Confusion or difficulty staying awake

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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9 mo ago


People Also Ask


What could be causing my chills and muscle weakness?

Chills and muscle weakness can be caused by a variety of factors, including viral infections like the flu or a cold. These symptoms are usually self-limiting and resolve within a week or two with rest and hydration.


Can stress or anxiety cause physical symptoms like headaches and muscle weakness?

Yes, stress and anxiety can manifest as physical symptoms, including headaches and muscle weakness. Managing stress through relaxation techniques and ensuring adequate rest can help alleviate these symptoms.


Are my symptoms possibly side effects of Pristiq?

Yes, Pristiq, which is used to treat depression and anxiety, can have side effects such as chills, muscle weakness, and headaches. If you suspect your symptoms are related to Pristiq, consult your doctor before making any changes to your medication.


When should I seek medical attention for my symptoms?

You should seek medical attention if you experience severe headaches, high fever, difficulty breathing, severe muscle weakness, or confusion. These could be signs of a more serious condition requiring prompt medical evaluation.


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